KPP/ACCOUNT MANAGER (Finance)

Perform functions assisting the clients of Kroger Prescription Plan (KPP) and the Account Executives in the service of assigned accounts which include plan reviews, eligibility help, troubleshooting plan or member issues, report requests and monitoring trend, while working within the limits of standard or accepted practice. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety. Minimum
- High School Diploma or GED
- 2+ years of experience in Account Management, but preferably in PBM
- Demonstrate on-going learning in the PBM industry and continuous product knowledge development in the areas of healthcare and PBM, pharmacology, company specific product offerings, basic pricing components, and company capabilities and limitations
- Demonstrated expertise in managing multiple clients/business lines
- Demonstrated ability to work productively and proactively in a dynamic and fast paced environment
- Strong decision-making ability; gather information from various sources to make informed decisions as well as paying attention to detail while prioritizing and meeting deadlines
- Communicate clearly and directly, providing and seeking feedback, helping others understands change while relating well with others
- Knowledge and use of multiple proprietary software systems and functions

Desired
- Bachelor's Degree
- Nationally Certified Pharmacy Technician- Assist in new plan implementations as well as perform own implementation for any incumbent Third-Party Administrators (TPA's)
- Coordinate with internal departments to fulfill client needs or requests and all interaction for plan updates and changes
- Maintain day to day contact with customers and customer service representatives (i.e. TPA's, Human Resources, brokers and consultants) regarding various issues such as rejected claims, eligibility, co-pay questions and member information
- Provide timely and accurate answers to member issues/inquiries from internal and external sources
- Coordinate implementation for all TPA's including meetings, review of plan set up and processing of member materials
- Escalate high priority or reoccurring issues to ensure resolution; may require running reports, investigating causes and flagging the item for follow up
- Interact with all levels of KPP associates at General Office, Division and Kroger to clients
- Analyze data, develop reports and presentation materials
- Review client Benefit Template at least annually and receive client approval sign off
- Remain current with pharmacy and Prescription Benefit Management (PBM) trends, including FDA approvals, recalls, and KPP clinical programs
- Attend member meetings to present current spend and coordinate meetings for open enrollment or health fairs
- Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
- Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
- Perform other related duties as assigned
- Travel up to 25%
- Must be able to perform the essential job functions of this position with or without reasonable accommodation