Talent.com
Health Plan Account Manager Sr - Remote
Health Plan Account Manager Sr - RemoteSouth Dakota Staffing • Pierre, SD, US
No longer accepting applications
Health Plan Account Manager Sr - Remote

Health Plan Account Manager Sr - Remote

South Dakota Staffing • Pierre, SD, US
22 days ago
Job type
  • Full-time
  • Remote
Job description

Health Plan Account Manager Sr - Remote

Our work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make. 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.

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. Positions will be posted for a minimum of five consecutive workdays.

    Create a job alert for this search

    Sr Account Manager • Pierre, SD, US

    Related jobs
    Manager, Payor Engagement- Remote

    Manager, Payor Engagement- Remote

    Sharecare • Pierre, SD, United States
    Remote
    Full-time
    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driv...Show more
    Last updated: 30+ days ago • Promoted
    Product Marketing Manager - Prescription Payer Management

    Product Marketing Manager - Prescription Payer Management

    South Dakota Staffing • Pierre, SD, US
    Full-time
    Consumer Product Marketing Manager.We're looking for a Consumer Product Marketing Manager, specializing in the vision insurance channel and prescription (Rx) commercialization of Meta's smart glass...Show more
    Last updated: 30+ days ago • Promoted
    Travel Occupational Therapist (OT) - $1,706 to $1,806 per week in Pierre, SD

    Travel Occupational Therapist (OT) - $1,706 to $1,806 per week in Pierre, SD

    AlliedTravelCareers • Pierre, SD, US
    Full-time +1
    AlliedTravelCareers is working with Converdia Health Staffing to find a qualified Occupational Therapist (OT) in Pierre, South Dakota, 57501!. ConVerdia Health Staffing- Staffing temporary and perma...Show more
    Last updated: 12 days ago • Promoted
    Care Partner - Remote

    Care Partner - Remote

    Sharecare • Pierre, SD, United States
    Remote
    Full-time
    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driv...Show more
    Last updated: 8 hours ago • Promoted • New!
    Account Manager, I

    Account Manager, I

    South Dakota Staffing • Pierre, SD, US
    Full-time
    Provides processing and sales support for loan applications received from wholesale loan brokers.Works with assigned account manager(s) to facilitate the management of the loan applications from su...Show more
    Last updated: 15 days ago • Promoted
    NetSuite Account Manager - Emerging Markets - Burlington

    NetSuite Account Manager - Emerging Markets - Burlington

    South Dakota Staffing • Pierre, SD, US
    Full-time
    Do you want to advance your career with the world's first cloud company? Since 1998, Oracle NetSuite has been on a mission to deliver an agile, unified application suite that gives leaders a comple...Show more
    Last updated: 2 days ago • Promoted
    Commercial Lines Account Manager - Producer Operations Team (Fully Remote)

    Commercial Lines Account Manager - Producer Operations Team (Fully Remote)

    Insurance Office of America • Pierre, SD, US
    Full-time
    Title : Account Manager - Commercial Lines.Producer Operations Team, provides support to new producers during their first 3-6 months with account management and service, while also providing tempora...Show more
    Last updated: 30+ days ago
    NetSuite Account Manager

    NetSuite Account Manager

    South Dakota Staffing • Pierre, SD, US
    Full-time
    NetSuite was the first cloud ERP company and is experiencing record growth.With over 20,000 customers, NetSuite is outstanding in the market with its ability to work with small startups to large en...Show more
    Last updated: 30+ days ago • Promoted
    Customer Success Account Manager

    Customer Success Account Manager

    South Dakota Staffing • Pierre, SD, US
    Full-time
    Customer Success Account Manager.As the world's leading nonprofit member organization for cybersecurity professionals, our core values drive everything we do in support of our vision of a safe and ...Show more
    Last updated: 30+ days ago • Promoted
    Account Manager - Commercial Lines (Remote Opportunity)

    Account Manager - Commercial Lines (Remote Opportunity)

    Insurance Office of America • Pierre, SD, US
    Full-time
    Title : Account Manager - Commercial Lines.Construction, Contractors, General .Please note : If this position is posted as either fully remote and / or hybrid, in accordance with company policy, indivi...Show more
    Last updated: 30+ days ago
    Account Manager II - DB Sales

    Account Manager II - DB Sales

    South Dakota Staffing • Pierre, SD, US
    Full-time
    We are igniting business growth by connecting people, data and applications quickly, securely, and effortlessly.Together, we are building a culture and company from the people up committed to tea...Show more
    Last updated: 30+ days ago • Promoted
    Sr. Manager, Product Management - Capital One Software (Remote)

    Sr. Manager, Product Management - Capital One Software (Remote)

    Remote Staffing • Pierre, SD, US
    Remote
    Full-time +1
    Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experie...Show more
    Last updated: 1 day ago • Promoted
    Senior Account Manager - Commercial Lines

    Senior Account Manager - Commercial Lines

    Insurance Office of America • Pierre, SD, US
    Full-time
    Title : Senior Account Manager - Commercial Lines.Fully Remote | Book Focus : Real Estate.Please note : If this position is posted as either fully remote and / or hybrid, in accordance with company poli...Show more
    Last updated: 30+ days ago
    Director, Patient Safety

    Director, Patient Safety

    Sanford Health • Pierre, South Dakota, United States
    Full-time +2
    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States.We're proud to offer many development and advancement opportunities to our nearly 50,000 ...Show more
    Last updated: 9 hours ago • Promoted • New!
    Commercial Lines Account Manager - Construction, Contractors (Fully Remote Opportunity)

    Commercial Lines Account Manager - Construction, Contractors (Fully Remote Opportunity)

    Insurance Office of America • Pierre, SD, US
    Full-time
    Title : Account Manager - Commercial Lines.Eastern or Central Time Zone candidates).General, Construction, Contractors .Please note : If this position is posted as either fully remote and / or hybrid, ...Show more
    Last updated: 6 days ago
    Travel Occupational Therapist - $1,692 per week

    Travel Occupational Therapist - $1,692 per week

    Skyline Med Staff Allied • Pierre, SD, United States
    Full-time
    Skyline Med Staff Allied is seeking a travel Occupational Therapist for a travel job in Pierre, South Dakota.Job Description & Requirements. Join the Top- Rated Travel Healthcare Team!.Skyline Med S...Show more
    Last updated: 2 hours ago • Promoted • New!
    Associate Director, Strategic Accounts

    Associate Director, Strategic Accounts

    South Dakota Staffing • Pierre, SD, US
    Full-time
    Evolent Strategic Accounts Associate Director.Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions.Working across sp...Show more
    Last updated: 2 days ago • Promoted
    Travel Occupational Therapist (OT) - $1,820 to $3,054 per week in Pierre, SD

    Travel Occupational Therapist (OT) - $1,820 to $3,054 per week in Pierre, SD

    AlliedTravelNetwork • Pierre, SD, US
    Full-time
    AlliedTravelNetwork is working with CompHealth to find a qualified Occupational Therapist (OT) in Pierre, South Dakota, 57501!. Though your CompHealth recruiter will be your single point of contact,...Show more
    Last updated: 16 days ago • Promoted