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Health Plan Account Manager Sr - Remote
Health Plan Account Manager Sr - RemoteRemote Staffing • Tallahassee, FL, US
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Health Plan Account Manager Sr - Remote

Health Plan Account Manager Sr - Remote

Remote Staffing • Tallahassee, FL, US
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Health Plan Account Manager Sr - Remote

Our work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make. The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account / s and provides information, analyses, and consulting to the assigned health plan and Prime client engagement leadership teams across all lines of business. This position interacts directly with Prime's clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion cross-functional efforts necessary to retain existing clients and strengthen Prime's competitive position in the market.

Responsibilities :

  • Serve as a line of business specialist responsible for managing client relationships within assigned health plan / s; effectively support contract renewal activities, retention, and the implementation of assigned client strategic plans.
  • Identify, establish and maintain relationships with key partners in the client organization and strive to deliver a superior, retention focused customer experience.
  • Identify, establish and maintain key internal relationships needed to increase business acumen and awareness, appropriately position Prime products, track and communicate the resolution of client issues.
  • Lead client meetings with the ability to directly address and resolve client issues; coordinate and at times, facilitate client meeting activities.
  • Partner with clients and internal teams to understand the purpose and intent of incoming requests and evaluate what relevant information exists.
  • Ensure coordination with Account Management Office to build and socialize business cases for client initiatives.
  • Collect details on client engagement interactions with assigned client / s and input into the Salesforce CRM tool.
  • Participate in up-sell opportunities for new products and services, and provide feedback to product development and implementation teams.
  • Provide support for any identified strategic group renewal and implementation, in partnership with Blue and Prime's employer markets sales and retention teams.

Minimum Qualifications :

  • Bachelor's degree in business, healthcare or related area of study, or equivalent combination of education and / or work experience; HS diploma or GED is required.
  • 5 years of client service experience in healthcare or insurance, to include 1 year of experience within claims analysis or other operational PBM functions and 3 or more years direct client facing experience.
  • Must be eligible to work in the United States without need for work visa or residency sponsorship.
  • Additional Qualifications :

  • Effective verbal and written communications skills
  • Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport and collaborate effectively across departments, internally and externally, and at all levels within an organization
  • Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple projects, under pressure and strict timeframes, without compromising quality
  • Ability to confidently represent the business and interact with external entities
  • Able to balance and prioritize compliance, business and other competing goals and risks, while still driving programs and initiatives to completion
  • Preferred Qualifications :

  • Project management experience
  • PBM and / or health plan experience
  • Government Programs, Medicare Part D / B and / or Medicaid experience
  • RxCLAIM experience
  • Minimum Physical Job Requirements :

  • Ability to travel up to 10% of the time
  • Constantly required to sit, use hands to handle or feel, talk and hear
  • Frequently required to reach with hands and arms
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Occasionally required to lift and / or move up to 10 pounds and occasionally lift and / or move up to 25 pounds
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
  • Reporting Structure :

    Reports to the Director within the Markets Team

    Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page.

    Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

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    Sr Account Manager • Tallahassee, FL, US

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