Sr. Account Manager PBM Service Delivery - Remote
About The Position
The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team, ensuring seamless coordination of activities across multiple internal departments to deliver best-in-class service. This role is responsible for leading cross-functional collaboration with operational partners to ensure all client requirements and contractual obligations are met. Success in this position requires the ability to proactively anticipate client needs, develop strategic action plans, and drive execution with accountability. Building and maintaining strong relationships both internally and with key client stakeholders is essential to achieving high levels of client satisfaction. As a key member of the account team, the Senior Account Manager supports the Senior Director of Account Management in driving client retention, growth, and operational delivery. The role requires a high-performing individual with strong communication skills and a deep understanding of the healthcare landscape, including the broader healthcare system and government markets. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- 3+ years of experience in PBM Client Management or Client Support role
- 3+ year of experience working in PBM operations
- 1+ years of experience with managing and ensuring compliance with PBM Government markets
- 1+ years of experience navigating and handling complex PBM client issues
- Proficiency with RxClaim or Claims Adjudications Platforms
- Proficiency with MS Suite (Outlook, Word, Excel, PowerPoint, TEAMs)
Nice To Haves
- PBM Client Management experience working with HealthPlan clients
- PBM reporting experience
- Complex issue resolution and remediation experience
- Ability to use PBM tools to drive operational activities (reporting, issue management, claims adjudication)
- Multiple LOB experience (Commercial, ACA, Medicaid, Medicare Part D)
- Proven solid written and verbal communications skills
- Proven solid organizational skills
Responsibilities
- Conduct regular client action log meetings to proactively review client-specific activities, track progress against work plans, and ensure alignment on priorities, timelines, and deliverables.
- Execute against client contract terms and conditions, including monitoring, supporting, and reporting on performance guarantees
- Partner with operational teams to ensure clear understanding and execution of client contractual requirements, goals, and processes
- Serve as the primary OptumRx contact for the tactical, day-to-day management of assigned Health Plan client processes and inquiries
- Coordinate member outreach initiatives, participating as needed
- Collaborate with internal partners to manage client issues, track and report on resolution metrics, and proactively identify, escalate, and resolve systemic or global concerns
- Partner with Data Analytics to monitor data integrity and file exchange processes, ensuring accurate reporting and communication of status to the client
- Support program and product implementations in collaboration with Strategic Partnership and cross-functional teams
- Partner closely with Regulatory and Policy teams to interpret and operationalize regulatory requirements, ensuring compliance and alignment with client contracts and industry standards.
- Perform other duties as assigned in support of client needs and broader organizational objectives
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
