Account Manager - Accredo
SUMMARY:
The Account Manager (AM) owns execution of operational performance strategy for Accredo Specialty Pharmacy clients within the direct payer space, taking a proactive, data-driven approach to identify risks, uncover opportunities, and drive measurable results. This role actively shapes and advances service strategy while leading end-to-end execution in support of medium and small PBMs and national health plans, with direct accountability for delivering persistency, influencing membership growth, and earnings targets.
The AM plays a lead role in managing client relationships in alignment with the Account Executive, assuming direct ownership for select clients based on size and complexity. This role actively drives cross-functional alignment across product and operational teams, proactively identifies gaps, removes barriers, and ensures systems and processes are optimized to meet client needs and improve efficiency for the organization, segment, and team.
RESPONSIBILITIES:
Support the organization to achieve operational excellence, growth, profitability, and persistency objectives through effective patient service oversight, account retention, and management strategies.
Effectively collaborates with Accredo partners on benefit, service, and relational strategies targeting enhanced patient and client experience.
Maintain market/competitive knowledge on service trends and differentiators.
Effectively collaborate with the Account Executive (AE) on account retention, growth, and satisfaction strategies (multi-product/operational collaboration for operations, network, marketing, product, etc.).
Drive inclusion of patient installation, product, and service partners where appropriate.
Collaborate with AE on renewal activities, to include RFP involvement, service issues, performance guarantees (PG), corrective action plans (CAP), and implementations.
Develop and maintain “trusted-advisor” relationships with clients and patients by proactively engaging in needs and goals discussions. Leverage Accredo's capabilities and services to differentiate Accredo from the competition.
Maintain in-depth knowledge of Accredo products and services across all product lines, benefit designs, access, patient care, and outcomes reporting.
Maintain current knowledge of Accredo operational effectiveness and confidently and effectively articulate the impacts for the clients and patients.
Act as lead in managing PG reporting requests, including analytics and presentation.
Develop and implement upsell and margin strategies for target accounts to drive enrollment growth, network access, and drug adds.
Maintain basic understanding and conceptual application of underwriting principals and the contracting process.
Effectively leverage resources to fulfill client onsite needs, and offer creative and effective solutions to drive optimal client outcomes and satisfaction while balancing patient/client cost.
Represent Accredo in market-based events, quarterly business reviews, on site and over communications.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
College Degree or 5+ years of experience in a relevant role.
3+ years of experience in healthcare / managed care business, including the following: product knowledge, underwriting principals, risk and financial analysis skills, marketing processes, account management experience, and knowledge of pharmacy operations.
Excellent communication, negotiation, influencing skills.
Ability to make sense of complex, unstructured information and communicate the key takeaways through effective storytelling.
Strategic and financial savvy; ability to partner with AE to grow book of business.
Demonstrated planning and organizational skills; ability to plan for both the long and short term; drive priorities and results.
Demonstrated ability to foster strong working relationships.
Ability to communicate and lead within a heavily matrixed environment.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 96,800 - 161,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
The Account Manager (AM) owns execution of operational performance strategy for Accredo Specialty Pharmacy clients within the direct payer space, taking a proactive, data-driven approach to identify risks, uncover opportunities, and drive measurable results. This role actively shapes and advances service strategy while leading end-to-end execution in support of medium and small PBMs and national health plans, with direct accountability for delivering persistency, influencing membership growth, and earnings targets.
The AM plays a lead role in managing client relationships in alignment with the Account Executive, assuming direct ownership for select clients based on size and complexity. This role actively drives cross-functional alignment across product and operational teams, proactively identifies gaps, removes barriers, and ensures systems and processes are optimized to meet client needs and improve efficiency for the organization, segment, and team.
RESPONSIBILITIES:
Support the organization to achieve operational excellence, growth, profitability, and persistency objectives through effective patient service oversight, account retention, and management strategies.
Effectively collaborates with Accredo partners on benefit, service, and relational strategies targeting enhanced patient and client experience.
Maintain market/competitive knowledge on service trends and differentiators.
Effectively collaborate with the Account Executive (AE) on account retention, growth, and satisfaction strategies (multi-product/operational collaboration for operations, network, marketing, product, etc.).
Drive inclusion of patient installation, product, and service partners where appropriate.
Collaborate with AE on renewal activities, to include RFP involvement, service issues, performance guarantees (PG), corrective action plans (CAP), and implementations.
Develop and maintain “trusted-advisor” relationships with clients and patients by proactively engaging in needs and goals discussions. Leverage Accredo's capabilities and services to differentiate Accredo from the competition.
Maintain in-depth knowledge of Accredo products and services across all product lines, benefit designs, access, patient care, and outcomes reporting.
Maintain current knowledge of Accredo operational effectiveness and confidently and effectively articulate the impacts for the clients and patients.
Act as lead in managing PG reporting requests, including analytics and presentation.
Develop and implement upsell and margin strategies for target accounts to drive enrollment growth, network access, and drug adds.
Maintain basic understanding and conceptual application of underwriting principals and the contracting process.
Effectively leverage resources to fulfill client onsite needs, and offer creative and effective solutions to drive optimal client outcomes and satisfaction while balancing patient/client cost.
Represent Accredo in market-based events, quarterly business reviews, on site and over communications.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
College Degree or 5+ years of experience in a relevant role.
3+ years of experience in healthcare / managed care business, including the following: product knowledge, underwriting principals, risk and financial analysis skills, marketing processes, account management experience, and knowledge of pharmacy operations.
Excellent communication, negotiation, influencing skills.
Ability to make sense of complex, unstructured information and communicate the key takeaways through effective storytelling.
Strategic and financial savvy; ability to partner with AE to grow book of business.
Demonstrated planning and organizational skills; ability to plan for both the long and short term; drive priorities and results.
Demonstrated ability to foster strong working relationships.
Ability to communicate and lead within a heavily matrixed environment.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 96,800 - 161,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.