Overview
Work History
Summary
Education
Skills
Accomplishments
Work Availability
Timeline
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Timothy Roberts

PBM Account Manager
Phoenix,AZ

Overview

25
25
years of professional experience

Work History

Account Manager II

MedImpact Healthcare Systems
04.2023 - 09.2023
  • Serve as the primary day-to-day point of contact to clients and their members.
  • Provide oversight to 6 clients comprised of commercial and EGWP groups.
  • Act as Project Manager on implementation of new products and services.
  • Provide reporting on claims volumes, trends, costs.
  • Support 3 Account Executives.
  • SME for Call Center team regarding client benefits.

Senior Account Manager

Southern Scripts
05.2021 - 02.2023
  • Serve as the primary point of contact to High Profile (VIP) clients and their members.
  • Provide oversight to 65 clients comprised of self-insured employers and TPA’s.
  • Serve as the Lead Account Management personnel for new Implementations, including benefits, plan designs, eligibility guidelines, formulary management, State and Federal Law regulations.
  • Provide reporting and analysis of pharmacy outcomes and cost.
  • Support my Account Executive by executing all functions they deem needed for the retention of the client.
  • Provide support to Call Center personnel, answering their questions on client’s set-up, desires, and culture.

Account Manager

Envolve Pharmacy Solutions
02.2014 - 03.2021
  • Served as the client’s primary point of contact to address and resolve service disruptions to their members.
  • Provided oversight to 12+ clients comprised of self-insured employers and labor unions.
  • Served as the subject matter expert for those clients assigned to me, including benefits, plan designs, eligibility guidelines, formulary management, State and Federal Law regulations.
  • Provide oversight and direction to clients regarding their pharmacy costs, trends, and utilization.
  • Supported the Account Executive and Clinical Account Manager on service issues, custom reporting, benefit changes.
  • Ownership of all Project logs for each client.
  • Worked closely with Implementation team as the Account Manager and subject matter expert for new client implementations.
  • Provided guidance to company call center leads in regard to regulations, benefit structures/designs, and authorization of client exceptions.
  • Worked with plan Directors & Medical Directors to implement formulary changes.
  • Worked with marketing to communicate formulary or benefit changes to client membership.
  • Participated in daily and weekly calls with clients and conduct client business reviews.
  • Have received multiple acknowledgements to my Director from members and clients regarding my outstanding performance and abilities to go above and beyond.
  • Participated in on-site sales and finalist meetings with potential new clients.

Account Manager

Partners Rx, LLC
02.2011 - 11.2011
  • Primary contact and serviced multiple accounts totaling 60,000 lives.
  • Supported >14 TPAs and broker accounts nationwide.
  • Provided oversight and direction to clients regarding their pharmacy costs, trends, and utilization.
  • Developed cost saving benefit plans for self-funded groups ranging from 5 – 15,000 lives.
  • Worked with clients to implement programs that would decrease overall drug spend.
  • Managed customer service issues from beginning to end.
  • Presented client quarterly business reviews to address membership trends and to provide recommendations related to prescription benefit.
  • Monitored high dollar drug utilization, such a specialty and new high-cost medications.
  • Overseen and managed implementation of new accounts.
  • Upsold programs to clients.
  • Participated in on-site sales and finalist meetings with potential new clients.

Client Services Manager

SHPS Carewise Solutions, Inc.
05.2008 - 12.2010
  • Performed client service support for 8 clients and 4 sales executives.
  • Researched and resolved member complaints regarding service provided, benefits, and eligibility issues.
  • Provided statistical reports to sales executives regarding clinical center’s performance.
  • Subject matter expert regarding client contracts.
  • Collaborated with internal IT team members regarding data file feeds.
  • Developed and analyzed queries & reports utilizing to identify trends.
  • Assessed and evaluated quarterly clinical outcomes for overall trends.

Summary

Dynamic Account Manager offering expertise in building partnerships, retaining key accounts and enhancing profit channels. Strong leader with proficiency in growing professional network, influencing decision-makers and devising successful strategies. Collaborative and strategic team leader with robust background in customer relationship management.

Education

High School Diploma -

Sinclair College
Phoenix, AZ

Skills

  • Trend forecasting
  • Campaign execution
  • Converting leads
  • Customer training
  • Account development
  • Relationship building and management
  • National accounts
  • Sales meetings and orientations
  • Cost reviewing
  • CRM software
  • Schedule management
  • Upselling
  • Overcoming objections
  • Business negotiation
  • Cross-functional collaboration
  • PBM Claims product expertise
  • Excellent communication skills
  • Operations
  • Account servicing skills

Accomplishments

  • MS Excel - Prepared and formatted financial project reports, budget spreadsheets and expense reports for monthly review.
  • Training - Designed and executed one-month training program for company sales team, increasing employee productivity and product knowledge.
  • Director of 400 team staff members.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Account Manager II

MedImpact Healthcare Systems
04.2023 - 09.2023

Senior Account Manager

Southern Scripts
05.2021 - 02.2023

Account Manager

Envolve Pharmacy Solutions
02.2014 - 03.2021

Account Manager

Partners Rx, LLC
02.2011 - 11.2011

Client Services Manager

SHPS Carewise Solutions, Inc.
05.2008 - 12.2010

High School Diploma -

Sinclair College