Strategic Specialty Pharmacy Account Manager (Hybrid)

Elevance Health; Durham (NC); Hybrid; USD 85,000 - 120,000; Full time

Job summary

Elevance Health is seeking a Hybrid Specialty Pharmacy Account Manager to lead strategic planning and account management for major payor accounts. The role involves directing payor contract requirements, supporting new and renewal implementations, and coordinating with operations to ensure smooth service delivery.

You will maintain relationships across health plans and PBMs, recommend improvements, and deliver on-site and off-site support including plan design interpretation and inquiries.

Qualifications

• BA/BS required with at least 3 years of experience in operations or customer relationships.
• Experience with payor contracts and health plan relationships preferred.
• Familiarity with payor reporting and contract administration is a plus.

Responsibilities

• Provides strategic planning and account management for large payor accounts.
• Directs and manages administration of payor contractual requirements.
• Assists with new and renewal implementation processes for accounts.
• Interfaces with operations to ensure smooth service delivery.
• Maintains payor relationships at multiple levels within health plans and PBMs.
• Makes recommendations to improve performance and meet expectations.
• Provides on-site and off-site customer service, including plan design interpretation and inquiries.
• Prepares and submits required health plan and PBM reports and metrics.
• Manages payor and payor contract programs.

Skills

Strategic planning

Account management

Contract administration

Customer service

Payor relationships

Cross-functional collaboration

Data interpretation

Payor reporting

Operations liaison

Education

BA/BS degree

Tools

Smartsheet

Excel

Job description

Elevance Health is seeking a Hybrid Specialty Pharmacy Account Manager to lead strategic planning and account management for major payor accounts. The role involves directing payor contract requirements, supporting new and renewal implementations, and coordinating with operations to ensure smooth service delivery.

You will maintain relationships across health plans and PBMs, recommend improvements, and deliver on-site and off-site support including plan design interpretation and inquiries.