Account Manager - PBM Division

Crumdale Specialty is a diversified insurance firm providing custom, self-funded healthcare solutions to a limited distribution network of brokers, consultants, and agents nationwide. Ranked on the Inc. 5000 Fastest Growing Companies and Best Workplaces, we leverage industry expertise, superior talent, data analytics, and a disruptive mindset to manufacture, underwrite, and administer agile, transparent, and cost-saving solutions. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees.

At Crumdale, people come first. We strive to make a positive impact on the people we serve. We believe this starts with the passion and purpose of our team. Our company culture is rooted in alignment, innovation, and integrity.

About the role:

The PBM/Pharmacy focused Account Manager will handle day-to-day relationships with their clients, working to troubleshoot and respond to different types of requests. This role is a cross-functional opportunity where you will work with multiple partners to find client solutions. You will be handling communications, project management, reporting, analyzing trends, solving member issues, and addressing emergent needs for your clients.

Requirements

Responsibilities:

As the Account Manager, you will be one of the faces of Crumdale Specialty, whom your clients and PBM partners interact with daily. In addition, you will:

• Interact with internal Crumdale associates to support client strategy and initiatives
• Coordinate client and internal team meetings
• Assist PBM Strategic Account Executives with implementation tasks to ensure a smooth transition of clients from other organizations
• Prepare and provide clients with performance reports; present when applicable
• Use critical thinking skills to proactively manage client issues
• Document and triage client-related issues/escalations
• Escalate high-priority items to the management team
• Build relationships with brokers, consultants, TPA and employers
• Proactively provide follow-ups and feedback to brokers/consultants and clients
• Complete assigned tasks and projects according to appropriate timelines agreed upon with client and internal stakeholders

Skills:

• Client customer service experience with ability to build trust and establish meaningful relationships
• Ability to work with cross-functional teams
• Individual should possess strong project management skills
• Must be able to handle multiple tasks and work in a fast-paced environment
• High level of accuracy and attention to detail and ability to manage to strict deadlines
• Self-starter who can thrive in a high-growth, entrepreneurial startup environment
• Deep-rooted knowledge of the PBM industry and current industry trends
• Knowledge of PBM contracts, pricing, clinical/financial programs and trend management
• Strong verbal and written communication skills including presentation skills within a client relationship management setting with internal and external parties
• Fundamental knowledge of pharmacy, market trends and competitive landscape, with an ability to assess and consider these factors when developing solutions
• Solid understanding of health and welfare benefits claims processing and claims payment administration
• Exceptional interpersonal and communication skills, comfortable and poised in any setting from small face-to-face meetings to large conference-like presentations
• Effectively build trust and establish meaningful relationships within clients, vendors and internal departments
• Solid financial acumen, with an understanding of marketplace economics
• Collaborate with C-suite & internal and external partners (e.g. brokers, TPAs, Employers, PBMs, partners and Crumdale)
• Independent critical thinker with strong analytical, reasoning and problem-solving skills
• Ability to work independently and in a collaborative group setting
• Solid organizational skills and must be able to adhere to strict deadlines
• Must be able to demonstrate integrity and a commitment to values
• Proficient with MS Office suite
• Working knowledge of Salesforce, Microsoft Teams, OneDrive and Citrix SharePoint

Benefits

At Crumdale, we strive to provide a comprehensive and supportive benefits package to ensure the well-being of our employees. Our benefits include:

• Medical
• Telemedicine
• Dental
• Vision
• Life, AD&D, Disability
• 401(k)
• Flexible Time-off

Please note: Crumdale Specialty is not engaging with external recruitment agencies; please refrain from contacting us regarding this position.