Capital Rx
Affordable Pharmacy Benefits, Powered by Modern Infrastructure.
Account Executive, PBA Services
Location
United States
Posted
167 days ago
Salary
$120K - $160K / year
Bachelor Degree5 yrs expExperience acceptedEnglish
Job Description
• Manage the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services
• Lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate
• Act as the quarterback and leader of the broader Account Management team; reports to the Senior Account Executive/Senior Director, PBA Client Services
• Work closely with Texas-based clients and manage the complexities of working within a highly-regulated market of the TDI (Texas Department of Insurance)
• Provide oversight and direction to the broader Account Management team focusing on member and client satisfaction, trend management, client growth & retention, and regulatory compliance
• Lead and develop client relationship strategy and strategic business planning across client portfolio
• Maintain knowledge and tracking of contractual obligations, including financials, performance guarantees, terms, and reporting/compliance
• Manage and facilitate the Account renewal and contracting process with focus on client retention and client financial/PNL management
• Serve as the relationship lead on assigned book of business and build relationships with influencers and decision makers
• Anticipate customer needs and proactively identify new opportunities within assigned accounts
• Develop and maintain comprehensive knowledge of products and services to field client questions timely and accurately
• Collaborate with internal teams to customize offerings and assemble internal resources to overcome challenges
• Analyze and interpret pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions
• Lead, coach and support the Account Team on positioning Capital Rx value proposition and JUDI capabilities
• Partner with Business Development, Underwriting Teams & Senior Account Executives to support PBA account growth, RFP support, and Broker/Consultant engagement
• Provide ongoing direction, coordination and coaching to align Account Team understanding of client business lines, strategies, stakeholders & priorities
• Serve as the content expert for Health Plan/TPA clients & opportunities
• Identify and contribute to process improvement efforts
• Own the client end-to-end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management
• Adhere to the Capital Rx Code of Conduct including reporting of noncompliance
Job Requirements
- Bachelor’s or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus
- 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. Health plan industry experience highly preferred
- 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
- Preferred: Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations
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