Account Executive, PBA Services

Judi Health; Colorado; Hybrid; USD 150,000 - 188,000; Full time

Job summary

Judi Health is seeking an Account Executive/Strategic Account Executive - PBA Client Services to oversee planning, execution, growth and retention for Pharmacy Benefit Administration clients, including Health Plans and TPAs. You will lead the broader Account Management team and collaborate with Judi Rx teams to ensure client satisfaction and contract delivery.

You will manage relationships, renewals, and strategic business planning, while traveling up to 25% as needed.

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.
• 5+ years in pharmacy– health plan, managed care, PBM with Health Plans/TPAs/Government programs.
• Knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy.
• Exceptional written and verbal communication skills.

Responsibilities

• Provide oversight and direction to the Account Management team focused on member and client satisfaction, trend management, growth & retention, and compliance.
• Lead the client relationship strategy and strategic business planning across your portfolio with internal partners.
• Manage contractual obligations, financials, performance guarantees, terms, and reporting/compliance.
• Oversee renewals and contracting with emphasis on client retention and P&L management.
• Act as relationship lead, building influencer and decision maker connections at the client site.
• Identify opportunities within accounts and coordinate internal resources to address client needs.

Skills

Account management

Client relationship management

Strategic planning

Cross-functional collaboration

Microsoft Excel

Data analysis

Education

Bachelor’s or advanced degree in health administration or business

Bachelor of Pharmacy (B.S. Pharmacy) or PharmD (a plus)

Tools

Microsoft Excel

CRM software

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Remote (For Non-Local) or Hybrid (Local to NYC, Charlotte or Denver area)

Position Overview:

The Account Executive/Strategic Account Executive - PBA Client 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 Judi 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:

• 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 Judi Rx value proposition, our suite of Judi 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 Judi 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 Judi 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


• 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.

#LI-BC1

New York, NY Salary Range

$163,600 — $204,500 USD

Denver, CO Salary Range

$150,000 — $187,500 USD

Charlotte, NC Salary Range

$136,400 — $170,500 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

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