Account Manager, Health Plan Division - Orlando, United States - The Cigna Group

Description

As a Health Plan Division Account Manager, you will provide operational expertise, oversight and direction to some of the most complex arrangements and customized of clients. This rewarding position provides significant responsibility as the face of our organization and acts as the front line to our so ever important customers and patients.

This client facing Account Manager will directly report to an Operations Director, as well as being indirectly accountable to a customer's Account Executive. The Account Manager is responsible for all day-to-day activity of their assigned HPD client portfolio while ensuring that all Service Level Agreements meet or exceed their contractual obligations; thereby driving client satisfaction and retention. Additionally, this Account Manager will be responsible for fulfilling all client reporting needs and requests in a timely, accurate manner.

This role will be ideal for someone who enjoys working with data and can establish and maintain solid working relationships with both internal partners and external clients, vendors and/or consultants. They will have complete knowledge and understanding of the pharmacy benefit industry/processes including (but not limited) to those within Commercial, Health Care Exchanges and Medicare Part D lines of business.

This is a hybrid role. The successful candidate will be required to work in person at a Cigna or Express Scripts office the majority of the time.

The main responsibilities of this role include:

• Ensuring that complex client reporting requests are provided timely and accurately
• Facilitating client meetings to review Inquiry/Opportunity/Project status on regular cadence
• Leading or participating in internal meetings to drive resolution to open items
• Supporting new product and business implementations
• Receiving, logging, coordinating and responding to open items from client contacts with a sense of urgency and detail to satisfy the need, ideally without follow up
• Managing standard and more complex projects that require development by ensuring client requirements are clearly defined, thoroughly captured and implemented to the commitment
• Representing the organization in providing solutions to difficult technical issues associated with complex setup and similar arrangements
• Using judgement and proper channels on when to escalate, leveraging colleagues and leadership
• Navigating the organization in a self-sufficient way; collaborating with all levels and can tailor the message with the right level of detail as appropriate

Minimum Qualifications:

• 4-6 years of relevant experience or Bachelor Degree with 2-4 years relevant experience
• Excellent verbal and written communication and presentation skills
• Proficient with MS Office suite and Webex
• Data-driven approach to problem solving skills
• Ability to manage high visibility projects, sometimes independently
• Resourceful, with a proven ability to exercise good judgement in problem solving
• Able to manage multiple tasks simultaneously; shift priority quickly as needed
• Ability to work well within team structures
• Adheres to SOP and follows best practices when available
• Proactive follow-up and understands when to raise risks/concerns
• Ability to travel overnight up to 10% as needed, mostly with ample notice

Ideal/Preferred Qualifications: All of the minimum requirements plus.

• Experience with Analyst, Trend Central, OpsInsight, and Teradata SQL Assistant reporting tools strongly desired
• Data-Driven thinking; weighs the potential risks or conflict associated with executing change and has awareness to how it may impact downstream or interdependent systems
• Participates willingly on internal work groups and key initiatives aimed at improving the client experience, business model, employee well-being, margin or other processes
• Ability to comprehend the business need while also anticipating questions, and addressing those proactively back to the client and/or leadership
• Advanced MS Excel; able to create pivots, write formulas, leverage macros and/or write VB
• Expert in all Express Scripts tools used in Account Management to include eSD, C360, CWS, Trend Central, CBM, Houston, Ops-Insight, CTE, CERT, Bi-Query, and Rumba
• Knowledge of CMS and HHS requirements and regulations associated with Med-d and ACA
• Ability to learn and understand NCPDP D.0, PAL, Plan Finder, PDE, AGL, and how intakes from MSP, FDB and the like play an integral role in our business
• Understanding of SFTP (Secure File Transmission Protocol), file layouts, claim adjudication, billing and invoicing

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 73, ,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.