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Account Executive, PBM

4 days, 10 hours ago
United States
Full-time
Senior
Account Executive
Sales and Business Development
Apply Now
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017
View All Jobs 57

Description

  • Provide oversight of large commercial clients across health system, employer, labor/union, and public verticals.
  • Serve as the primary relationship liaison for the assigned book of business and coordinate internal support as needed.
  • Develop relationship strategy plans in partnership with clinical account managers and operations managers.
  • Support member and client satisfaction initiatives and net promoter score goals.
  • Provide trend management recommendations supported by reporting and analysis.
  • Maintain knowledge of contractual obligations, financials, performance guarantees, and regulatory/compliance requirements.
  • Lead the client renewal process, including contract management.
  • Own performance guarantee reporting and maintenance.
  • Lead regulatory and compliance components for assigned accounts.
  • Interpret pharmacy and healthcare trends and meet with clients to recommend proactive plan management improvements.
  • Identify and contribute to process improvement efforts across Capital Rx.
  • Assemble internal resources to resolve client challenges and anticipate new opportunities within accounts.
  • Review and advise on the JUDI product roadmap to help align client expectations with priorities and milestones.
  • Adhere to the Capital Rx Code of Conduct and report noncompliance as required.

Requirements

  • 5+ years of experience in the healthcare industry and/or pharmacy benefits.
  • Bachelor’s degree or advanced degree in health administration, business, or relevant professional experience.
  • PharmD preferred, but not required.
  • Strong business acumen, clinical knowledge, and expertise.
  • Strong data analysis, presentation, financial reporting, and statistical reporting skills.
  • Project management experience preferred.
  • Ability to exercise sound judgment, maintain confidentiality, and act diplomatically.
  • Progressive staff management experience.
  • Ability to independently identify, research, and resolve issues.
  • Excellent communication, facilitation, and conflict-resolution skills.
  • Ability to manage multiple priorities and deadlines.
  • Strategic, operational, implementation-oriented, and detail-oriented mindset.
  • Ability to work extended hours, weekends, and holidays as needed.
  • Proficiency in Microsoft Office and industry-related software.
  • Ability to travel up to 25% during peak periods.

Benefits

  • Remote work for non-local candidates or hybrid work for candidates local to the NYC area.
  • Base salary range of $129,600–$204,500 USD for remote U.S. roles.
  • Base salary range of $163,600–$204,500 USD for New York, NY roles.
  • Base salary range of $150,000–$187,500 USD for Denver, CO roles.

Interested in this position?

Apply directly on the company website

Apply Now

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