About Agadia
Agadia specializes in healthcare management technology and provides clients with a suite of utilization management software solutions. Our mission is to improve the quality of care and accelerate the delivery of healthcare services by advancing and automating utilization management processes. Based in Parsippany, New Jersey, with clients across the United States, we are growing and looking for a detail-oriented, self-motivated Account Manager who thrives in a client-facing role and enjoys driving customer success.
Position Overview
The Account Manager is the primary client contact for relationship management, upsell opportunities, change requests, new projects, contract coordination, communication, and client satisfaction. In this role, you will serve as a trusted advisor to clients, articulate solution value to both business and technical audiences, and partner closely with internal technology teams to ensure seamless execution and strong customer experience.
Key Responsibilities
Serve as the primary point of contact for assigned client accounts and build strong, long-term relationships.Maintain and grow client relationships through ongoing communication, annual reviews, and proactive support.Analyze client data to identify opportunities, recommend solutions, and support business growth.Gather client requirements and partner with internal technology teams to develop and deliver effective solutions.Develop and deliver Professional Services statements of work for client review and approval.Provide product guidance, training webinars, and technical information to support client success.Act as a client advocate and project manager within Agadia, collaborating across functional teams.Support client implementations and help ensure successful delivery within established timelines.Support release activities, including reporting, testing, post-production verification, communication, and follow-through.Promote the full range of Agadia products and services, and identify additional opportunities to add value.Desired Skills
Strong verbal and written communication skillsSubstantial knowledge of pharmacy benefits, managed care, or utilization managementFamiliarity with utilization management processes, preferably prior authorization across lines of businessStrong problem-solving, analytical, and business analysis skills with attention to detailAbility to explain complex information clearly and simply to a variety of audiencesStrong execution, organization, flexibility, and follow-throughNegotiation skills and the ability to manage competing prioritiesMotivated, self-directed, and comfortable working in a collaborative environmentQualifications
Bachelor’s degree or equivalent experience3–5 years of relevant experience in account management, client services, healthcare technology, pharmacy operations, or managed care, including at least 2 years in a client-facing or account management role preferred.”Management or business degree preferredCertified Pharmacy Technician certification or nursing degree with pharmacy experience preferredExperience in clinical programs and services such as MTM, Transitional Care, Medication Synchronization, Drug Management Program, Medication Reconciliation, and/or Specialty Pharmacy preferredKnowledge of CMS, regulatory, and compliance requirementsCall center or direct patient interaction experience is a plusAbility to travel to customer sites on a limited basis (0–4 times per year)The listed salary range will vary based on relevant experience, skills, and location.
Benefits offered: Medical, Dental, Vision, Life Insurance, Short-Term Disability, Long-Term Disability, 401(k) match, Flexible Spending Accounts, Parental Leave, Paid time off, and Holidays
Core Skills
Client Relationship Management, Account Growth, Customer Success, Cross-Functional Collaboration, Solution Consulting, Contract and Statement of Work Coordination, Client Communication, Project Coordination, Problem Solving, Managed Care, Pharmacy Operations, Utilization Management, Prior Authorization, Training and Client Enablement, Attention to Detail
Key Competencies
Communicates effectively– Attentively listens to others, provides timely and helpful information, and is effective in a range of professional settings. Gives and receives feedback in a productive, professional manner. Demonstrates excellent oral and written communication skills.
Manages Ambiguity - Operates effectively even when things are uncertain or the way forward is unclear. It is flexible and adaptable to changing business needs.
Manages complexity -Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems. Has strong organizational skills and can manage multiple tasks simultaneously. It pays close attention to detail.
Ensures Accountability -Follows through on commitments and makes sure others do the same. Able to work independently as part of a small team.
Read LessReports To: Vice President, Customer Experience
Location: Remote/Hybrid with 10% travel to Parsippany, NJ
Position Summary
We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects, streamline operational processes, and ensure alignment between product, engineering, client success, and business operations. This is a high‑visibility role that blends program execution, operational rigor, and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company.
Key Responsibilities
Program Leadership, Operational Support & Business Process Management
Own the end-to-end delivery of cross-functional programs that enhance our priorauthorizationSaaS platform. Facilitate and managecross-functionaloperational projects acrossvarious areas of the organization.Support contract management, including tracking contract status, coordinating reviews, and ensuringtimelyrenewals and compliance.Assistwith resource planning, including capacity tracking, forecasting, and cross-team coordination.Develop program roadmaps, timelines, and success metrics aligned with organizational goals. Drive execution acrossproduct, engineering, operations, and client-facing teams.Identifyand implement process improvements that enhance operational efficiency and scalability.Required Qualifications
3–7 years of experience in program management, product operations, or implementation within healthcare technology,including at an enterpriseSaas companyProven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environmentExcellent communication, analytical, and organizational skillsAbility to manage multiple prioritiesin a face-paced environment with minimal supervisionHighly self-motivated, professional, take-charge attitude with humility and integrityPreferred Qualifications
Direct experience with prior authorizations at a health plan, PBM, or UM organization Experience withPAHub(preferred) or another enterprise PA platformFamiliarity withSDLC Background in pharmacy benefit management, medical benefit management, or healthcare operationsPMP, Agile, or Lean certificationSuccess Measures
Smooth delivery of high-impact programsand projectswithin our organizationClear, measurable improvements in product adoption, workflow efficiency, and client satisfactionStrong relationships with internal teams built on trust andexpertiseThought leadership in shaping the future ofa growing SaaS companyAgadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability
Agadia is an Equal Opportunity Employer
This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization.
Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.
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