Account Service Manager Senior - Carelon Payment Integrity Commercialization

Location: Hybrid, with 1–2 days per week in the office in Louisville, Kentucky; Wallingford, Connecticut; or Waukesha, Wisconsin. Candidates must live within a reasonable commuting distance of the selected posting location. Quarterly travel to worksites and other locations may be required.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and simplifying healthcare.

What you will do

• Provide strategic planning and account management for large Carelon Payment Integrity accounts.
• Administer contractual requirements and manage new and renewal implementations.
• Coordinate with operations to ensure effective service delivery and client satisfaction.
• Maintain relationships with stakeholders across customer organizations and recommend service improvements.
• Prepare and present utilization, benefit, and account performance reports.
• Coordinate enrollment meetings, renewals, training sessions, account visits, and operational enhancements.

Requirements

• Bachelor’s degree and at least 5 years of experience managing business operations and/or customer relationships, or an equivalent combination of education and experience.
• Experience managing client experiences, expectations, and strategies across multiple solutions.
• Ability to interpret plan designs and resolve claims, benefits, enrollment, phone, and written inquiries.
• Ability to work in a hybrid schedule and travel quarterly to worksites or other locations as needed.

Nice to have

• Data mining experience.
• Subrogation experience.

Culture & Benefits

• Hybrid work strategy combining office collaboration with virtual-work flexibility.
• Paid holidays, paid time off, and incentive bonus programs.
• Medical, dental, vision, disability, and life insurance benefits.
• 401(k) matching, stock purchase plan, wellness programs, and financial education resources.
• Opportunities for personal and professional growth in a healthcare-focused organization.