Account Service Manager Sr - Pharmacy Account Management

Anticipated End Date:

2025-07-25

Position Title:

Account Service Manager Sr - Pharmacy Account Management 

Job Description:

Account Service Manager Sr - Pharmacy Account Management 

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

The Account Service Manager, Sr, is responsible for providing highly advanced account management representation and strategic planning for major accounts and serves as a lead for assigned accounts and units.

How you will make an impact:

• Provides strategic planning and account management for large accounts.

• Directs and manages the administration of contractual requirements and obligations.

• Manages the new and renewal implementation process for accounts.

• Interfaces with operations to ensure smooth delivery of services.

• Maintains ongoing account relationships at multiple levels throughout the customer's organization. Make recommendations for improvements to meet customers¿ expectations.

• Develop implementation processes and manage reporting processes to ensure client retention and high levels of account satisfaction.

• Provides both on-site and off-site account management, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues.

• Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client.

• Coordinates open enrollment meetings, renewal process and training sessions.

• Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements.

• Provides guidance or expertise to less experienced account service managers.

• Make routine account visits and attend client meetings as necessary.

Minimum Requirements:

• Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.

• A sales license may be required.

• Travels to worksite and other locations as necessary.

Preferred Experience, Skills, and Capabilities

• Experience working in the managed care/healthcare insurance industry most notably in pharmacy benefits; PBM experience strongly preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability are highly preferred.

• Proven ability in collaborating with cross-functional teams and coordinating efforts towards common goals are strongly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred. 

• Proficient with Microsoft Office products, MS Teams, CRM tools and Salesforce highly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $104,352 to $156,528.