Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is a company that specializes in pharmacy benefit management, and they are seeking an Account Manager to support Brokers and Consultants during the after-sales phase of the business. This role involves maintaining strong client relationships, facilitating internal work orders, and ensuring compliance with plan documents while providing exceptional client consultation and support.
Responsibilities
- Identifies client requirements, determines schedule availability, promotes services, defines process and related materials, provides quotation & contracts, acquires customer paperwork, mediates process, resolves issues, communicates job status, obtains personalization signs-offs and performs customer required data audit
- Plays major advisory role by providing client consultation on, but not limited to, the following service and industry fundamentals; list presorting; key mail-piece design elements and materials, Hosts and/or participates in facility tours
- Responsible for understanding the Client’s organization & structure, knowing the Client’s product/services and staying aware of Client news and changes. Maintain and update Client record with changes. Communicates, monitors and assures proper billing procedures
- Establishes and promotes goodwill with customer. Reviews client history and contacts customer as a follow-up activity
- Accountable for accurate and timely preparation of orders; initiates work orders for implementation, produces the expected reports, oversees, creates and/or assembles job packets, facilitates and generates data processing work order, coordinates receipt of data, audits and updates
- Lead contact and day-to-day administrator responsible for assigned clients with SAE
- Highly engaged with the client and SAE from the transition of the client from Business Development, through the implementation process and throughout the client lifecycle
- Ensure all client and account information entered in Sales Force and DataNet is accurate and up-to-date
- Maintains effective relationships with client contacts
- Interprets plan rules to ensure compliance with plan documents and summary plan descriptions (SPD) or summary or benefits (SOB)
- Analyzes utilization reports and assists SAE in recommending benefit plan changes
- Submits plan change requirement for assigned clients in coordination with SAE
- Prepares and reviews written communications. Prepares renewal spreadsheets and letters. Prepares claims experience reports and renewal projections
- Request and summarize proposals from insurance companies. Prepare benefit summaries for current and recommended plan changes
- Leads special projects as needed
- Maintains an ongoing effort to manage current benefit trends and legislated requirements and programs. Prepares and assure accuracy on audits, census data and quoting
- Researches and resolves client issues
- Supports SAE with research and client problem resolution
- Attends and participates telephonically in the client reviews (on pre-determined schedule) to support SAE in documenting notes and assisting with follow-up items
- Set priorities for analytical work in order to meet deadlines
- Perform technical analysis of group insurance contracts and financial arrangements
- Evaluate renewals for fairness and accuracy
- Maintain necessary commissions for all plans and Brokers (as necessary)
- Participate in Best and Final presentations as needed
- Think creatively to meet client needs and solve problems
- Prepare and send out confirmation letters
- Make regular service/relationship calls to clients
- Preparation of basic to moderately complex reports deemed necessary by SAE, RxBenefits Senior Leadership and or broker
- Communicate to our clients 'Our Value-Added Service'
- Meet or exceed Team and departmental goals established by the Director/VP
- Assist with keeping department materials, contacts, intranet, etc. up to date
- Assist with the development of job aids, training materials, etc
- Present a positive image in and out of the office to fellow employees, members, providers, and the community
- All other assigned duties
Skills
- High School diploma is required
- Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
- Thorough knowledge of Employee Benefits insurance
- Ability to read, analyze and interpret industry policies and contract documents
- Excellent presentation and communication skills
- Strong analytical and critical thinking skills
- Strong organization skills with the ability to prioritize in a dynamic environment
- Self-motivated with the ability to work independently with limited supervision or within a group or team
- Associate's or Bachelor's degree preferred
- Health / Pharmacy industry experience preferred
Benefits
- Remote first work environment
- Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
- Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
- Additional buy-up options for Short- and Long-Term Disability and Life Insurance
- 401(k) with an employer match up to 3.5% available after 60 days
- Community Service Day to give back and support what you love in your community
- 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
- Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
- Tuition Reimbursement for accredited degree programs
- Paid New Parent Leave that can be used for adoption or birth
- Pet insurance to protect your furbabies
- A robust mental health benefit and EAP service through Spring Health to support you when you need it most
Company Overview