Account Service Manager Sr - Carelon Payment Integrity Commercialization at Elevance Health in Louisville, Kentucky

Job Description:

Account Service Manager Sr.




Location: This will be a Hybrid position reporting to the office a minimum of one day a week. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations with a preference for Louisville, KY or Waukesha, WI.



Schedule: 8:00 AM-5:00 PM Monday - Friday


Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.


The Account Service Manager Sr. 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.



How you will make an impact:

• 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.

• 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.


• Sales license may be required.


• Travels to worksite and other locations as necessary.