Senior Integrated Accumulations Manager

RxBenefits, Inc.

Senior Integrated Accumulations Manager responsible for leading strategies in healthcare accumulations. Overseeing design, implementation, and management of accumulations capabilities supporting various health operations.

Posted 7/3/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $105,600 - $125,000 per yearWebsite

About the role

Key responsibilities & impact

Develop and execute the accumulations strategy aligned with organizational goals and member experience objectives
Establish roadmaps, priorities, and governance processes for accumulations initiatives
Drive continuous improvement efforts to enhance accuracy, scalability, and operational efficiency
Oversee the design, implementation, and maintenance of integrated accumulations solutions across multiple products and benefit plans
Serve as the subject matter expert for large-scale initiatives involving accumulations modernization, system integrations, and regulatory requirements
Partner with Product, Technology, Operations, and Compliance teams to define requirements and deliver solutions
Ensure successful execution of projects through planning, risk management, stakeholder engagement, and change management
Monitor accumulations performance, accuracy, and reconciliation processes
Identify and resolve complex accumulations issues affecting claims adjudication, member cost-sharing, or provider reimbursement
Establish metrics, KPIs, and reporting frameworks to measure operational effectiveness
Lead root cause analysis and corrective action efforts for accumulations-related incidents
Collaborate with Claims, Benefits Configuration, Enrollment, Finance, Actuarial, and Customer Experience teams
Partner with external vendors and technology partners to ensure seamless data exchange and integration
Serve as the primary business leader for accumulations-related initiatives and enterprise programs
Facilitate executive-level communications and provide regular updates on program status, risks, and outcomes
Ensure accumulations processes comply with applicable federal and state regulations, benefit design requirements, and organizational policies
Support audit activities and maintain documentation for accumulations controls and procedures
Establish governance standards for accumulations configuration, testing, and deployment activities

Requirements

What you’ll need

Bachelor's degree in Business, Healthcare Administration, Information Systems, Finance, or related field
Minimum of 8+ years of experience in integrated accumulations, benefits administration, claims processing, or healthcare technology
Minimum of 2+ years of people leadership and team management experience
Deep understanding of healthcare accumulations and related vendor integrations required
Experience leading or serving as the business lead for cross-functional programs and enterprise initiatives
Strong analytical, problem-solving, and decision-making skills
Excellent communication and stakeholder management capabilities
Comfortable analyzing and making sense of large amounts of information to identify key considerations and develop appropriate plans and action as a result
Ability to create and maintain a work environment where others are motivated/inspired to take action and deliver service excellence
Experience working in a fast-paced environment including organizational skills with the proven ability to handle multiple and competing priorities
Excellent written, verbal and presentation skills; able to communicate technical concepts to non-technical personnel.

Benefits

Comp & perks

Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1995 ⚕️ Healthcare Insurance 💳 Fintech 🤝 B2B 💰 Private Equity Round on 2020-12 Healthcare Insurance
Fintech
B2B RxBenefits, Inc. is a company that specializes in providing innovative pharmacy benefits solutions to employers and their employees. They focus on optimizing the management of prescription drug plans to reduce costs and improve health outcomes. Through advanced analytics and personalized member support, RxBenefits aims to transform the pharmacy benefits experience for their clients.

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Hard Skills & Tools

Accrual Strategy DevelopmentClaims ProcessingBenefits AdministrationData AnalysisKPI EstablishmentRoot Cause AnalysisOperational Efficiency ImprovementGovernance Standards ImplementationSystem IntegrationPerformance Monitoring

Soft Skills

Analytical SkillsProblem-SolvingDecision-MakingCommunication SkillsTeam Management