Account Management Senior Manager - Direct Payer - Accredo

Cigna Healthcare

1d•Remote

About The Position

The Senior Manager, Account Management is a people leader responsible for strategic oversight of Direct Payer accounts with a strong emphasis on revenue cycle performance, operational excellence, and transformation through technology and process discipline. This role leads a team of Account Executives, owns the financial and operational health of the assigned book of business, and drives change through the adoption of AI‑enabled tools, structured workflows, and cross‑functional alignment. The position serves as a key strategic partner across Operations, Revenue Cycle Management, Product, Finance, Clinical, and Technology teams to ensure coordinated strategy execution and measurable results.

Requirements

Bachelor's degree
Progressive leadership experience in specialty pharmacy, payer relations, PBM, or healthcare account management
Demonstrated success leading teams responsible for complex client portfolios
Strong knowledge of revenue cycle processes, claims operations, and payer reimbursement dynamics
Experience supporting Direct Payer or non-PBM-integrated health plan accounts
Proven ability to drive change, adopt new tools, and implement structured ways of working
Excellent strategic thinking, communication, and cross‑functional leadership skills

Nice To Haves

MBA, PharmD or equivalent advanced degree
Experience leading or sponsoring AI-enabled or technology transformation initiatives
Financial acumen with experience managing risk, performance guarantees, and/or margin outcomes

Responsibilities

Own the overall strategy, performance, and financial outcomes for a defined Direct Payer book of business
Drive alignment between client strategy, contractual obligations, operational execution, and enterprise priorities
Serve as escalation leader for complex payer issues impacting access, claims, reimbursement, or financial performance
Translate strategic objectives into actionable plans with clear accountability and measurable outcomes
Partner with Revenue Cycle Management teams to ensure strong claims performance, timely adjudication, issue resolution, and bad debt avoidance
Provide leadership oversight on root‑cause analysis of RCM issues affecting client satisfaction or financial results
Ensure RCM performance insights are incorporated into client strategy, internal prioritization, and team execution
Hold teams accountable for proactive identification and escalation of RCM risks within the book of business
Lead adoption and full utilization of enterprise tools, including AI‑enabled solutions, reporting platforms, and workflow systems
Drive consistent use of tools for issue tracking, documentation, analytics, and performance management
Champion process standardization and structured execution to reduce variability and improve outcomes
Partner with Product, Technology, and AI teams to pilot, implement, and scale solutions that drive efficiency and insight
Directly manage, coach, and develop Account Executives
Set clear expectations related to strategy execution, tool utilization, risk management, and performance outcomes
Foster a culture of accountability, continuous improvement, and data‑driven decision‑making
Support talent development, succession planning, onboarding, and performance management
Act as a strategic connector across Operations, RCM, Clinical, Product, Finance, Legal, and Underwriting teams
Ensure strategies and initiatives are coordinated across functions to avoid duplication and misalignment
Represent Account Management in enterprise initiatives, transformation efforts, and strategic workstreams
Influence change and outcomes through strong partnerships rather than formal authority