Strategic Account Executive - TPA/MEO/Labor (PBM)

RxBenefits, Inc.; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company in healthcare consulting is seeking a Strategic Account Executive to lead the service strategies for diverse TPA and Multi-Employer clients. This position involves building and maintaining strong relationships with clients, ensuring continued client satisfaction, and requires proficiency in employee benefits management.

Benefits

Remote first work environment

100% premium coverage for HDHP Medical plan

Dental and Vision insurance with 100% premiums covered

401(k) employer match available

Community Service Day

Tuition Reimbursement

Paid New Parent Leave

Pet insurance

10 company holidays including floating holiday

Reimbursements for high-speed internet

Qualifications

• 5+ years of related industry experience required.
• Thorough knowledge of Employee Benefits insurance is essential.
• Must be proficient in reading and interpreting industry policies and contracts.

Responsibilities

• Develop and maintain effective working relationships with clients and partners.
• Manage and oversee contracts annually.
• Assist clients with resolving service problems and enhance client satisfaction.

Skills

Analytical skills

Communication skills

Organizational skills

Presentation skills

Self-motivation

Education

High School diploma

Associate’s or Bachelor’s degree

Tools

Microsoft Office

Job description

Strategic Account Executive - TPA/MEO/Labor (PBM)

2 days ago Be among the first 25 applicants

The Strategic Account Executive position directly supports and leads the service and strategy for a diverse book of TPA and Multi-Employer clients. The SAE engages during the after-sales phase of the business; then after go-live, assumes complete responsibility of maintaining an extremely positive relationship with our clients. These positions may work remotely in Eastern or Central time zones, and requires up to 50% travel.

• Develop and maintain effective working relationships in liaison role with Pharmacy Operations, service partner contacts (such as underwriters, brokers, PBMs, sales and service representatives) and client contacts.
• Proficiently know marketplace, carriers, underwriting requirements & the benefits/services they offer.
• Keep other Account Managers, Service Representatives, Directors, Vice President - Account Management and Vice President Business Development fully informed of all important activities on client accounts
• Participate in development sessions and seek learning for skill and knowledge development.
• Owns and oversees contracts are fully executed on an annual basis. Responsible for assisting TPA/MEO/Consultants with questions regarding all legal documents.
• Maintain Strategy Plans for book of clients and work collaboratively across internal teams to advocate for client retention, client satisfaction and client needs.
• Stays abreast of industry and competitive activities and updates account plans appropriately.
• Quality check of applications (service agreements), claims processing and audit benefit designs, financial reports, etc
• Owns the At-Risk clients and the At-Risk process and provides weekly updates via Salesforce and to management.
• Assists Account Manager with Preparing and obtaining employee materials and present employee benefits via webinars, benefit fairs, face-to-face enrollment meetings and enroll employees in the appropriate services in a timely manner.
• Assist in the communication of benefits in enrollment meetings, webinars with client and PBM companies
• Act as liaison in conjunction with Pharmacy Operations, between client, brokers and PBM companies in order to independently resolve all service problems. Specifically, assist the client in resolving billing, claim, eligibility, COBRA and customer service problems.
• Independently manage, with input from Service Representatives, Client Implementation, booklets, enrollment kits, enrollment forms, letters and checklists
• Prepare and assure accuracy on audits, census data and quoting.
• Make regular service/relationship calls to clients including client visits, recurring calls, and strategy and planning sessions.
• Preparation of reports deemed necessary by the Account Management leadership.
• Assists Account Manager with keeping all information on accounts accurate and up to date.
• Grow and maintain existing client relationships as identified collaboratively with Business Development (Sales team)
• Communicate to our clients "Our Value Added Service.”
• Meet or exceed departmental goals established by Account Management leadership.
• Assist with keeping department materials, contacts, intranet, etc. up to date.
• Assist with the development of job aids, training materials, etc
• Present a positive image in and out of the office to fellow employees, members, providers, and the community
• All other duties as assigned

Required Skills / Experience:

• High School diploma is required. Associate’s or Bachelor’s degree preferred.
• 5+ years related industry experience and/or training.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Thorough knowledge of Employee Benefits insurance. Ability to read, analyze and interpret industry policies and contract documents.
• Excellent presentation and communication skills.
• Strong analytical and critical thinking skills.
• Strong organization skills with the ability to prioritize in a dynamic environment.
• Self-motivated with the ability to work independently with limited supervision or within a group or team.

Based on relevant market data and other factors, the anticipated hiring range for this role is $80,000 - $100,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.

We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.

RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:

• Remote first work environment
• Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
• Additional buy-up options for Short- and Long-Term Disability and Life Insurance
• 401(k) with an employer match up to 3.5% available after 60 days
• Community Service Day to give back and support what you love in your community
• 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
• Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
• Tuition Reimbursement for accredited degree programs
• Paid New Parent Leave that can be used for adoption or birth
• Pet insurance to protect your furbabies

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Consulting

• Industries

  Hospitals and Health Care and Insurance and Employee Benefit Funds

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