PBM Account Manager

Baltimore, Maryland (US)

 

QUESTPRO CONSULTANTS is conducting an exclusive PBM Account Service Manager search for rapidly expanding Managed Care Provider dedicated to a Federal Workers’ Compensation, Employee Benefits, Disability Management and Absence Management account.  This privileged opportunity will be primarily an office based position located onsite at their Corporate Headquarters in Bethesda, Maryland.  Ideal Candidate will be detail oriented with a knack for diplomatic Client Relations, and direct experience related to Workers’ Compensation Claims and/or PBM Administrative/Operations.

Corporate Culture

  • Provides an exciting and fast paced work environment
  • Provides growth opportunities and cultivates talent
  • Celebrates our individual and team successes together
  • Provides a comprehensive benefits package
  • Supports a team oriented work atmosphere
  • Located within walking distance of the metro in Bethesda, MD

Summary

The Account Manager supports a dedicated client team in executing and ensuring successful project delivery according to Client objectives and timelines. This includes timely delivery of all contractual deliverables, coordinating efforts of internal team members with the client, managing logistics, and general stewardship of client and stakeholders. The Account Manager is required to maintain a professional working relationship with assigned key account personnel developing an authentic working partnership. The Account Manager has a detailed knowledge of Corporate program, capabilities, applications, practices, and processes thereby providing the client with the most appropriate services.  The Account Manager will work in Corporate’s Bethesda, MD office or Southern New England.

Primary Duties and Responsibilities

  • Execute project activities according to the project plan/scope of work.
  • Maintain the project schedule to identify the duration of the project, dependencies, key milestones, deliverables and critical paths to ensure an effective and timely project delivery.
  • Develop a masterful working knowledge of Corporate applications, practices and processes.
  • Responsible for client communications, assisting with conflict resolution and client expected deliverables.
  • Ensure the timely and successful delivery of our program according to customer needs, objectives and contract requirements.
  • Communicate clearly the progress of monthly/quarterly initiatives to internal and external stakeholders.
  • Proactively gather and analyze data to successfully position the project/senior management team with the customer regarding the program’s performance.
  • Identify and request ad-hoc reports for customers and external vendors (pharmacy, etc.).
  • Maintain accurate information in internal customer relationship management tools.
  • Collaborate with project/senior management team to create strategic customer business plans.
  • Support third party audits.
  • Support internal projects.
  • Develop and maintain long-term relationships with customer supporting client retention/contract renewal.
  • Ensure client issues are dealt with in an efficient manner and escalate to project/senior management as necessary.
  • Responsible for other tasks and duties as assigned.

Professional Requirements

  • Strong Microsoft Office Suite Efficiency
  • 3 years’ customer service/account management within an organization, the healthcare system or the insurance industry, PBM experience preferred.
  • Ability to travel 20% locally and nationally
  • Knowledge of the healthcare system and industry. Broad based knowledge of claims and the insurance industry functions and operations
  • Ability to write reports, business correspondence, and procedure manuals
  • Effectively present information and respond to questions from other managers, the client, customer, and the general public
  • Work independently as a self-starter committed to delivering the highest in customer service, quality and results
  • Exceptional verbal, written and interpersonal communication skills including public speaking and presentations
  • Superb relationship-building skills
  • Strong computer skills
  • Able to pass a preliminary credit and background check
  • United States Citizenship

The Company provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetics, or protected Veteran status. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employee upon hire. Successful candidate will be required to undergo a criminal background check, and obtain and maintain confidential-level security clearance upon hire.