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EmblemHealth · 1 day ago

Pharmacy Account Manager - Remote

United States

Contract

Remote

Mid, Senior Level

$78K/yr - $149K/yr

5+ years exp

EmblemHealth is a health plan company, and they are seeking a Pharmacy Account Manager to manage and nurture client relationships within their employer group clients. The role involves building and expanding pharmacy service contract accounts, collaborating with internal departments, and ensuring compliance while providing support for non-clinical client inquiries related to pharmacy benefits.

InsuranceNon ProfitWellness

Responsibilities

Identify opportunities for upselling and cross-selling, implementing sales strategies to retain and grow accounts, and tracking sales performance

Provide oversight to account management teams and internal partners as relates to pharmacy benefits, focusing on member and client satisfaction, trend management, and client retention

Build and maintain strong relationships with key company decision-makers, understanding healthcare strategies, and ensuring client and member satisfaction

Work with internal partners to address ongoing service needs, and support Account Management with the Pharmacy Benefit set up and onboarding activities for new clients

Develop and deliver quarterly business reviews for key clients

Partner with product teams on annual revisions to each product line ensuring lowest cost, highest value plans in the market

Direct Pharmacy Benefit Manager (PBM) in plan design activities

Respond to and resolve client issue escalations and resolution, working with internal partners to ensure timely responses

Track and resolve member issue trends, developing process improvements within the team

Ensure client contractual requirements are met and participate in contract renewals

Interpret and analyze pharmacy claims data to identify trends and provide actionable insights

Monitor assigned client claims and trends to proactively identify area of potential issue. Work with internal teams to develop mitigation strategies for identified issues

Perform other related tasks as directed, assigned, or required

Qualification

Pharmacy benefits managementData analysisAccount managementProject managementCommunication skillsInterpersonal skillsProblem-solving skillsCollaboration skills

Required

Bachelor's degree in business or related field

5 - 8+ years of relevant professional work experience in account management, customer service, or healthcare

6+ years of experience in pharmacy benefits management, healthcare, or managed care

Proficiency in analyzing large datasets and interpreting pharmacy claims data

Strong analytical and problem-solving skills, with the ability to analyze data, identify trends, and develop data-driven solutions

Excellent communication and interpersonal skills with the ability to effectively communicate with diverse audiences, including technical and non-technical stakeholders

Ability to work effectively in a fast-paced, collaborative, cross-functional team / matrixed environment

Strong proficiency in project management methodologies