Account Service Manager Senior - Carelon Payment Integrity Commercialization

Account Service Manager Senior - Carelon Payment Integrity Commercialization

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Account Service Manager Senior - Carelon Payment Integrity Commercialization is responsible for providing highly advanced account management representation and strategic planning for major accounts and serves as a lead for assigned accounts and unit.

- Provides strategic planning and account management for large accounts. - Directs and manages the administration of contractual requirements and obligations. - Manages the new and renewal implementation process for accounts. - Interfaces with operations to ensure smooth delivery of services. - Maintains ongoing account relationships at multiple levels throughout the customer's organization. - Makes recommendations for improvements to meet customers' expectations. - Develops implementation processes and manages reporting processes to ensure client retention and high levels of account satisfaction. - Provides both on-site and off-site account management, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues. - Presents monthly, ad hoc, mid-year, and annual utilization and benefit reporting to the broker and client. - Coordinates open enrollment meetings, renewal process and training sessions. - Participates in efforts to support standardization across accounts and works in multi-disciplinary teams to design and implement product and operational enhancements. - Provides guidance or expertise to less experienced account service managers. - Makes routine account visits/travels to worksite and other locations, as necessary (quarterly).

Requires a BA/BS and a minimum of 5 years of experience managing business operations and/or customer relationship; or any combination of education and experience which would provide an equivalent background.

- Experience managing client experiences, expectations, and strategies for multiple solutions. - Data mining and subrogation experience.