RX Account Manager

Job Summary: As an Rx Account Manager, you'll serve as the connection between the sale of RxTRA Advantage services and live service delivery for the client, leading the launch or conversion from kick-off and discovery through go-live. You'll ensure set-up is complete across all platforms and systems, and that client requirements are understood. You'll interact with clients at various levels, collaborate internally, set appropriate expectations, and ensure escalation management.

Key Responsibilities & Essential Functions

• Management / Sales:
• Serves as account services plan manager for employer and county accounts; ensures a strong, cohesive business partnership; prioritizes client needs; monitors client activity
• Leads retention and renewal processes for assigned accounts
• Oversees / provides technical claims, billing, and service support on operational issues; interacts with related functional areas when needed
• Documents / completes paperwork for plan changes and quality checks
• Assists in setup of / coordinates delivery of on-site professional services
• Presents / implements new programs and plans
• Identifies / documents best practices of the client services team
• Oversees / performs plan benefit overrides accurately and within established guidelines
• Oversees / performs benefit review claims testing and setup
• Prepares RFP standard marketing materials and responses
• Coordinates all client issues involving claims customer service, eligibility, benefit questions, mail service etc.
• Searches for / researches RFP opportunities, on line and within broker community contacts; fosters relationship with broker community to enhance business opportunities
• Brings in new business (sales) through direct contact, RFP process, and other sales means
• Manages client reporting and data file creation; coordinates billing functions
• Conducts periodic account reviews; analyzes financial and clinical programs
• Performs eligibility add, term, or research as needed
• Reviews / reports on financial results for PBM account activity, regularly and as requested
• Participates in / supports health and employee benefit fairs
• Provides leadership and direction to RxTra Advantage Implementation Analyst
• Supervises / assigns daily work to RxTRA Advantage Coordinator
• Manages special projects as assigned
• Customer Service:
• Works directly with clients to provide general account services
• Applies understanding of client needs and business objectives; manages client expectations; escalates client concerns as appropriate
• Ensures a high level of quality client service through execution of accuracy, responsiveness, reliability, and professionalism
• Collaborates with internal teams to coordinate timely resolution of requests
• Ensures timely resolution of client requests
• Oversees evaluation of contracts; monitors performance guarantees
• Interfaces with Store operations to resolve clients or employer issues
• Interacts with PBM network and eligibility departments to resolve prescription issues
• Attends client meetings; completes ad hoc report requests to support account executives
• Initiates / supports new client benefit implementations with PBM network partner
• Meets with / presents to clients in person (up to 20% of the time)
  

Work Experience

Qualifications & Key Requirements:

• Experience in account management -
• Experience in Pharmacy Benefit Management (PBM) -

• Knowledge of H-E-B Pharmacy guidelines, procedures, and benefit design -
• Strong customer service and problem-solving skills -
• Strong interpersonal and influencing skills -
• Strong verbal / written communication and presentation skills -
• Strong time management and organization skills -
• Strong computer skills, including MS Office (Word, Excel, PowerPoint), and H-E-B systems -
• Ability to handle confidential / sensitive information -
• Ability to manage multiple priorities and deadlines, and shift focus between tasks; attention to detail -

• in a related field () or comparable experience -

• Certified / Registered Technician -

• Function in a fast-paced retail / office environment
• Travel (up to 20% of the work week) by car / plane with some overnight stays
• Occasionally lift and carry 20 lbs or more
• Work extended hours and varying work schedules; sit for extended periods

Last revised: 10/01/2016