Account Manager, PBA

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Account Manager, PBA in United States.

This role sits at the center of client success within a fast-evolving healthcare technology environment, supporting the delivery and management of pharmacy and health benefit administration programs. You will act as a key liaison across clients and internal teams, ensuring seamless execution of benefit changes, implementations, and ongoing account operations. The position plays a critical role in maintaining pricing accuracy, resolving complex claims issues, and ensuring regulatory and operational compliance. Working in a highly collaborative, cross-functional setting, you will help drive operational excellence and strengthen long-term client relationships. This is a high-impact role where attention to detail, agility, and communication directly influence client satisfaction and business performance. You will also contribute to continuous improvement efforts that enhance service quality and efficiency across the organization.

Accountabilities:

Manage end-to-end client lifecycle activities, supporting implementations, renewals, and ongoing account operations in partnership with clinical and account teams
Execute and validate client benefit requests including eligibility updates, benefit changes, pricing adjustments, and implementation documentation
Lead pre- and post-implementation quality assurance activities, including testing, claim audits, and coding validation
Investigate and resolve claims discrepancies, system configuration issues, and client or member escalations
Coordinate cross-functional collaboration with internal teams to ensure accurate data flow and operational alignment
Support reporting, reconciliation, and documentation activities including invoicing reviews and regulatory reporting requirements
Maintain strong client relationships and contribute to retention, satisfaction, and performance metrics

Requirements

Bachelor’s degree with strong academic performance or equivalent experience in healthcare, business, or related field
5+ years of experience in PBM, health plan administration, healthcare operations, or benefits consulting
Strong understanding of healthcare benefit systems, claims processing, and client lifecycle management
Experience working with structured and unstructured data; SQL knowledge is a plus
Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook)
Strong analytical, organizational, and problem-solving skills with the ability to manage multiple priorities
Excellent written and verbal communication skills with strong stakeholder management abilities
High attention to detail, adaptability, and ability to thrive in a fast-paced, deadline-driven environment

Benefits

Competitive compensation aligned with experience and location (USD 80,000 – 100,000 base salary range)
Remote work flexibility within the United States (with hybrid options in select locations)
Opportunity to work in a mission-driven healthcare technology environment
Exposure to cross-functional collaboration across clinical, operational, and client success teams
Career development within a growing organization focused on healthcare innovation.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

#LI-CL1

Requirements

Benefits

USA Remote Jobs