Account Coordinator

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Capital Rx

501 - 1000 employees

Founded 2017

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx is the fastest growing healthtech company in America, dedicated to transforming the prescription pricing and patient care landscape. Founded in 2017, it offers innovative pharmacy benefit management (PBM) services, including customizable pharmacy benefits for large employers and an AI-powered care navigation platform. Capital Rx focuses on delivering cost-effective solutions and operational efficiencies to clients while ensuring transparency and quality care for 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

🎯 Requirements

• 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

🏖️ Benefits

• Health insurance • Paid time off • Flexible work arrangements

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