Account Service Coordinator - CarelonRx

Account Service Coordinator - CarelonRx

CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

Account Service Coordinator is responsible for providing advanced customer service representation for accounts. Work closely with our pharmacy partners on a Value Based Care model to drive Cost of Care savings by closing HEDIS gaps for our plans, along with improving adherence and member satisfaction.

How you will make an impact :

• Interprets and supports plan benefit design, providing advanced customer service representation to pharmacy partner accounts to ensure plan goals are met.
• Maintain and grow relationships with external pharmacy partners.
• Ensure expectations are aligned for partnership, inclusive of pharmacy contract and training / educational materials.
• Resolves complex claims, benefit, and streamline enrollment issues.
• Make virtual routine check-ins to pharmacies to build trust, expand relationship and ensure KPI's and expectations are met.
• Coordinates open enrollment meetings, renewal process and training sessions; and on-site facility visits.

Minimum Requirements :

Requires a BA / BS and a minimum of 3 years of experience managing business operations and / or customer relationship; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

Job Level : Non-Management Exempt

Workshift : Job Family : SLS >

Sales Support

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.