Sr. Account Manager, Health Plans - Express Scripts - Hybrid

Cigna Healthcare; St. Louis (MO); On-site; USD 90,000 - 130,000; Full time

Job summary

Cigna Healthcare, part of the Evernorth family, seeks a Sr. Account Manager to serve as the primary contact for complex clients, handling eligibility, claims, implementations, participant materials, and report requests.

You will manage new groups and products, ensuring satisfaction, profitability, and renewal while reviewing quality control of activities. You will work with Account Directors to develop growth strategies, monitor performance, and present metrics to clients to demonstrate value

Qualifications

• Bachelor’s degree or related field required or 14–18 years of experience.
• 8+ years relevant experience with Bachelor’s or 6+ years with Master’s degree.
• Excellent verbal and written communication and presentation skills.
• Strong analytical and problem solving skills.
• Ability to work cross-functionally and manage projects with urgency.

Responsibilities

• Manage day-to-day client relationships with knowledge of client’s benefit plan and Express Scripts offerings.
• Interact with clients, consultants and producers to resolve issues and provide preventative consultation.
• Handle timely and accurate management of all client benefit requests and upsells.
• Lead group implementations and internal meetings to ensure timelines and quality.
• Present operational performance metrics to clients monthly/quarterly to drive satisfaction and retention.
• Collaborate with Account Directors on strategy for upsell, expansion, and plan implementations.
• Travel up to 20% as required.

Skills

Communication skills

Analytical skills

Problem solving

Cross-functional collaboration

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Office

Internet skills

Job description

*This job can be filled to align with any Cigna/Evernorth multifunction office location*

The Sr. Account Manager acts as a primary contact for daily account activity and operational needs for issue resolution in eligibility, claims, implementations, participant materials, report requests, and general inquiries for complex clients. This position assists in managing client accounts, including new accounts and products, to ensure satisfaction, profitability, and renewal. The role assists in reviewing quality control of account activity and operations. The Sr. Account Manager is responsible for tracking operational performance guarantees and maintaining documentation for client review. The individual works with Account Directors on developing strategies for up sells, expansion and plan implementation for new and existing clients.

ESSENTIAL FUNCTIONS

• Manage day to day client relationships through comprehensive knowledge of client’s benefit plan and Express Scripts’ product offerings


• Interact with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with Express Scripts core services


• Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, product up sells, new groups, terminations and escalated issues


• Accountable for new group and specific product implementations; including establishing and leading internal meetings to ensure collaboration and attention to detail throughout the process in order to meet expected timelines and quality standards


• Lead client centric team meetings to review ESI’s operational performance against client’s expectations and needs


• Present Express Scripts operational performance metrics to clients on a monthly and/or quarterly basis to show specific performance measures in comparison with Express Scripts book of business to promote client satisfaction, client retention and up sell opportunities


• Take a broad perspective to identify innovative solutions


• Work independently, with guidance in only the most complex situations


• Represent the organization as the prime technical contact projects


• Interact with senior external personnel on significant technical matters often requiring coordination between organizations

QUALIFICATIONS

• Bachelor’s degree in related field or 14 to 18 years of experience required


• 8+ years relevant experience with Bachelor’s Degree or Master’s degree and 6+ years of relevant experience


• Excellent PC skills including Microsoft Office and Internet experience


• Excellent verbal and written communication and presentation skills


• Strong analytical and problem solving skills


• Strong focus on book of business client satisfaction and client retention results


• Demonstrated ability managing projects, utilizing proven project management processes


• Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency


• Ability to work cross-functionally to resolve complex client issues


• Ability to travel overnight up to 20%

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.

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 need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.