Account Manager Client Service

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM

The Account Manager in the Health Plan segment manages ongoing contract relationships and service delivery to the client. The Account Manager acts as outward-facing, dedicated resource for assigned account, with direct client contact (not call center) for a large and complex accounts. The Account Manager is expected to build relationships with client contacts (not individual members) and serves as the primary point of contact for overall and day-to-day service delivery. The Account Manager represents the client internally and coordinates with other functional areas to implement client systems, complete projects, and address ongoing service needs. The Account Manager role is focused primarily on relationship and service management.

Hours: This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Facilitate all operational ongoing maintenance (benefit updates, file updates, etc.) & ensure it is successfully executed on
• Own the day-to-day service experience of customers by working with the Operations Team and other functional partners as required to ensure issues are resolved promptly and accurately meeting the customer's expectations
• Facilitate resolution of all escalated requests by working with the Operations Service Team and conducting customer consultations as required
• Develop and maintain strong relationship with internal partners in Operations Service Team to manage customer service experience
• Coordinate activities to support impact reporting, root cause analysis, and full remediation
• Ability to read, analyze and interpret SOPs and reporting
• Coordinate implementation activities for new products and new groups
• Perform other assignments and responsibilities as required by management
• Coordinate 1/1 readiness activities; facilitate daily 1/1 updates/progress reports with client and internal functional partners
• MedD, understands basic CMS compliance requirements, delivers guidance memos to client; coordinates activities related to Corrective Action Plans (CAPs)
• Establish and maintain strong and appropriate relationships with customers to maintain consistency and drive client satisfaction
• Maintain client action logs and facilitate regular cadence of discussions to review
• Conduct meetings with customers to identify issues / trends and analyze root causes to determine corrective action steps as necessary
• Demonstrate a high level of knowledge pertaining to the customer's specific benefit design

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher) OR 3+ years of equivalent PBM, account management and/or Medicare work experience
• 3+ years of prior PBM (pharmacy benefit management) experience in a client-facing Account Management or Client Services
• Ability to travel up to 5% of the time (client locations)
• Ability to work our normal business hours of 8:00am to 5:00pm, Monday - Friday

Preferred Qualifications:

• 3+ years of Health Plan Experience
• Medicare Experience
• Audit Management Experience
• Project Management experience
• Complex Issue Resolution & Remediation Experience

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii or Washington Residents Only: The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $70,200 to $137,800 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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