About The Position

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. 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. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

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

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources
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