Account Service Manager Senior - Carelon Payment Integrity Commercialization

Elevance Health • City of Pewaukee, WI

2d • Hybrid

About The Position

Account Service Manager Senior - Carelon Payment Integrity Commercialization Locations: KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300 IN-INDIANAPOLIS, 220 VIRGINIA AVE WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Account Service Manager Senior - Carelon Payment Integrity Commercialization is responsible for providing highly advanced account management representation and strategic planning for major accounts and serves as a lead for assigned accounts and unit. How you will make an impact: Provides strategic planning and account management for large accounts. Directs and manages the administration of contractual requirements and obligations. Manages the new and renewal implementation process for accounts. Interfaces with operations to ensure smooth delivery of services. Maintains ongoing account relationships at multiple levels throughout the customer's organization. Makes recommendations for improvements to meet customers' expectations. Develops implementation processes and manages reporting processes to ensure client retention and high levels of account satisfaction. Provides both on-site and off-site account management, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues. Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client. Coordinates open enrollment meetings, renewal process and training sessions. Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements. Provides guidance or expertise to less experienced account service managers. Makes routine account visits/travels to worksite and other locations, as necessary (quarterly).

Requirements

• Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Experience managing client experiences, expectations, and strategies for multiple solutions.
• Data mining and subrogation experience.

Responsibilities

• Provides strategic planning and account management for large accounts.
• Directs and manages the administration of contractual requirements and obligations.
• Manages the new and renewal implementation process for accounts.
• Interfaces with operations to ensure smooth delivery of services.
• Maintains ongoing account relationships at multiple levels throughout the customer's organization.
• Makes recommendations for improvements to meet customers' expectations.
• Develops implementation processes and manages reporting processes to ensure client retention and high levels of account satisfaction.
• Provides both on-site and off-site account management, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues.
• Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client.
• Coordinates open enrollment meetings, renewal process and training sessions.
• Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements.
• Provides guidance or expertise to less experienced account service managers.
• Makes routine account visits/travels to worksite and other locations, as necessary (quarterly).

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees