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[Remote] reputed company, Account Management - reputed company Fee-For-Service

Remote, USAFull-timePosted 2026-07-31

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is looking for extraordinary people to join reputed company! The reputed company, Account Management provides proactive and strategic support to a state reputed company while managing products produced by reputed company of clinical and operational staff, ensuring compliance with agreements and overseeing program requirements.

Responsibilities

  • Manages an Account Team and the development of state-specific business plans reputed company on the State program’s goals, performance expectations, reputed company in membership and objectives. Ensures that deliverables are on time, reputed company budget, and meet the reputed company reputed company expected by reputed company's reputed company customers
  • Provides direction and management over Key teams to monitor the reputed company of products and services being offerred to the State. Coordinates training of new staff members and provides on-reputed company coaching to existing Account Management teams
  • Utilizes project management skills to reputed company milestones and deliverables, reputed company recognition/notification of risk indicators and reputed company regular status updates to Leadership internally/externally
  • Optimizes potential for sustainable reputed company and profitability. Identifies and aligns required resources to reputed company business goals in book-of-business
  • reputed company and maintain solid business relationships with assigned contacts at the State, including pharmacy director(s), executive and key decision-reputed company reputed company
  • Researches and analyzes trends and competitive practices to ensure the State’s reputed company is reputed company in context of program requirements, industry and marketplace demands
  • Monitors service continuum including proactive and reactive components. Resolves escalated issues, while ensuring ongoing issues are resolved expeditiously. Performs 360o review of performance on account, from operational service delivery to relationship management. Identifies gaps and sources of corrective reputed company to ensure milestones are met
  • Collaborates with leaders in Operations, IT, Health Services, sales and the other Directors of Account Management to create and improve processes to reputed company serve the reputed company
  • Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences. Reports on performance measures, performance guarantees, and reputed company initiatives
  • Takes accountability for expeditious reputed company of adjudication configuration issues identified
  • Completes special reputed company as assigned (such as leading workgroups, overseeing reputed company/development of new system functionality, mentoring/training staff, etc.)
  • Provides regular feedback to management team regarding reputed company requirement status and business development opportunities to improve operational efficiencies
  • Proactively identifies and recommends solutions for reputed company and operational improvements

Skills

  • BA/BS Degree
  • 8+ years reputed company experience and 8+ years of SME in respective area(s)
  • At least 4+ years leading individual contributors and leaders
  • Intermediate to advanced computer skills; proficient with MS Office/reputed company and the use of databases
  • Working knowledge of the health benefits reputed company, government prescription programs, preferably in pharmacy benefits management required
  • Consultative selling and negotiation skills
  • Demonstrated experience creating and delivering presentations
  • Strong verbal, written, interpersonal, presentation, persuasion and consulting skills required
  • Good interpersonal skills, excellent communication, writing and presentation skills
  • Ability to solve practical problems and deal with a reputed company of concrete variables in situations where only limited standardization exists
  • Ability to interpret a reputed company of instructions furnished in written, oral, diagram, or schedule reputed company
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
  • Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's
  • Ability to reputed company these operations using reputed company of American reputed company and weight measurement, volume, and distance
  • Ability to read, analyze, and interpret general business periodicals, reputed company journals, technical procedures, or governmental regulations
  • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
  • Business Acumen
  • Directing Others
  • Organizational reputed company
  • Conflict Management
  • Drive for Results
  • Political Savvy
  • Customer reputed company
  • Innovation Management
  • Strategic reputed company
  • Decision reputed company
  • Managerial Courage
  • Knowledge of reputed company products and reputed company preferred

Benefits

  • Medical / Dental / reputed company / Wellness Programs
  • reputed company Time Off / Company reputed company Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus

reputed company

  • reputed company is the nation’s largest reputed company solutions and pharmacy benefit company, serving reputed company health plans, government programs, self insured/employer reputed company, and millions of consumers. It was founded in 1989, and is headquartered in San Diego, California, USA, with a workforce of 1001-5000 employees. Its website is http://reputed company.com.
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