Account Manager II

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MedImpact Healthcare Systems, Inc.

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 1988

⚕️ Krankenversicherung

💊 Pharmazie

☁️ SaaS

💰 €1.400.000 Seed Round im 2013-09

Healthcare Insurance • Pharmaceuticals • SaaS

MedImpact Healthcare Systems, Inc. ist ein Pharmacy Benefit Manager, der mit Krankenversicherungsträgern zusammenarbeitet, um Apothekenleistungen für Mitglieder zugänglicher und erschwinglicher zu machen. Das Unternehmen betreut über 20 Millionen Mitglieder und wickelt jährlich mehr als 40 Milliarden US-Dollar in Apotheken-Transaktionen ab. MedImpact bietet eine Vielzahl von Dienstleistungen, darunter Medikamentenerinnerungen, Hauslieferungen und mehr, um Einzelpersonen zu befähigen, ihre Rezepte effektiv zu verwalten. Durch den Einsatz von Technologie und Ressourcen strebt MedImpact an, eine bessere Wahl im Bereich der Apothekenleistungen anzubieten und unterstützt Gesundheitslösungen, um einen bequemen und zuverlässigen Zugang zu Medikamenten für seine Mitglieder zu gewährleisten.

Beschreibung

• 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

🎯 Anforderungen

• Level I: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: • 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 • A minimum of one (1) plus years’ proven and demonstrated experience with Project Management or Project Coordination using best practices for project methodology • Two (2) years’ internal MedImpact experience may substitute for this requirement • Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. • Level II: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: • A minimum of four (4) years of account management or related client services experience, and at least four (4) plus years’ experience with Project Management or Project Coordination using best practices for project methodology • 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 • Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. • Level III: Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following: • A minimum of six (6) years of account management or related client services experience, and at least six (6) plus years’ experience with Project Management or Project Coordination using best practices for project methodology • 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 • Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. • 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).

🏖️ Vorteile

• 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