Account executive remote

Job Description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title…

Senior Account Operations Executive – Remote

Job Description Summary

Accountable for Profit and Loss of the assigned account(s). Accountable for building day-to-day operational relationships with customers and setting and carrying out account growth and retention strategy.

Responsible for monitoring specific account contract(s) to ensure performance complies with contractually required service levels and performance standards, internal policies, and state and federal regulations.

Develops relationships with other account stakeholders that support achievement of strategic alignment. Partners with and coordinates company account and internal resources to achieve business objectives, maintain account satisfaction, and ensure that the company’s products and services support customers’ needs.

Job Description
• Customer Management :
• Consistently achieves improved account customer satisfaction for all assigned accounts.
• Develops strong relationships with key operational customers. Operational point of contact and drives client operational meetings.
• Develops strong relationships and contacts within the company that are supportive of the achievement of customer service requirements, including attainment of performance guarantees and minimization of performance penalty expense.
• Fully versed in all aspects of the contracts with assigned customers as well as ensuring ongoing contract performance.
• Creates and maintains strategic partnerships with customers through the development and implementation of annual account retention and growth plans that result in long term retention.
• Resolves or appropriately escalates customer service issues in conjunction with operations specific to the assigned account(s).
• Coordinates and assists in the preparation and presentation of reports for assigned accounts.
• Contract and Financial Management :
• Ensures revenue goals are met, expenses are managed and overall account profitability targets are attained. Develops action plans for deviations or negative budget variances that are identified.
• Ensures contract performance through SLA monitoring, required reporting, and operational requirements.
• Coordinates with the company’s Compliance Department to help manage customer and company required audits. Assists with providing recommendations for process improvements to enhance compliance and productivity.
• Provides detailed analysis of non-compliant areas and recommends corrective action based on risk of financial penalties, sanctions and breach of contract.
• Consults with clients if programs or directives jeopardize the company?s compliance with federal guidelines.
• Follows internal compliance audit tools to incorporate contractual requirements, internal policies, state and federal regulations, including details of associated fines, sanctions or breach of contract issues if non-compliant.
• Opportunity Development :
• Delivers up-sell and renewal opportunities and activities across assigned account(s). Coordinates with other internal subject matter experts for up-sell specifics.
• Assists with RFPs for Account Management responses with assigned accounts or other identified opportunities.
• Demonstrates depth of knowledge of all the company’s products and how multiple products are interdependent within the customer contract deliverables and clinical outcomes.
• Project Management :
• Leads coordinated efforts across the organization to implement new program changes for the client. Manages change control process with the company’s Plan Administration, IT, Operations and other key Departments.
• Monitors weekly customer change memo logs for customer reporting.
• IT liaison for all change requirements, issues or enhancements.
• Monitors file logs for all required data exchanges.

Responsibilities
• Operations or Account Management experience in health and welfare benefits and / or health insurance industries.
• Bachelor’s degree required; may consider an additional 4 years of directly relatable experience (for a total of 11 years) in lieu of degree.
• 7+ years of broad-based Health Care experience including account management.
• Project management experience.

Work Experience

Work Experience – Required :

Account Management, Healthcare, Project / Program Management

Work Experience – Preferred

Education

Education – Required

A Combination of Education and Work Experience May Be Considered., Bachelors

Education – Preferred

Masters

Certifications

Certifications – Required

Certifications – Preferred :

Potential pay for this position ranges from $85,570.00 – $145,470.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the “Benefits at a glance” button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Positions will be posted for a minimum of five consecutive workdays.

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Last updated : 2024-04-17Show full descriptionCollapse