Account Coordinator

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Capital Rx

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2017

⚕️ Assurance santé

💳 Fintech

🤖 Intelligence artificielle

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx est l'entreprise de technologie de la santé connaissant la croissance la plus rapide en Amérique, dédiée à transformer le paysage des prix des médicaments sur ordonnance et des soins aux patients. Fondée en 2017, elle propose des services innovants de gestion des prestations pharmaceutiques (PBM), incluant des avantages pharmaceutiques personnalisables pour les grandes entreprises et une plateforme de navigation des soins propulsée par l'IA. Capital Rx se concentre sur la fourniture de solutions rentables et d'efficacité opérationnelle à ses clients tout en garantissant la transparence et des soins de qualité pour les patients.

Description

• Support implementation and client management teams with all day-to-day client requirements • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations • Analyze incoming client requests and work with internal and external teams to complete required plan documentation • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address • Handle and resolve sponsor and member issues, escalating as needed • Research and respond to claims processing and system configuration inquiries • Coordinate integration of other data inputs into client management processes • Collaborate cross functionally to support general client operations, as required

🎯 Exigences

• Undergraduate bachelor’s degree, with record of strong academic performance or equivalent job experience • 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare • Track record of building trusting internal and external relationships • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables • Experience working with structured and unstructured data • Proficient in Microsoft Office, SQL a bonus • Ability to balance multiple complex projects simultaneously • Exceptional written and verbal communication skills • Extremely flexible, highly organized, and able to shift priorities easily • Attention to detail & commitment to delivering high quality work product

🏖️ Avantages

• Health insurance • Paid time off • Flexible work arrangements