Account Service Manager, Payor Contracting

Elevance Health

. Provides strategic planning and account management for larger payor accounts .

Posted 10/5/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in strategic planning and account management for payor accounts, with a strong focus on customer relationship management and operational efficiency. Proficient in interpreting plan design and resolving claims and enrollment issues while maintaining compliance with contractual obligations.

Highest-signal resume keywords

Payor Contract ManagementHealth Plan ExperiencePBM ExperienceCustomer Relationship ManagementSmartsheet Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Strategic PlanningAccount ManagementContract AdministrationClaims ResolutionBenefit InterpretationEnrollment Issue ResolutionReporting Metrics PreparationBusiness Operations ManagementCustomer ServiceOperational Interface

Soft Skills

Problem SolvingCommunicationInterpersonal SkillsRecommendation DevelopmentResearch Skills

Tools & Technologies

SmartsheetExcel

Industry Keywords

Specialty PharmacyInfusion PharmacyPayor AccountsHealth PlanPBM

About the role

Key responsibilities & impact

Provides strategic planning and account management for larger payor accounts
Directs and manages administration of payor contractual requirements and obligations
Assists with new and renewal implementation processes for accounts
Interfaces with operations to ensure smooth delivery of services
Maintains payor account relationships at multiple levels throughout health plan and PBM organizations
Makes recommendations for improvements to meet expectations
Provides on-site and off-site customer service
Interprets plan design
Researches and resolves phone and written inquiries
Resolves claims, benefit, and enrollment issues
Prepares and submits contractually required health plan and PBM reports and metrics
Manages payors and payor contracts

Requirements

What you’ll need

Requires a BA/BS
Minimum of 3 years of experience managing business operations and/or customer relationship
Any combination of education and experience which would provide an equivalent background
Specialty and Infusion Pharmacy experience strongly preferred
Payor contract, health plan, and PBM experience preferred
Smartsheet and Excel proficiency for payor reporting experience preferred
Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Monday–Friday availability, 8:00am–5:00pm EST
New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza; exceptions may apply under applicable law

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid work arrangement with virtual-work flexibility