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MedImpact Healthcare Systems, Inc. · 8 hours ago

Account Manager I - III

United States

Full-time

Remote

Entry, Mid, Senior Level

$61K/yr - $101K/yr

2+ years exp

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join their team. The Account Manager I-III position is responsible for leading and managing all operational aspects of servicing and retaining clients, ensuring consistent customer satisfaction, and delivering successful projects.

Health CarePharmaceutical

No H1B

Responsibilities

Develops, builds, and maintains solid client business relationships beginning with a positive on-boarding experience and continuing throughout the life cycle of the client, including clear rules of engagement, orientation, and adherence to MedImpact processes and services, communication of client commitments and expectations to internal partners, and successful management of the client’s day-to-day operations and new implementations

Ensures appropriate levels of service and operational support to assigned clients by understanding and championing clients’ operating requirements throughout the organization, including client business model, targeted markets, benefit design objectives, pharmacy network composition, overall claims adjudication expectations, reimbursement methodologies, metrics, and reporting tools

Proactively maintain and improve upon service performance levels and works across the organization to expeditiously resolve issues, escalate service recovery efforts, provide timely feedback to internal and external customers, raise customer satisfaction levels, and ensure that service gaps & lessons learned are incorporated into the client performance and planning strategy processes

Actively leads members of the core client team, and members of the extended team, in successfully meeting client needs and delivering flawless fundamentals during the business relationship management and renewal phases

Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical and service specifications. Relies on experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goals

Leads the implementation process for the onboarding of new business for existing clients, including timely and accurate documentation/sign off the Implementation Questionnaire and other related documents, communication of client commitments and expectations to internal partners, interpreting and providing context for client requests, ensuring appropriate review and customer sign-off, leading site visits, conference calls, and related responsibilities to ensure flawless implementations

Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally

Effectively educates the client to MedImpact systems and processes to ensure that the client is fully oriented to MedImpact

Manages the client and consultant in compliance with the client service agreement eliminating any risks to MedImpact for non-adherence

Partners with multiple business units and teams to ensure the accuracy of claims adjudication set ups

Understands, documents, and communicates clients’ technical and service specifications across the organization

Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences

Takes accountability for expeditious resolution of adjudication configuration issues identified during the implementation process

Completes special projects as assigned (such as leading workgroups, overseeing projects/development of new system functionality, mentoring/training staff, etc.)

Provide regular feedback to management team regarding client requirement status and business development opportunities to improve operational efficiencies

Proactively identify and recommend solutions for client and operational improvements

Qualification

Account ManagementHealthcare RegulationsProject ManagementClient Relationship ManagementMS Office SuiteAnalytical SkillsTeam BuildingCommunication SkillsProblem-Solving SkillsOrganizational Skills

Required

Bachelor's degree from four-year college or university or equivalent combination of education and experience

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

A minimum of one (1) plus years' proven and demonstrated experience with Project Management or Project Coordination using best practices for project methodology for Level I

Two (2) years' internal MedImpact experience may substitute for this requirement for Level I

Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. for Level I

A minimum of four (4) years of account management or related client services experience for Level II

At least four (4) plus years' experience with Project Management or Project Coordination using best practices for project methodology for Level II

Strongly prefer that experience is in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health related entity, or equivalent combination of education and experience for Level II

Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. for Level II

A minimum of six (6) years of account management or related client services experience for Level III

At least six (6) plus years' experience with Project Management or Project Coordination using best practices for project methodology for Level III

Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. for Level III

Intermediate to advanced skill set in MS Office, Word, Excel, PowerPoint, Project, and Outlook

Intermediate to advanced knowledge in Visio

Experience as a user of multiple business software applications is required

Pharmacy Technician license or national certification desired

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

Must be exceptionally consultative face to face with clients

Outstanding numeric, verbal, written, logic, and analytical skills

Excellent organization, written and verbal communication skills

Must possess the ability to effectively communicate proposed design solutions in a consultative manner, and provide input and guidance in a way that fosters understanding among internal partners and clients

Good business acumen and understanding of the business processes of PBM services

Good decision-making skills, including expert problem-solving skills, problem analysis and discernment under pressure

Good planning, organizing, prioritizing, negotiating, team building, and leadership capabilities

Demonstrated ability to positively interact with clients at all levels of their organization

Demonstrated accountability for achieving service commitments and ability to deliver results under tight timelines

Excellent organization, written and verbal communication skills

This position requires domestic travel of up to 30% of the time

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

Company

MedImpact Healthcare Systems, Inc.

Glassdoor2.8

MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.

Founded in 1989

San Diego, California, USA

1001-5000 employees