• Providing timely responses to all client inquiries and addressing all client needs.
• Works effectively across organizations to resolve client needs with a sense of urgency.
• Delivers quality products in every interaction.
• Continues to focus and invest time in learning the Liviniti product suite and process interworking. Furthering intellectual capital and business acumen.
• Acts professionally in all interactions – both verbally and in writing.
• Preparing account management-related documents such as member documents, meeting reports, and other client communications and correspondence.
• In coordination with the Client Success Manager, prepare all follow-ups from client meetings. Ensuring all discussions are documented, and follow-ups are captured and delivered to committed timelines
• Fielding and processing internal and external information requests and handling them in a timely manner.
• Maintaining current work-in-progress records and archives of past project information as appropriate.
• Ensuring a working knowledge of assigned clients’ objectives, understanding their benefit plan designs, and overall needs/expectations. Validating all systems accurately reflects their intent.
• Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and a thorough understanding of client technical and service specifications.
• Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators, and provide regular status updates to Leadership internally/externally.
• Manages the project in compliance with the client service agreement, eliminating any risks to Liviniti for non-adherence, including managing the client and consultant to stay within the executed contract.
• Partners with multiple business units and teams to ensure the accuracy of claims adjudication setups and ongoing client needs.
• Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy. Oversee and manage all ID Card processes, the relationship with Zelis, and escalate issues.
• Manage P&P’s and/or create training videos related to ID cards.
• Lead discussions with other departments on our process, future enhancements, etc.
• Review proof before they are sent for approval internally or externally.
• All pressing card issues, requests, etc., flow through this role.
• Full-time resource for the team for any ID card issues/concerns
• Focus on automating and enhancing the process even further.
• Manage card mockups Queue (creating mockups for new clients).
• Training and creating Policies and Procedures for the ID card team.
• Develops and builds client business relationships by delivering a positive onboarding experience, including clear rules of engagement, orientation to Southern Scripts processes and services, communication of client commitments and expectations to internal partners, and successful transition from implementation to maintenance of business.
• Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and a thorough understanding of client technical and service specifications.
• Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators, and provide regular status updates to Leadership internally/externally.
• Leads and/or manages the implementation process, including timely and accurate documentation/sign off of the Implementation Plan Setup Document and other related documents, communication of client commitments and expectations to internal partners, interpreting and providing context for client requests, ensuring appropriate review and customer sign-off, leading site visits and conference calls, and related responsibilities to ensure flawless implementations.
• Ability to step in and lead calls when needed.
• Responsible for leading implementations for certain relationships
• Abide by all obligations under HIPAA related to Protected Health Information (PHI).
• If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.
• Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.

Our benefit package is designed to keep our employees happy and healthy - physically, mentally and financially.

• Medical, Dental, Vision insurance
• Disability and Life insurance
• Employee Assistance Program
• Remote work options
• Generous Paid-Time Off
• Annual Reviews and Development Plans
• Retirement Plan with company match immediately 100% vested

Supervisory Responsibility

As this role and division continue to grow, there could be future supervisory responsibilities assigned.

• Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00 AM to 5:00 PM CT. We cover clients from the West to the East Coast; work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays pursuant to industry demands.

• Bachelor’s degree in health administration, business, I/O Psychology, or related field required.
• An intelligent and articulate individual who can relate to people at all levels of an organization and possesses excellent communication skills.
• An excellent facilitator/fixer who is experienced in resolving conflicts between different parties for a resolution.
• A decisive individual who possesses a strategic focus as well as an operational, implementation, and detail-oriented perspective.
• A strategic planner with sound technical skills, analytical ability, good judgment, and strong operational focus.
• Ability to work with peers in a team effort.
• Demonstrated ability to manage multiple priorities and deadlines.
• A well-organized and self-directed individual who can work with a minimal amount of supervision.
• Capability to efficiently complete tasks in a fast-paced environment.
• Experience preparing and interpreting reports.
• Proficient in Microsoft Office and industry-related software programs.
• Prior PBM experience