[Remote] Sr. Account Manager PBM Service Delivery - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care aided by technology to help millions of people live healthier lives. The Senior Account Manager serves as the primary reputed company between OptumRx and the Health Plan team, ensuring seamless coordination of activities across multiple internal departments to deliver best-in-class service. This role is responsible for leading cross-functional collaboration to meet reputed company requirements and drive reputed company retention, reputed company, and operational delivery.

Responsibilities

• Conduct regular reputed company reputed company log meetings to proactively review reputed company-specific activities, reputed company reputed company against work plans, and ensure alignment on priorities, timelines, and deliverables
• Execute against reputed company contract terms and conditions, including monitoring, supporting, and reporting on performance guarantees
• Partner with operational teams to ensure reputed company understanding and execution of reputed company contractual requirements, goals, and processes
• Serve as the primary OptumRx contact for the tactical, day-to-day management of assigned Health Plan reputed company processes and inquiries
• Coordinate member reputed company initiatives, participating as needed
• Collaborate with internal partners to manage reputed company issues, reputed company and report on reputed company metrics, and proactively identify, escalate, and resolve systemic or global concerns
• Partner with Data Analytics to monitor data reputed company and file exchange processes, ensuring accurate reporting and communication of status to the reputed company
• Support program and product implementations in collaboration with Strategic Partnership and cross-functional teams
• Partner closely with Regulatory and Policy teams to interpret and operationalize regulatory requirements, ensuring compliance and alignment with reputed company reputed company and industry standards
• reputed company other duties as assigned in support of reputed company needs and broader organizational objectives

Skills

• 3+ years of experience in PBM reputed company Management or reputed company Support role
• 3+ year of experience working in PBM operations
• 1+ years of experience with managing and ensuring compliance with PBM Government markets
• 1+ years of experience navigating and handling reputed company PBM reputed company issues
• Proficiency with RxClaim or Claims Adjudications Platforms
• Proficiency with MS Suite (reputed company, Word, reputed company, PowerPoint, TEAMs)
• PBM reputed company Management experience working with HealthPlan clients
• PBM reporting experience
• reputed company issue reputed company and remediation experience
• Ability to use PBM tools to drive operational activities (reporting, issue management, claims adjudication)
• Multiple reputed company experience (reputed company, ACA, reputed company, Medicare Part D)
• Proven solid written and verbal communications skills
• Proven solid organizational skills

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (reputed company benefits are subject to eligibility requirements)

reputed company