Account Service Manager - Payor Contracting

Account Service Manager - Payor Contracting

Account Service Manager - Payor Contracting

Location: Hybrid 1 - This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Hours: Monday - Friday 8:00am to 5:00pm EST.

BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

How you will make an impact:

• Provides strategic planning and account management for larger payor accounts.
• Directs and manages the administration of payor contractual requirements and obligations.
• Assists with the management of the new and renewal implementation process for accounts.
• Interfaces with operations to ensure smooth delivery of services.
• Maintains ongoing payor account relationships at multiple levels throughout the health plan and PBM organizations.
• Makes recommendations for improvements to meet expectations.
• Provides both on-site and off-site customer service, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit, and enrollment issues.
• Prepares and submits contractually required health plan and PBM reports and metrics.
• Program management of payors and payor contracts.

Minimum Requirements:

• Requires a BA/BS and a minimum of 3 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Specialty and Infusion Pharmacy experience strongly preferred.
• Payor contract, health plan, and PBM experience preferred.
• Smartsheet and Excel proficiency for payor reporting experience preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,208 to $114,312.

Location(s): Illinois

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non-Management Exempt

Workshift: Job Family: SLS > Sales Support