Career Opportunities International
Your Global Talent Partner
Account Manager
Location
United States
Posted
83 days ago
Salary
Not specified
Bachelor Degree3 yrs expEnglish
Job Description
• Serve as the trusted advisor to employer benefits leaders, HR teams, and benefit consultants/brokers
• Lead all client interactions, including regular strategy meetings, annual renewal negotiations, and quarterly performance reviews
• Proactively identify and address client needs, providing consultative recommendations on formulary management, clinical programs, network strategies, and cost-containment opportunities
• Oversee all aspects of benefit implementation and ongoing maintenance, ensuring benefit updates and contractual deliverables are executed accurately and on time
• Manage the full issue resolution lifecycle, serving as the internal advocate for the client
• Ensure strict compliance with all contractual terms, service level agreements (SLAs), and regulatory requirements (e.g., HIPAA, Medicare Part D/CMS)
• Analyze complex pharmacy claims data, utilization reports, and financial metrics to identify key trends, cost drivers, and opportunities for clinical and financial optimization
Job Requirements
- Bachelor's degree in Business, Healthcare Administration, Pharmacy, or a related field
- 3+ years of experience in account management, client service, or consulting within the Pharmacy Benefit Management (PBM) or Managed Care industry
- Deep understanding of pharmacy benefit concepts, including formulary management, clinical programs (PA, Step Therapy, QL), rebate aggregation, and the competitive PBM landscape
- Strong proficiency in analyzing and interpreting pharmacy claims data, financial reports, and utilization trends
- Expert-level skills in Microsoft Office Suite, Google Workspace, particularly Excel/Sheets (pivot tables, VLOOKUP) and PowerPoint/Slides
- Familiarity with PBM claims processing systems (e.g., RxClaim) is a plus.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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