Account Service Manager Sr at Elevance Health

Denver, Colorado, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, PharmacyIndustries

Requirements

BA/BS degree and a minimum of 5 years of experience managing business operations and/or customer relationships; or any combination of education and experience which would provide an equivalent background
Sales license may be required
Must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law

Responsibilities

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

Skills

account management

strategic planning

contract administration

client relationship management

implementation management

utilization reporting

plan design interpretation

claims resolution

benefit administration

enrollment management

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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