Apply on Employer Site

Capital Rx · 7 hours ago

Strategic Account Executive, PBA Services

Denver, CO

Full-time

Hybrid

Mid, Senior Level

$120K/yr - $175K/yr

5+ years exp

Capital Rx is an enterprise health technology company focused on rebuilding trust in healthcare in the U.S. The Strategic Account Executive for PBA Services will manage client relationships and ensure satisfaction while leading a team to meet client objectives in the Pharmacy Benefit Administration market.

Hospital & Health Care

Responsibilities

Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables

Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers

Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance

Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management

Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client

Anticipates customer needs and proactively identifies new opportunities within assigned accounts

Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately

Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges

Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment

Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients

Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs

Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities

Serve as the content expert for Health Plan/TPA clients & opportunities

Identify and help contribute to process improvement efforts

Be accountable & own the client end-to-end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management

Qualification

Pharmacy Benefit ManagementHealth Plan Industry ExperienceMedicare Part D KnowledgeClient Relationship ManagementSolution-focused Problem SolvingMicrosoft Excel ProficiencyAnalytical AbilityExceptional Communication SkillsTeam CollaborationOrganizational Skills

Required

Bachelor's or advanced degree in health administration, business, or relevant professional experience

Relevant professional experience for at least five (5) years in pharmacy – working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines

Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines

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 work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships

A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective

Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines

Ability to effectively work with peers in a team effort

Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs

Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle