Account Executive, PBA Services

Capitalrx; Charlotte (NC); Hybrid; USD 136,400 - 170,500; Full time

Job summary

Capitalrx is looking for an experienced Account Executive/Strategic Account Executive to manage client relationships in the Pharmacy Benefit Administration market segment. You will oversee a team to ensure client satisfaction and successful contract fulfillment.

This role requires a background in health administration or pharmacy, with a focus on building trust and managing client expectations. The position offers competitive salary and a hybrid work schedule based in Charlotte, NC.

Qualifications

• At least five years relevant experience in pharmacy or managed care.
• Operational knowledge of Medicare Part D and Medicaid.
• Proficient in analyzing data in Excel.

Responsibilities

• Manage client satisfaction and retention for PBA services.
• Oversee Account Management team and facilitate communication.
• Develop and maintain client relationship strategies.

Skills

Client relationship management

Communication skills

Analytical skills

Problem-solving

Education

Bachelor’s degree in health administration or business

PharmD or B.S. Pharmacy

Tools

Microsoft Office Suite

Job description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Overview:

The Account Executive/Strategic Account Executive - PBA Services is responsible for managing 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. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations.

This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services.

Position Responsibilities:

• Work closely with some of our biggest 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 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.
• Anticipate customer needs and proactively identify 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 overcome 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.
• All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Required Qualifications:

• 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.
• 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 Qualifications:

• Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations.

Salary Ranges:

New York, NY: $163,600 — $204,500 USD

Denver, CO: $150,000 — $187,500 USD

Charlotte, NC: $136,400 — $170,500 USD

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.