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BlueCross BlueShield of South Carolina
Health Insurance (Payers)
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Job Description:
Own day-to-day account management and strategic client relationships, including account meetings, business reviews, communications, escalations, and executive engagement.
Manage an assigned line of business, align client expectations with operational execution, and ensure contractual obligations, service commitments, and deliverables are met accurately and on time.
Lead implementation and change activities for new clients, programs, and service enhancements, including planning, readiness, testing, communications, launch support, and transition to ongoing operations.
Monitor service delivery, service-level agreements, performance guarantees, and client commitments; coordinate timely resolution of issues affecting members, pharmacy access, claims, specialty fulfillment, rebates, and clinical programs.
Oversee pharmacy program performance across retail, mail, specialty, rebate, formulary, utilization management, and related benefit operations; identify risks and support corrective actions and optimization.
Develop and present reports, dashboards, scorecards, executive summaries, and business reviews. Analyze operational, financial, pharmacy, claims, utilization, and rebate data to identify trends and recommend improvements. Validate the accuracy and completeness of reporting and deliverables produced by internal teams, operational support partners, Clean Team resources, and third-party vendors.
Manage relationships and performance across PBMs, specialty pharmacies, manufacturers, network partners, and other vendors, facilitating issue resolution and corrective action when needed.
Lead root cause analysis and continuous improvement efforts to improve quality, efficiency, service delivery, and client outcomes.
The posting range for this position is:
$105,400.00 - $152,800.00
Qualifications:
Education
Experience
Knowledge Skills and Abilities
#LI_REMOTE
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina