Account Service Manager (Pharmacy): Remote - 139826

Anthem, Inc
Mar 03, 2018
Mar 17, 2018
Employer Type
Direct Employer
Employment Type
Full Time
Your Talent. Our Vision.*At Anthem, Inc.*, it?s a powerful combination, and the foundation upon which we?re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will*drive the future of health care.*

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

*_Account Service Manager (Pharmacy): Remote - 139826_*
The*Account Service Manager*is responsible for the following, but not limited to:

*_Key Roles and Responsibilities_*:
* Provides strategic planning and account management for large accounts.
* Directs and manages the administration of contractual requirements and obligations.
* Interfaces with operations to ensure smooth delivery of services.
* Maintains ongoing account relationships at multiple levels throughout the customers' organizations.
* Makes recommendations for improvements to meet customers' expectations.
* Provides both on-site and off-site customer service, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues.
* Makes routine account visits.
* Become an expert on plan contacts for the region. Collaborate and build relationships across business units, advocate for the needs of the region
* Contribute to regional performance goals
o Lead efforts to bring standardization across accounts
o Support the training and development of Account Service Coordinators
* Develop and implement communications to pharmacies, prescribers and members as necessary to improve member and provider experience and reduce cost
_*Additional Roles and Responsibilities*_:
* Support the development of new web content to improve the member and provider experience
* Become an expert on contractual requirements, beneficiary rights and standard benefits in plans throughout the region
* Compile information and support pharmacy program updates to leadership, including but not limited to: annual planning meetings, quarterly business reviews, biweekly trend meetings
* Perform routine benefit surveillance to assure benefits are working correcting, low claim reject volumes throughout the region
* Solve claims issues and complaints with the support of Pharmacy Operations team or Medicaid Account Management team
* Assure successful implementation of programs
o Benefit mandates
o Program enhancements
o Cost of Care programs
o System changes
* Assure appropriate access for health plan staff to RX tools

* Requires BA/BS, 3-5 years* of experience managing business operations and/or customer relationship; or any combination of education and experience, which would provide an equivalent background.
* Requires 2 years of managed care experience or PBM experience; Government business experience preferred.
* Proficiency in MS excel, Power Point, Outlook
* Travel required, up to 10%

/*Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.*/

**Job** *Sales*

Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

**Title:** *Account Service Manager (Pharmacy): Remote - 139826*

**Location:** *connecticut-Wallingford*

**Requisition ID:** *139826*