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Account Manager

Account ManagerSalesFull TimeRemoteTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

87 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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