Health Plan Account Manager Sr

4 weeks ago


Washington DC, United States Prime Therapeutics Full time

We help people get the medicine they need to feel better and live well. A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible. Health Plan Account Manager Sr - Remote
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.
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 through: intake and coordination of client issues, ensuring an intimate understanding of client's challenges, priorities and adopted products and services, and helping Prime identify and implement changes that result in mutual value in the relationship
Identify, establish and maintain relationships with key partners in the client organization and strive to deliver a superior, retention focused customer experience; support the positioning of Prime as a strategic advisor and trusted partner by demonstrating leadership, accountability, knowledge and enthusiasm in all interactions
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, and support the delivery of client priorities and requests; partner with account leadership to socialize and advocate for client strategic plans
coordinate and at times, facilitate client meeting activities as aligned to the account management principles, including but not limited to: solidifying meeting objectives and participants, developing agendas, preparing, collecting and disseminating and uploading meeting materials in client portal, routinely updating CRM tool (Salesforce) and conducting any necessary follow up with stakeholders or clients
Ensure coordination with Account Management Office to build and socialize business cases for client initiatives, including the identification and confirmation of scope, budget, timelines and risks
Collect details on client engagement interactions with assigned client/s and input into the Salesforce CRM tool, including but not limited to meeting agendas and notes, identified dependencies or risks, key decision points and outcomes, and any next steps, agreed actions and responsibly parties; ensure the appropriate data is captured within Salesforce in order for the tool to be leveraged as a source of truth for the overall client relationship (client interactions, products pitched and deployed, decision records, etc)
Participate in up-sell opportunities for new products and services, and provide feedback to product development and implementation teams regarding client and segment specific requirements
Provide support for any identified strategic group renewal and implementation, in partnership with Blue and Prime's employer markets sales and retention teams; ensure effective representation and execution for employer market strategies and go to market pull through on assigned client accounts
Bachelor's degree in business, healthcare or related area of study, or equivalent combination of education and/or work experience; 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

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
Project management experience
PBM and/or health plan experience
Ability to travel up to 10% of the time
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. 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.
Positions will be posted for a minimum of five consecutive workdays.
We're reimagining pharmacy solutions to provide the care we would want for our loved ones. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.Remote working/work at home options are available for this role.


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