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AffirmedRx एक स्वास्थ्य सेवा कंपनी है, जो अधिक पारदर्शिता और रोगी-केंद्रित सहायता के माध्यम से फार्मेसी लाभ प्रबंधन को बेहतर बनाने पर ध्यान केंद्रित करती है। इसका कार्य PBM सेवाओं से जुड़ी जटिलता और अक्सर दिखाई देने वाली अस्पष्टता को दूर करने पर केंद्रित है, ताकि व्यक्ति और संगठन अपने फार्मेसी लाभों को बेहतर ढंग से समझ और उपयोग कर सकें। एक सार्वजनिक लाभ निगम के रूप में, AffirmedRx व्यावहारिक स्वास्थ्य सेवा समाधानों पर ध्यान देने के साथ-साथ अधिक सूचित, सहयोगात्मक अनुभवों और दवाओं तथा देखभाल की बढ़ती लागत से निपटने के लिए प्रतिबद्ध है।
Client Manager, Pharmacy Benefits — Remote (United States)
Manage employer and health plan pharmacy benefit accounts for AffirmedRx. Coordinate client requests, benefit operations, reporting, issue resolution, and account team activities.
विवरण
- Act as the primary day-to-day contact for assigned client accounts while supporting the Client Executive and wider account team.
- Develop effective working relationships with HR teams, benefits administrators, consultants, and other client stakeholders.
- Handle client questions, direct requests to the appropriate internal teams, and drive follow-through through resolution.
- Keep account records, communications, and action items current in Salesforce and other internal platforms.
- Prepare meeting agendas, document action items, and coordinate follow-up for client meetings.
- Process eligibility changes, benefit updates, plan configuration requests, and routine account maintenance.
- Work with Operations, Eligibility, Billing, Clinical, and IT teams to deliver client requests.
- Track schedules and deliverables for implementations, renewals, and benefit changes.
- Verify account information and raise discrepancies or other issues for resolution.
- Review account metrics, pharmacy spending, and utilization trends to identify insights and optimization opportunities.
- Contribute to quarterly business plans, financial performance summaries, and client reporting materials.
- Surface cost-reduction and operational improvement opportunities, and refer upsell or growth opportunities as appropriate.
- Triage client issues, communicate progress clearly, and coordinate resolution.
- Refer complex or high-impact matters to the Director of Client Management or Client Executive.
- Join recurring account team meetings to align on priorities and follow-up actions.
- Comply with company policies, operating procedures, and applicable compliance requirements.
- Document client requests, decisions, and completed work accurately.
- Recommend improvements to processes, client experience, and operational efficiency.
- Take part in training and professional development activities.
आवश्यकताएँ
- Bachelor’s degree in business, healthcare administration, or a related discipline; equivalent professional experience may be considered.
- 0–1 year of account management, client success, or client-facing operations experience in a PBM, health plan, TPA, or managed-care setting.
- Professional healthcare experience is required.
- Working knowledge of pharmacy benefit operations, including claims processing, formulary management, eligibility, network configuration, and benefit plan design.
- Strong written and verbal communication skills, with the ability to explain complex pharmacy benefit topics clearly to non-technical audiences.
- Ability to manage multiple accounts and competing priorities with careful attention to detail and reliable follow-through.
- Proficiency with CRM platforms and standard business applications, including Microsoft Office and Teams.
- Experience in a transparent, pass-through, or PBM-optimizer organization.
- Familiarity with Salesforce or a comparable healthcare CRM platform.
- Experience supporting quarterly business reviews and client-facing financial reporting.
- Previous experience working within a pod-based or team-based account model.
लाभ
- Compensation package includes health, dental, vision, and other benefits.
- Remote employees work in a professional environment.
- Training and professional development opportunities are available.
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