Pharmacy Account Coordinator

4 weeks ago

Lakeland, United States WELLDYNE Full time
Job DescriptionJob Description

Summary

The Account Coordinators are responsible for assisting the Account Team in the service of his/her assigned accounts which includes web-tool training, eligibility help, trouble-shooting plan or member issues, report requests, and coordination with internal departments to fulfill day-to-day client needs or requests. This position will also assist in plan implementation and interaction for plan updates and changes when required.

This is a remote, working from home position. At this time we are seeking candidates ONLY in the following states: AL, FL, GA, KY, NC, TN, VA.

Essential Duties and Responsibilities

  • Provides day-to-day support to clients and client representatives (i.e. third-party administrators, human resources personnel, brokers, etc.) regarding various issues such as eligibility, claims or rejected claims, co-pay questions, and member information.
  • Provides timely and accurate answers to issues/inquiries from internal and external sources.
  • Assists the Account Team in the account implementation process– including attendance of client implementation meetings, review of plan set-up and processing of member materials.
  • Escalates high priority or reoccurring issues to the appropriate Client Services team member to ensure resolution; may require running reports, investigating causes and flagging the problem for follow-up.
  • Maintains professional interdepartmental relations and communication on all client service issues.
  • Submits required paperwork to other departments through processing tools
  • Assists in servicing the total customer relationship requiring interaction with medical administrators, brokers, consultants, legal personnel, trustees, etc.
  • Requires knowledge and use of multiple proprietary software systems and functions.
  • Other duties as assigned.

Education and Experience

  • Bachelor’s degree in Health Administration, Business, or related field desired. Proven industry experience may be acceptable in lieu of degree.
  • Previous experience in client services or account management is preferred.
  • Requires ongoing learning in the pharmacy benefit management industry and continuous product knowledge development in the areas of healthcare and PBM, company specific product offerings, basic pricing components, and company capabilities and limitations.
Knowledge, Skills, and Abilities
  • Ability to communicate with all levels of people in a manner which illustrates superior professionalism.
  • Excellent interpersonal skills for dealing with clients, peers, other departments, and senior management.
  • Excellent written communication and documentation skills.
  • Ability to manage multiple projects to successful conclusion.
  • Must have the ability to use logical methods to address problems and develop effective solutions ensuring customer expectations are met or exceeded.
  • Ability to identify developing problems and take actions as needed.
  • Must have advanced attention to detail with the ability to prioritize and meet deadlines.
  • Ability to organize information in a clear and concise manner.
  • Must have working knowledge desktop computer applications in the MS Office Suite.
  • Requires knowledge and use of multiple proprietary or industry software systems and functions.
  • Ability to adapt and be flexible in a variety of situations.
  • Ability to multitask and possess excellent time management skills.
  • Ability to analyze and interpret data/issues to identify root cause and resolution.
  • Must be able to work independently as well as support and contribute to team goals.
  • Follows all policies and procedures related to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate.
  • Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, WellDyne Code of Conduct, Business Ethics Policies and Procedures, and other policies and procedures applicable to position.
  • May require additional coverage times outside of regularly scheduled hours.

Equipment and Connection requirements- For remote candidates

  • Internet speed minimum: 100mbs download / 10mbs upload that will be verified by HR in a speed test
  • Cell phone to allow VPN push to connect to network and allow for support resources
  • Dedicated workspace to reduce background noise
  • Home computer with video capabilities as well as the ability to support WebEx* will be required for interview and initial training week. Company equipment will be provided by week 2.
  • Modem/router has to be close enough to plug in a 10ft network cable (has to be hard wired)

WellDyne Can Offer You

  • Medical, Dental and Vision Benefits
  • Medical Savings Account Options with Company match
  • 401K after 90 days of employment
  • Employee Assistance Program
  • Life and Supplemental insurance
  • Educational Reimbursement
  • Paid Time Off
  • Career Pathing

Work Environment / Physical Demands

This position is in a typical office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard phone equipment. Travel may be required occasionally based on business needs.

EOE M/F/D/V

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