Healthcare Account Manager

Exemption Status: United States of America (Exempt) $71,614 - $95,784 - $119,953 "Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate." This position is not eligible for Sponsorship. Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Account Manager I-III Account Manager I - $52,694 - $69,160 - $85,626 Account Manager II - $60,988 - $80,808 - $100,628 Account Manager III - $71,614 - $95,784 – $119,954 The Scoop: This position is responsible for leading and managing all operational aspects of servicing and retaining clients. This position is also responsible for managing the transition of new business into MedImpact effectively, accurately, and timely. Ensures consistent customer satisfaction during the life cycle of the client from Conception, Implementation, Business Relationship Management and Renewal by leading and collaborating with their assigned client team, over 30 business units, and continually interacting with customers and consultants. The Account Manager is ultimately accountable for ensuring consistent customer satisfaction, delivering successful projects, building, and maintaining solid business relationships and successfully executing the delivery of additional revenue to MedImpact. They are also responsible to ensure products, services and project deliverables are consistent with client service agreements, appropriate service levels are achieved, project timelines and deliverables meet client requirements, issues are identified and resolved timely, and client satisfaction is achieved throughout the life cycle of the client relationship. This position works on assignments that are complex in nature where considerable judgment and initiative are required in resolving problems and making recommendations. Acts independently to determine methods and procedures on new assignments and may determine methods and procedures on new assignments and may provide guidance to other support personnel. What You Get To Do: Develops, builds, and maintains solid client business relationships beginning with a positive on-boarding experience and continuing throughout the life cycle of the client, including clear rules of engagement, orientation, and adherence to MedImpact processes and services, communication of client commitments and expectations to internal partners, and successful management of the client’s day-to-day operations and new implementations. Ensures appropriate levels of service and operational support to assigned clients by understanding and championing clients’ operating requirements throughout the organization, including client business model, targeted markets, benefit design objectives, pharmacy network composition, overall claims adjudication expectations, reimbursement methodologies, metrics, and reporting tools. Proactively maintain and improve upon service performance levels and works across the organization to expeditiously resolve issues, elevate service recovery efforts, provide timely feedback to internal and external customers, raise customer satisfaction levels, and ensure that service gaps & lessons learned are incorporated into the client performance and planning strategy processes. Actively leads members of the core client team, and members of the extended team, in successfully meeting client needs and delivering flawless fundamentals during the business relationship management and renewal phases. Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical and service specifications. Relies on experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goals. Leads the implementation process for the onboarding of new business for existing clients, including timely and accurate documentation/sign off the Implementation Questionnaire and other related documents, communication of client commitments and expectations to internal partners, interpreting and providing context for client requests, ensuring appropriate review and customer sign-off, leading site visits, conference calls, and related responsibilities to ensure flawless implementations. Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally. Effectively educates the client to MedImpact systems and processes to ensure that the client is fully oriented to MedImpact. Manages the client and consultant in compliance with the client service agreement eliminating any risks to MedImpact for non-adherence. Partners with multiple business units and teams to ensure the accuracy of claims adjudication set ups. Understands, documents, and communicates clients’ technical and service specifications across the organization. Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences. Takes accountability for expeditious resolution of adjudication configuration issues identified during the implementation process. Completes special projects as assigned (such as leading workgroups, overseeing projects/development of new system functionality, mentoring/training staff, etc.) Provide regular feedback to management team regarding client requirement status and business development opportunities to improve operational efficiencies. Proactively identify and recommend solutions for client and operational improvements. Supervisory Responsibilities: This job has no supervisory responsibilities. Education and/or Experience Level I: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: A minimum of two (2) years of account management or related client/customer service experience in a healthcare (health insurer, managed care, third party administrator, PBM, or pharmacy) setting. A minimum of one (1) plus years’ proven and demonstrated experience with Project Management or Project Coordination using best practices for project methodology. Two (2) years’ internal MedImpact experience may substitute for this requirement. Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. Level II: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: A minimum of four (4) years of account management or related client services experience, and at least four (4) plus years’ experience with Project Management or Project Coordination using best practices for project methodology. Strongly prefer that experience is in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health related entity, or equivalent combination of education and experience. Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. Level III: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: A minimum of six (6) years of account management or related client services experience, and at least six (6) plus years’ experience with Project Management or Project Coordination using best practices for project methodology. Strongly prefer that experience is in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health related entity, or equivalent combination of education and experience. Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. Computer Skills Intermediate to advanced skill set in MS Office, Word, Excel, PowerPoint, Project, and Outlook. Intermediate to advanced knowledge in Visio. Experience as a user of multiple business software applications is required. Certificates, Licenses, Registrations Pharmacy Technician license or national certification desired. Successful completion of MedImpact Internal Certifications required within one (1) year of active employment in role (i.e., MedAccess Certification, Cognos, and Med Coaching Certification). Other Skills and Abilities Must be exceptionally consultative face to face with clients. Outstanding numeric, verbal, written, logic, and analytical skills. Excellent organization, written and verbal communication skills. Must possess the ability to effectively communicate proposed design solutions in a consultative manner, and provide input and guidance in a way that fosters understanding among internal partners and clients. Good business acumen and understanding of the business processes of PBM services. Good decision-making skills, including expert problem-solving skills, problem analysis and discernment under pressure. Good planning, organizing, prioritizing, negotiating, team building, and leadership capabilities. Demonstrated ability to positively interact with clients at all levels of their organization. Demonstrated accountability for achieving service commitments and ability to deliver results under tight timelines. Excellent organization, written and verbal communication skills. Travel This position requires domestic travel of up to 30% of the time. The Perks: Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets. Equal Opportunity Employer, Male/Female/Disabilities/Veterans OSHA/ADA: To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began. #J-18808-Ljbffr