Health Plan Account Manager Sr - Remote

Health Plan Account Manager Sr - Remote

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

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 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

Lead client meetings with the ability to directly address and resolve client issues; 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

Partner with clients and internal teams to understand the purpose and intent of incoming requests and evaluate what relevant information exists, how it can be accessed, and determine the most appropriate ways to present the information to the requestor; conduct independent review and analysis to ensure the information is understood and can be leveraged to influence decision making with the client, or Prime leadership

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 Availability from 9am 5pm PST

Other duties as assigned

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.

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.