CarelonRx Account Services Manager

4 weeks ago

Altamonte Springs, United States Elevance Health Full time

The CarelonRx Account Services Manager is responsible providing customer service representation and strategic planning for assigned accounts. Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. How you will make an impact: Partners with assigned sales representative(s) to achieve sales or retention goals. Works to ensure administration of contractual requirements and obligations. Attends and participates in sales meetings, training programs, and in-services. Maintains ongoing account relationships at multiple levels throughout the customers' organizations. Makes recommendations for improvements to meet customers' expectations. Communicates with physicians as to the outcome(s) of patient benefit investigations. Supports specialty pharmacy in the delivery of medications by procuring missing documentation, communicating information to physician offices, and related activities. Provides both on-site and off-site customer service. Researches and resolves phone and written inquiries. Coordinates open enrollment meetings, renewal process and training sessions. Documents and ensures that brand drug specific program steps are adhered to. Triages prescriptions to in-network pharmacy as necessary. Follows up with health plans and/or physician offices to communicate status and obtain prior authorizations. Maintains customer relationship management (i.e., CRM) and electronic medical records (i.e., EMR). Minimum Requirements: Requires a high school diploma and a minimum of 2 years experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Minimum of 2 years related experience in specialty pharmacy.

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