Account Service Manager Senior

The Account Service Manager Senior is responsible for providing highly advanced account management representation and strategic planning as Third Party Administrator for the Children and Youth Behavioral Health Initiative (CYBHI).

• 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.

• 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.
• Six Sigma Green Belt preferred.
• Managed care experience preferred.
• Data analysis experience, specifically with Excel, is preferred.
• Experience with MediCal is preferred.
• Working knowledge of eligibility and encounter files is strongly preferred.

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Life insurance
• Wellness programs
• Financial education resources

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.