Pharmacy Benefit Management Account Manager Jobs

• Client Consultation
  • Builds and grows relationships with brokers and clients by providing exceptional day-to-day support.
  • Plays a major advisory role through consultation for benefit plan and in-house pharmacy reporting needs, proactive communication, timely issue resolution and promotion of RxBenefits and PBM services and products.
  • Prepares and delivers accurate client requested ad-hoc and standard monthly reports.
• Client and Industry Awareness
  • Learns the Client’s organizational structure, understands the Client’s product/services and stays informed of news and organizational changes.
  • Stays current on drug and PBM industry market developments.

• Supports SAE during in-house pharmacy implementations for new and existing clients.
• Coordinates benefit plan changes for client with the client operations teams.

• Functions as the main point of contact for day-to-day support of HR and In-house pharmacy staff.
• Develops and maintains effective working relationships with service partner contacts (such as analysts, underwriters, brokers & consultants, PBMs, sales and service representatives) as well as client HR and in-house pharmacy contacts.
• Partners with client onboarding team to support SAE for implementations of new clients with in-house pharmacies.
• Facilitates development and delivery of member communication deliverables as directed by the client: ad-hoc member letters, standard disruption letters and open enrollment materials.
• Participates in benefit fairs as requested by the client.
• Performs quality checks of the claims adjudication, benefit documents and internal documentation.
• Assists SAE in recommending benefit plan changes.
• Submits plan change requirements in coordination with SAE.
• Researches, escalates, and coordinates resolution of client issues.
• Maintains all required client information in the RxBenefits Sales Force system.
• Assists with preparation of data audits.
• Attends and participates telephonically or in person in client reviews and meetings (on pre-determined schedule) to support SAE of documenting notes and assisting with follow-up items.
• Sets priorities for analytical work.
• Organizes and manages client lifecycle deliverables to meet deadlines.
• Thinks creatively to meet client needs and solve problems.
• Meets or exceeds team and departmental goals established by the Director/VP.
• Participates in ongoing educational events for skill and knowledge development.
• Attends ongoing training specific to in-house pharmacy processes and procedures.
• Assist with keeping department materials, contacts, intranet, etc. up to date.
• Assist with the development of job aids, training materials, etc.
• Presents a positive image in and out of the office to fellow employees, members, providers, and the community.

• Associate or bachelor’s degree is required.
• 3+ years in an Account Manager or Implementation Specialist role with experience in a related industry (PBM, pharmacy, hospital/healthcare.)
• Professional experience supporting hospital personnel and in-house pharmacies.
• High level performance with a designated partner (SAE).
• Proficiency in Microsoft Office tools, including Excel, Word, PowerPoint, Outlook and OneNote.
• Thorough knowledge of Employee Benefits insurance.
• Displays excellent oral and written communication skills.
• Exhibits strong analytical and critical thinking skills.
• Has strong organization skills with the ability to prioritize in a dynamic environment.
• Possesses the ability to read, analyze and interpret industry policies and contract documents.
• Must be self-motivated and excel while working independently with limited supervision or within a group or team.

Based on relevant market data and other factors, the anticipated hiring range for this role is $56,800 to $71,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals. 

We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.

RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:

• 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