Job Description
Account Manager – Pharmacy Benefit Management (PBM) | Hybrid Location: Hybrid (Denver, CO)
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Browse FlexJobs Listings →- Serve as the primary point of contact for assigned PBM clients
- Coordinate client implementations, go-live activities, and ongoing account support
- Manage benefit changes, eligibility updates, plan configuration requests, and overrides
- Review and troubleshoot claims processing issues and client escalations
- Partner with Operations, Clinical, IT, Product, Finance, and Analytics teams to ensure successful client outcomes
- Support renewals, open enrollment periods, and plan design changes
- Conduct testing and quality assurance to validate system configuration and claims adjudication
- Track deliverables and maintain strong client relationships through proactive communication and issue resolution
- Bachelor's degree required
- 3+ years of Account Management experience within a PBM environment
- Experience building and maintaining strong internal and external client relationships
- Proven ability to lead cross-functional initiatives and manage multiple priorities
- Strong communication, organizational, and problem-solving skills
- Proficiency with Microsoft Office Suite
- Medical, Dental, and Vision Coverage
- Flexible Spending Account (FSA) and Health Savings Account (HSA)
- 401(k) with Company Match
- Life Insurance & AD&D Coverage
- Paid Time Off & Sick Leave
- 9 Paid Holidays plus 2 Floating Holidays
- Parental Leave
- Currently supports or has recently supported a book of PBM clients
- Experienced with benefit setup, plan configuration, and eligibility management
- Comfortable discussing implementations, testing, claims review, and quality assurance
- Strong collaborator with Operations, Clinical, and IT teams
- Client-focused professional with excellent relationship management skills
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