[Remote] Account Manager (Pharmacy Benefit Management)
Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is a company focused on Pharmacy Benefit Management, and they are seeking an Account Manager to support Brokers and Consultants during the after-sales phase of the business. This role is crucial for maintaining positive client relationships and requires strong organizational and communication skills.ResponsibilitiesIdentifies client requirements, determines schedule availability, promotes services, defines process and related materials, provides quotation & contracts, acquires customer paperwork, mediates process, resolves issues, communicates job status, obtains personalization signs-offs and performs customer required data auditPlays major advisory role by providing client consultation on, but not limited to, the following service and industry fundamentals; list presorting; key mail-piece design elements and materials, Hosts and/or participates in facility toursResponsible for understanding the Client’s organization & structure, knowing the Client’s product/services and staying aware of Client news and changes. Maintain and update Client record with changes. Communicates, monitors and assures proper billing proceduresEstablishes and promotes goodwill with customer. Reviews client history and contacts customer as a follow-up activityAccountable for accurate and timely preparation of orders; initiates work orders for implementation, produces the expected reports, oversees, creates and/or assembles job packets, facilitates and generates data processing work order, coordinates receipt of data, audits and updatesLead contact and day-to-day administrator responsible for assigned clients with SAEHighly engaged with the client and SAE from the transition of the client from Business Development, through the implementation process and throughout the client lifecycleEnsure all client and account information entered in Sales Force and DataNet is accurate and up-to-dateMaintains effective relationships with client contactsInterprets plan rules to ensure compliance with plan documents and summary plan descriptions (SPD) or summary or benefits (SOB)Analyzes utilization reports and assists SAE in recommending benefit plan changesSubmits plan change requirement for assigned clients in coordination with SAEPrepares and reviews written communications. Prepares renewal spreadsheets and letters. Prepares claims experience reports and renewal projectionsRequest and summarize proposals from insurance companies. Prepare benefit summaries for current and recommended plan changesLeads special projects as neededMaintains an ongoing effort to manage current benefit trends and legislated requirements and programs. Prepares and assure accuracy on audits, census data and quotingResearches and resolves client issuesSupports SAE with research and client problem resolutionAttends and participates telephonically in the client reviews (on pre-determined schedule) to support SAE in documenting notes and assisting with follow-up itemsSet priorities for analytical work in order to meet deadlinesPerform technical analysis of group insurance contracts and financial arrangementsEvaluate renewals for fairness and accuracyMaintain necessary commissions for all plans and Brokers (as necessary)Participate in Best and Final presentations as neededThink creatively to meet client needs and solve problemsPrepare and send out confirmation lettersMake regular service/relationship calls to clientsPreparation of basic to moderately complex reports deemed necessary by SAE, RxBenefits Senior Leadership and or brokerCommunicate to our clients 'Our Value-Added Service'Meet or exceed Team and departmental goals established by the Director/VPAssist with keeping department materials, contacts, intranet, etc. up to dateAssist with the development of job aids, training materials, etcPresent a positive image in and out of the office to fellow employees, members, providers, and the communityAll other assigned dutiesSkillsHigh School diploma is requiredProficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)Thorough knowledge of Employee Benefits insuranceAbility to read, analyze and interpret industry policies and contract documentsExcellent presentation and communication skillsStrong analytical and critical thinking skillsStrong organization skills with the ability to prioritize in a dynamic environmentSelf-motivated with the ability to work independently with limited supervision or within a group or teamAssociate's or Bachelor's degree preferredHealth / Pharmacy industry experience preferredBenefitsRemote first work environmentChoice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family membersDental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)Additional buy-up options for Short- and Long-Term Disability and Life Insurance401(k) with an employer match up to 3.5% available after 60 daysCommunity Service Day to give back and support what you love in your community10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you likeReimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best workTuition Reimbursement for accredited degree programsPaid New Parent Leave that can be used for adoption or birthPet insurance to protect your furbabiesA robust mental health benefit and EAP service through Spring Health to support you when you need it mostCompany OverviewRxBenefits is a health and wellness company that provides pharmacy benefits and administration services. It was founded in 1995, and is headquartered in Birmingham, Alabama, USA, with a workforce of 1001-5000 employees. Its website is http://rxbenefits.com.