Account Manager (PBA)

TL;DR

Account Manager (PBA): Managing client lifecycles and benefit administration for pharmacy benefit management solutions with an accent on implementation, quality assurance, and claim accuracy. Focus on driving client satisfaction, resolving complex operational issues, and collaborating cross-functionally to streamline benefit workflows.

Location: Hybrid (3 days in office) in Charlotte, NC, NYC, or Denver, CO

Salary: $83,600–$104,500 USD

Company

hirify.global is an enterprise health technology company providing comprehensive pharmacy and health benefit management solutions through its proprietary Enterprise Health Platform.

What you will do

• Partner with clinical account managers and executives to manage the full client lifecycle from implementation to renewal.
• Execute client benefit requests, including eligibility changes, overrides, and new plan implementations.
• Lead pre- and post-implementation quality assurance and testing to ensure coding accuracy.
• Conduct claim reviews to proactively identify discrepancies and develop resolution strategies.
• Research and resolve sponsor and member inquiries regarding claims processing and system configuration.
• Coordinate data integration and collaborate cross-functionally to support general client operations.

Requirements

• Must be based in or able to commute to Charlotte, NC, NYC, or Denver, CO.
• Undergraduate bachelor’s degree with a strong academic record.
• 5+ years of experience in PBM, health plans, or benefits consulting.
• Proven track record of building trusting relationships and leading cross-functional initiatives.
• Experience working with structured and unstructured data.
• Exceptional written and verbal communication skills with high organizational flexibility.

Nice to have

• Proficiency in SQL.

Culture & Benefits

• Opportunity to work at the forefront of healthcare infrastructure and trust-building.
• Collaborative environment focused on operational efficiency and client success.
• Commitment to equal employment opportunity and professional growth.
• Travel requirements up to 25%.