Account Manager II

This is a fully remote position, open to applicants in United States.

📋 Description

• Develops, constructs, and sustains robust client business relationships, starting with a positive onboarding experience and continuing throughout the client's lifecycle. This includes establishing clear rules of engagement, orientation, adherence to MedImpact processes and services, communicating client commitments and expectations to internal partners, and effectively managing the client's daily operations and new implementations.

• Ensures that assigned clients receive appropriate levels of service and operational support by thoroughly understanding and advocating for their operating requirements across the organization. This encompasses the client’s business model, targeted markets, benefit design objectives, pharmacy network composition, overall claims adjudication expectations, reimbursement methodologies, metrics, and reporting tools.

• Proactively maintains and enhances service performance levels, collaborating across the organization to promptly resolve issues, escalate service recovery efforts, provide timely feedback to both internal and external customers, improve customer satisfaction levels, and ensure that service gaps and lessons learned are integrated into the client performance and planning strategy processes.

• Actively leads core client team members and extended team members to successfully meet client needs, delivering impeccable fundamentals during the business relationship management and renewal phases.

• Adheres to stringent procedural and quality standards, which include thorough and accurate documentation, testing protocols, claims analysis, and a comprehensive understanding of client technical and service specifications.

• Utilizes experience, judgment, business and systems knowledge, and technical skills to effectively plan and achieve goals.

• Guides the implementation process for onboarding new business for existing clients, ensuring timely and accurate documentation and sign-off on the Implementation Questionnaire and other related documents. This includes communicating client commitments and expectations to internal partners, interpreting and contextualizing client requests, ensuring proper review and customer sign-off, leading site visits, conference calls, and related responsibilities to guarantee flawless implementations.

• Employs project management skills to monitor milestones and deliverables, promptly recognize and notify of risk indicators, and provide regular status updates to Leadership both internally and externally.

• Effectively educates clients about MedImpact systems and processes to ensure complete orientation.

• Manages the client and consultant in accordance with the client service agreement to mitigate any risks to MedImpact for non-compliance.

• Collaborates with various business units and teams to ensure the accuracy of claims adjudication setups.

• Understands, documents, and communicates clients’ technical and service specifications throughout the organization.

• Analyzes claims results to identify discrepancies, inaccuracies, anomalies, and unexpected outcomes.

• Takes responsibility for the swift resolution of adjudication configuration issues identified during the implementation process.

• Completes special projects as assigned, such as leading workgroups, overseeing projects or the development of new system functionality, and mentoring/training staff.

• Provides regular feedback to the management team regarding client requirement status and business development opportunities aimed at improving operational efficiencies.

• Proactively identifies and recommends solutions for client and operational enhancements.

⛳️ Requirements

• Level I: Bachelor’s degree from a four-year college or university or an equivalent combination of education and experience, along with the following:

• A minimum of two (2) years of experience in account management or related client/customer service in a healthcare setting (health insurer, managed care, third-party administrator, PBM, or pharmacy).

• At least one (1) year of demonstrated experience in Project Management or Project Coordination using best practices for project methodology.

• Two (2) years of internal MedImpact experience may substitute for this requirement.

• Must be knowledgeable about healthcare-related state and government regulations such as Medicaid, CMS, etc.

• Level II: Bachelor’s degree from a four-year college or university or an equivalent combination of education and experience, along with the following:

• A minimum of four (4) years of experience in account management or related client services, and at least four (4) years of experience in Project Management or Project Coordination using best practices for project methodology.

• Strongly prefer experience in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health-related entity, or an equivalent combination of education and experience.

• Must be knowledgeable about healthcare-related state and government regulations such as Medicaid, CMS, etc.

• Level III: Bachelor’s degree from a four-year college or university or an equivalent combination of education and experience, along with the following:

• A minimum of six (6) years of experience in account management or related client services, and at least six (6) years of experience in Project Management or Project Coordination using best practices for project methodology.

• Strongly prefer experience in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health-related entity, or an equivalent combination of education and experience.

• Must be knowledgeable about healthcare-related state and government regulations such as Medicaid, CMS, etc.

• Intermediate to advanced proficiency in MS Office, including Word, Excel, PowerPoint, Project, and Outlook.

• Intermediate to advanced knowledge of Visio.

• Experience as a user of multiple business software applications is required.

• A Pharmacy Technician license or national certification is desirable.

• Successful completion of MedImpact Internal Certifications is required within one (1) year of active employment in the role (i.e., MedAccess Certification, Cognos, and Med Coaching Certification).

🏝️ Benefits

• Medical / Dental / Vision / Wellness Programs

• Paid Time Off / Company Paid Holidays

• Incentive Compensation

• 401K with Company match

• Life and Disability Insurance

• Tuition Reimbursement

• Employee Referral Bonus