Account Executive PBM Industry

4 weeks ago

Draper, United States ScripPoint Full time

An Account Executive is responsible for maintaining the relationship and managing the services of their assigned client accounts. This will include fielding routine to complex requests related to our clients' benefit plans, implementing new plans, recommending plan changes that are aligned with industry trends, analyzing complex problems, and assisting with driving solutions. Additionally, you will be required to maintain a high level of quality in client service through accuracy, responsiveness, reliability, and professionalism during every interaction in an extremely fast-paced environment. 

 RESPONSIBILITIES

·       Preparing account service-related documents such as meeting agendas, proposals, PBM requests, and other client communications, and correspondence

·       Maintenance of Plan Documentation and current contracts

·       Preparing Plan Reviews using our proprietary software

·       Give active coordination, communication, and guidance to our account coordinators

·       Monitoring and Reporting PBM Performance using our proprietary software

·       Providing recommendations on benefit design based on industry trends and clinical knowledge

·       Coordination of plan changes with the PBM

·       Resolution or appropriate escalation of PBM client service issues in conjunction with operations (claims, service, and systems)

·       Management of client contract renewals

·       Market Check Analysis reporting

·       Participate and document discussions during client meetings and conference calls.

·       Prepare meeting recaps itemizing all discussion points, action items, and next steps.

·       Serve as a resource for clients. Attending to the needs of the client and continually seeking ways to add value to the client-company relationship

·       Supporting clients in person, over the phone, and through email

·       Ensure client financial goals are met, cost of care and administrative expenses are managed, and segment profit targets are achieved for assigned accounts

·       Request and Validate PBM performance guarantees. Coordinate reimbursement to client if needed

·       Encourage team engagement and development by sharing best practices and mentoring/engaging other employees where applicable

·       Maintain a client audit schedule in coordination with our audit team to ensure a proactive approach in supporting PBM administrative compliance

QUALIFICATIONS

  • 3+ years of Account Management or Client Facing positions
  • 3+ years of Prescription Benefit Management (PBM) industry experience
  • Excellent verbal and written communication skills
  • Ability to manage complex relationships
  • Excellent organization
  • Excellent time management and multitasking skills
  • Ability to interact with executive stakeholders
  • Project Management Skills
  • Willingness to contribute to the team- participation in team building activities, leading team recognition for “wins”, and ability to help create a positive setting
  • Experienced problem solver with ability to analyze, interpret, and resolve
  • Experience working with various software products (CRMs, Reporting Platforms, etc.)
  • Good mathematical skills.
  • Proficient with Microsoft Office. Especially Excel, Word, and PowerPoint.
  • Bachelor’s degree preferred.

COMPANY OVERVIEW

ScripPoint is a consulting firm focused solely on prescription benefit management.  Over 60 years of experience in PBM employment provide us with insight into the inner workings of a PBM including pricing strategies, service expectations and program function. ScripPoint continuously monitors your pharmacy benefits with a hands-on, customer-focused approach. Services we provide include:

·       PBM NEGOTIATION AND PROCUREMENT. ScripPoint consistently works to negotiate a more simplified contract with terms that are favorable for you, not the PBM.

·       IMPLEMENTATION SERVICES. We are with you every step of the way, ensuring a smooth transition during implementation or renewal periods.

·       PBM VENDOR MANAGEMENT. We help to support you in your relationship with the PBM. Assisting with any issues, disagreements or questions on a day-to-day basis.

·       CLINICAL OVERSIGHT. Our team is knowledgeable on a clinical level as well. We monitor all drug utilization monthly to alert you of negative trends, or to recommend proactive measures for clinical management. Member health improvement is important to us.

·       CLAIMS AND BENEFITS AUDITING. ScripPoint provides in-depth Plan reviews on a quarterly basis. These reports keep you informed regarding every aspect of your Plan utilization. They also act to monitor the PBM’s performance, ensuring contractual guarantees are being met.

·       SAVINGS OPTIMIZATION. Whether by reducing expensive brand utilization, negotiating better contractual terms, ensuring rebates and any guarantee reimbursements are received in full, or eliminating PBM pricing manipulation; our goal is to bring you the most savings for a PBM service that works best for you.

· RX PERFORMANCE REVIEWS.PBM A Reports are provided on a regular basis with detailed compliance with contract pricing as well as Plan performance. Our clients find the reports to provide insight into the financials aspects as well as actionable recommendations to better guide their benefit administration.

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