IRxS Account Manager - Pharmacy Benefits
Apex Benefits, Indianapolis, IN, United States
About Us
Innovative Rx Strategies is a rapidly growing organization committed to advocating for clients and delivering measurable cost savings for employers and their employees. It has been recognized for over a decade as a Best Place to Work, recipient of Healthiest Workplace awards, and winner of the Platinum Bell Seal for Workplace Mental Health.
Job Summary
The Account Manager executes the client strategy to provide overall day‑to‑day effective execution of client objectives and the PBM contract. This role blends account management, data support, and vendor oversight to deliver high‑impact solutions for employer‑sponsored health plans. The Account Manager works with Account Executives to ensure client account needs are met.
Essential Job Functions / Responsibilities
Account Management
Coordinate meetings, agendas, and follow‑up action items related to pharmacy benefit activities.
Deliver exceptional customer service, including interpreting plan designs, resolving claims and member issues, and addressing benefit and enrollment inquiries.
Conduct routine on‑site account visits as needed.
Monitor compliance and legislative changes, advising clients and ensuring adherence to regulatory requirements.
Data Support
Support the presentation of routine trend reports and annual performance reviews.
Assist in the execution of the annual reconciliation and market check processes.
Assess client and PBM data to forward issues that need additional team support and follow up on completion.
Vendor Management
Ensure vendors meet client‑specific needs and timelines.
Interface with PBM operations to resolve issues efficiently.
Support implementation of new PBMs, programs, and services.
Lead the operational activities related to client Request for Proposals (RFP) for PBM vendors.
Team Leadership Responsibilities
Lead internal meetings and processes to ensure compliance and team accountability.
Develop and mentor account managers to execute client strategy.
Develop written and presentation‑based thought leadership pieces on pharmacy benefits and PBM‑related topics.
Minimum Requirements
Minimum 3–5 years of relevant professional experience; PBM or pharmacy benefit experience preferred.
Bachelor’s degree preferred; equivalent combination of education and experience will be considered; high school diploma or GED required.
Superior problem‑solving, analytical ability, attention to detail, and customer service skills.
Positive attitude, willingness to learn, and interest in working toward team goals.
Relationship builder.
Excellent organizational and time‑management skills.
Highly developed reasoning and problem‑solving skills.
Strong verbal communication skills and the ability to present in person with clients and prospects.
Self‑motivated, capable of meeting deadlines, and proactive in work.
Ability to plan, organize, and work on multiple tasks simultaneously while exercising independent judgment.
Proficient in Excel, Word, PowerPoint, and other analytic tools that may be introduced.
Abide by all obligations under HIPAA related to Protected Health Information (PHI) and maintain confidentiality.
Additional Information
Apex Benefits Group, Inc. believes in equal opportunity employment and does not discriminate based on age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability, or any other legally protected status.
This role is U.S.-based. Preferred states include Indiana, Ohio, Illinois, Kentucky, Texas, Colorado, and Pennsylvania.
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Innovative Rx Strategies is a rapidly growing organization committed to advocating for clients and delivering measurable cost savings for employers and their employees. It has been recognized for over a decade as a Best Place to Work, recipient of Healthiest Workplace awards, and winner of the Platinum Bell Seal for Workplace Mental Health.
Job Summary
The Account Manager executes the client strategy to provide overall day‑to‑day effective execution of client objectives and the PBM contract. This role blends account management, data support, and vendor oversight to deliver high‑impact solutions for employer‑sponsored health plans. The Account Manager works with Account Executives to ensure client account needs are met.
Essential Job Functions / Responsibilities
Account Management
Coordinate meetings, agendas, and follow‑up action items related to pharmacy benefit activities.
Deliver exceptional customer service, including interpreting plan designs, resolving claims and member issues, and addressing benefit and enrollment inquiries.
Conduct routine on‑site account visits as needed.
Monitor compliance and legislative changes, advising clients and ensuring adherence to regulatory requirements.
Data Support
Support the presentation of routine trend reports and annual performance reviews.
Assist in the execution of the annual reconciliation and market check processes.
Assess client and PBM data to forward issues that need additional team support and follow up on completion.
Vendor Management
Ensure vendors meet client‑specific needs and timelines.
Interface with PBM operations to resolve issues efficiently.
Support implementation of new PBMs, programs, and services.
Lead the operational activities related to client Request for Proposals (RFP) for PBM vendors.
Team Leadership Responsibilities
Lead internal meetings and processes to ensure compliance and team accountability.
Develop and mentor account managers to execute client strategy.
Develop written and presentation‑based thought leadership pieces on pharmacy benefits and PBM‑related topics.
Minimum Requirements
Minimum 3–5 years of relevant professional experience; PBM or pharmacy benefit experience preferred.
Bachelor’s degree preferred; equivalent combination of education and experience will be considered; high school diploma or GED required.
Superior problem‑solving, analytical ability, attention to detail, and customer service skills.
Positive attitude, willingness to learn, and interest in working toward team goals.
Relationship builder.
Excellent organizational and time‑management skills.
Highly developed reasoning and problem‑solving skills.
Strong verbal communication skills and the ability to present in person with clients and prospects.
Self‑motivated, capable of meeting deadlines, and proactive in work.
Ability to plan, organize, and work on multiple tasks simultaneously while exercising independent judgment.
Proficient in Excel, Word, PowerPoint, and other analytic tools that may be introduced.
Abide by all obligations under HIPAA related to Protected Health Information (PHI) and maintain confidentiality.
Additional Information
Apex Benefits Group, Inc. believes in equal opportunity employment and does not discriminate based on age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability, or any other legally protected status.
This role is U.S.-based. Preferred states include Indiana, Ohio, Illinois, Kentucky, Texas, Colorado, and Pennsylvania.
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