Account Manager, PBA

Capital Rx

Account Manager managing client experiences related to PBA and Medicare for Judi Health. Responsible for benefit management, quality assurance, and client relationship building.

Posted 5/5/2026full-timeDenver • Colorado, New York • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $100,000 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business
Support implementation as a critical member of the client management teams with all day-to-day client requirements
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations
Analyze incoming client requests and work with internal and external teams to complete required plan documentation
Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
Travel requirements not to exceed 25%
Handle and resolve sponsor and member issues, escalating as needed
Research and respond to claims processing and system configuration inquiries
Coordinate integration of other data inputs into client management processes
Collaborate cross functionally to support general client operations, as required
Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

Requirements

What you’ll need

Undergraduate bachelor’s degree, with record of strong academic performance
5+ years of proven experience in PBM / health plan, benefits consulting, healthcare
Track record of building trusting internal and external relationships
Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
Experience working with structured and unstructured data
Proficient in Microsoft Office, SQL a bonus
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Capital Rx Website LinkedIn All Job Openings 501 - 1000 employees Founded 2017 ⚕️ Healthcare Insurance 💳 Fintech 🤖 Artificial Intelligence Healthcare Insurance
Fintech
Artificial Intelligence Capital Rx is the fastest growing healthtech company in America, dedicated to transforming the prescription pricing and patient care landscape. Founded in 2017, it offers innovative pharmacy benefit management (PBM) services, including customizable pharmacy benefits for large employers and an AI-powered care navigation platform. Capital Rx focuses on delivering cost-effective solutions and operational efficiencies to clients while ensuring transparency and quality care for patients. Account Manager, PBA 🔥 56 minutes ago 🏢🏡 Denver – Hybrid 💵 $80k - $100k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business
Support implementation as a critical member of the client management teams with all day-to-day client requirements
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations
Analyze incoming client requests and work with internal and external teams to complete required plan documentation
Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
Travel requirements not to exceed 25%
Handle and resolve sponsor and member issues, escalating as needed
Research and respond to claims processing and system configuration inquiries
Coordinate integration of other data inputs into client management processes
Collaborate cross functionally to support general client operations, as required
Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. 🎯 Requirements
Undergraduate bachelor’s degree, with record of strong academic performance
5+ years of proven experience in PBM / health plan, benefits consulting, healthcare
Track record of building trusting internal and external relationships
Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
Experience working with structured and unstructured data
Proficient in Microsoft Office, SQL a bonus
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Client Account Manager 🕒 Yesterday U.S. Bank 10,000+ employees 🏦 Banking 💸 Finance 💳 Fintech Website LinkedIn All Job Openings Client Account Manager representing Payment Services, managing accounts for U.S. Bank clients. Focus on client satisfaction, account growth and performance improvement strategies. 🏢🏡 Denver – Hybrid 💵 $68.8k - $81k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level 💰 Account Manager Account Manager 🕒 3 days ago Flexential 501 - 1000 🤝 B2B 📡 Telecommunications 🏢 Enterprise Website LinkedIn All Job Openings Account Manager responsible for driving revenue growth and retention within technology accounts. Fostering customer relationships and expanding product adoption for Flexential's data center services. 🏢🏡 Denver – Hybrid 💵 $110k - $125k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager Manager, Scale Solutions – Account Management 🕒 April 22 Adobe 10,000+ employees Website LinkedIn All Job Openings Manager of Scale Success Account Manager leading a high-impact customer success team at Adobe, focused on customer value and growth opportunities. Collaborating across departments to drive performance and scalability for clients. 🏢🏡 Denver – Hybrid 💵 $150.4k - $269.9k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager 🦅 H1B Visa Sponsor Senior Account Manager 🕒 April 22 Auror 51 - 200 Website LinkedIn All Job Openings Retail Partnerships Manager driving revenue growth and long-term strategic partnerships for Auror. Leading enterprise accounts in crime prevention within the retail industry. 🏢🏡 Denver – Hybrid 💵 $130k - $155k / year ⏰ Full Time 🟠 Senior 💰 Account Manager 🗣️🇪🇸 Spanish Required Regional Commercial Sales Account Manager 🕒 April 16 Floor & Decor 10,000+ employees 🛒 Retail Website LinkedIn All Job Openings Regional Account Manager responsible for outside sales of commercial flooring products in Colorado. Engaging with institutional buyers and managing client relationships. 🏢🏡 Denver – Hybrid 💵 $75k - $135.8k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 💰 Account Manager 🦅 H1B Visa Sponsor View More Account Manager Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

data analysisquality assuranceclaims processingsystem configurationproject managementbenefit managementdocumentationcoding accuracyimplementationpricing strategy

Soft Skills

relationship managementcross-functional collaborationcommunicationorganizational skillsproblem-solvingattention to detailflexibilitytime managementleadershipclient management