Account Manager, Pbm

Capitalrx

Remote, US
Base: $80,000 - $100,000 usd; bonus/equity: not sp...
Remote
5+ years pbm or health plan experience
Manage client benefit requests accurately
Lead pre- and post-implementation qa testing
Capital Rx is seeking an Account Manager for their pharmacy benefit management (PBM) services, responsible for managing client benefit requests and implementations. The role requires extensive experience in healthcare and strong relationship management skills, with an emphasis on accuracy and quality

Job Summary

  • The role involves partnering with clinical account managers and account executives to manage clients through the entire lifecycle from implementation to renewal.
  • Candidates will be responsible for timely execution of benefit changes, eligibility updates, and new implementations while ensuring coding accuracy.
  • This position requires leading quality assurance efforts and claim reviews to proactively identify discrepancies and develop solutions.

Matching Summary

Match Score: 85

Capital Rx is seeking an Account Manager for their pharmacy benefit management (PBM) services, responsible for managing client benefit requests and implementations. The role requires extensive experience in healthcare and strong relationship management skills, with an emphasis on accuracy and quality.

Salary

Base: $80,000 - $100,000 USD; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 5+ years PBM or health plan experience
  • Manage client benefit requests accurately
  • Lead pre- and post-implementation QA testing
  • Resolve sponsor and member issues
  • Coordinate cross-functional client operations

Nice-to-have

  • Proficient in SQL for data analysis
  • Experience with structured and unstructured data
  • Exceptional written and verbal communication skills
  • Ability to balance multiple complex projects
  • Track record of building trusting relationships

Key Requirements

  • Bachelor's degree required
  • 5+ years proven experience in PBM or healthcare
  • Authorization to work in the US without sponsorship

Work Rights

Must have authorization to work in the US at time of application

Tailored Resume

Cover Letter