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Strategic Account Executive, PBA Services

2 hours, 30 minutes ago
United States
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 17

Description

  • Provide oversight and direction to the broader Account Management team to support member and client satisfaction, trend management, growth, retention, and regulatory compliance.
  • Lead the client relationship strategy and strategic business planning process across the assigned portfolio.
  • Maintain and track contractual obligations, including financials, performance guarantees, terms, reporting, and compliance.
  • Manage and facilitate account renewal and contracting with a focus on retention and financial/PNL management.
  • Serve as the relationship lead for assigned accounts and build relationships with client influencers and decision makers.
  • Anticipate customer needs and identify new opportunities within assigned accounts.
  • Develop deep knowledge of the company’s products and services to answer client questions accurately and promptly.
  • Collaborate with internal teams to customize offerings and solutions for health plan and TPA account needs.
  • Analyze pharmacy and healthcare trends, competitor activity, and industry regulations to inform strategic recommendations.
  • Lead, coach, and support the Account Team in positioning the company’s value proposition and solutions to PBA clients.
  • Partner with Business Development, Underwriting, and Senior Account Executives on growth and retention efforts, including RFPs, broker/consultant engagement, and Best & Final support.
  • Provide direction and coaching to align the Account Team on client business lines, strategies, stakeholders, and priorities.
  • Own the client end to end, including service deliverables, contractual negotiations, client escalations, and PNL management.
  • Identify and contribute to process improvement efforts.

Requirements

  • Bachelor’s or advanced degree in health administration, business, or relevant professional experience; B.S. Pharmacy or PharmD is a plus.
  • At least 5 years of relevant professional experience in pharmacy, preferably within a health plan, managed care, or PBM environment.
  • Experience focused on Health Plans and payer commercial lines, including insured, self-funded, exchange, and government programs (Medicare and Medicaid).
  • Market and operational knowledge of Medicare Part D, Medicaid, and Health Exchange pharmacy is required.
  • Experience supporting highly regulated business lines.
  • Proven track record of building trust in internal and external relationships.
  • Solution-focused problem solving and client positioning skills.
  • Exceptional written and verbal communication skills.
  • Ability to influence peers and lead cross-functional initiatives while meeting deadlines and deliverables.
  • Strong analytical ability, sound judgment, operational focus, and attention to detail.
  • Highly organized, flexible, and able to shift priorities and work independently.
  • Proficiency in Microsoft Office Suite, especially Microsoft Excel and large data sets, plus other industry software programs.
  • Ability to travel and present to small and large groups, with travel estimated up to 25% and varying by season and business cycle.

Benefits

  • Salary range of $120,000 to $175,000 USD.
  • Opportunity to work for an enterprise health technology company serving employers, TPAs, and health plans.
  • Flexible position scope that may be adjusted to meet organizational goals.
  • Equal employment opportunity and a workplace committed to diversity and inclusion.
  • Privacy protections and retention of applicant data governed by the company’s privacy policy.

Interested in this position?

Apply directly on the company website

Apply Now

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