CarelonRx Account Services Manager

Description

The CarelonRx Account Services Manager is responsible providing customer service representation and strategic planning for assigned accounts.

Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

How you will make an impact:

• Partners with assigned sales representative(s) to achieve sales or retention goals.

• Works to ensure administration of contractual requirements and obligations.

• Attends and participates in sales meetings, training programs, and in-services.

• Maintains ongoing account relationships at multiple levels throughout the customers' organizations.

• Makes recommendations for improvements to meet customers' expectations. Communicates with physicians as to the outcome(s) of patient benefit investigations. Supports specialty pharmacy in the delivery of medications by procuring missing documentation, communicating information to physician offices, and related activities. Provides both on-site and off-site customer service.

• Researches and resolves phone and written inquiries.

• Coordinates open enrollment meetings, renewal process and training sessions.

• Documents and ensures that brand drug specific program steps are adhered to.

• Triages prescriptions to in-network pharmacy as necessary.

• Follows up with health plans and/or physician offices to communicate status and obtain prior authorizations.

• Maintains customer relationship management (i.e., CRM) and electronic medical records (i.e., EMR).

Minimum Requirements:

• Requires a high school diploma and a minimum of 2 years experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Minimum of 2 years related experience in specialty pharmacy.

  
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.