Account Executive, PBA Services

Capital Rx; United States; Remote; USD 120,000 - 160,000; Full time

Job summary

A leading health technology company is seeking an Account Executive/Strategic Account Executive to manage pharmacy benefit administration clients. This role requires a minimum of 5 years experience in the pharmacy sector, particularly within health plans. The candidate will develop client relationships and ensure satisfaction. Salary ranges from $120,000 to $160,000 USD, and the position may require travel up to 25%.

Qualifications

• 5+ years of experience in pharmacy within a health plan or managed care.
• Experience with Medicare Part D, Medicaid and Health Exchange pharmacy.
• Ability to work cross-functionally and influence peers.

Responsibilities

• Manage planning, execution, growth & retention for assigned clients.
• Lead client relationship strategy and business planning process.
• Serve as the content expert for Health Plan/TPA clients.

Skills

Building trust in relationships

Solution-focused problem solving

Exceptional communication skills

Microsoft Office proficiency

Analytical ability

Education

Bachelor’s or advanced degree in health administration or business

Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD)

Tools

Microsoft Excel

Industry software programs

Job description

Overview

Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi, the industry’s leading proprietary Enterprise Health Platform. To learn more, visit www.judi.health.

Position

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. This position leads and collaborates 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. It 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 Texas Department of Insurance (TDI).
• 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 objectives, client priorities and service model deliverables.
• Lead and develop the client relationship strategy and strategic business planning process across the portfolio, coordinating with internal staff to build relationships with influencers and decision makers.
• Maintain thorough knowledge and tracking of contractual obligations on the 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 the assigned book of business, incorporating internal staff as needed to 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 respond timely and 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 and provide proactive recommendations for plan management.
• Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition and related products and solutions for PBA clients.
• Partner with Business Development, Underwriting Teams & Senior Account Executives to support PBA account growth and retention through Capital Rx sales support and market differentiator positioning, including RFP support and broker/consultant engagement.
• Provide ongoing direction, coordination and coaching to the broader Account Team to align understanding of client business lines, strategies, stakeholders and priorities.
• Serve as the content expert for Health Plan/TPA clients and opportunities.
• Identify and contribute to process improvement efforts.
• Be accountable for the client end-to-end, including 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. A Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree is a plus.

Relevant professional experience of at least five (5) years in pharmacy—working within a health plan, managed care, or 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 judgment, and strong operational focus with attention to detail.

Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines. Proficient in Microsoft Office, especially Excel and handling large data sets; experience with industry software programs.

Ability to travel up to 25% and present to groups; travel is variable by season and business cycle.

Preferred Qualifications

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

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Salary

$120,000 - $160,000 USD

Note: This position description is designed to be flexible; management may assign or reassign duties as needed to meet organizational goals.

Equal Opportunity

Capital Rx values a diverse workplace and provides equal employment opportunities to all employees and applicants; we prohibit discrimination and harassment of any type.