Account Executive - Pharmacy Benefits

SmithRx; Lehi (UT); On-site; USD 129,000 - 150,000; Full time

Benefits offered by this job

Wellness benefits (Medical, Pharmacy,

Dental, Vision, Life Insurance and AD&

401(k) Retirement Savings Program

Discretionary Paid Time Off

Paid Company Holidays

Professional development and training

Job summary

SmithRx is seeking an Account Executive to manage a book of business for employers, health plans, and TPAs. You will be a strategic partner, driving client retention, optimizing pharmacy spend, and communicating value to client leadership. You’ll collaborate with cross-functional teams to deliver outcomes and growth.

You’ll lead renewal cycles, deliver executive-ready updates, and guide internal partners to meet client expectations while expanding partnerships in the PBM space.

Qualifications

• 3–5 years of AE experience in PBM or health insurance.
• 5+ years of direct account management in healthcare space.
• Ability to translate complex data into concise stories for C-suite.
• Growth mindset with calm, focused problem solving.
• Executive communication and stakeholder management.
• Experience documenting deliverables and maintaining client satisfaction.
• Independent, self-driven, and cross-functional collaboration.

Responsibilities

• Establish and maintain relationships for large complex accounts.
• Own and facilitate end-to-end renewal process.
• Ensure client satisfaction and act as client advocate.
• Lead internal teams and provide executive updates on risks.
• Present formulary changes and clinical program recommendations.
• Analyze claims data to identify trends and cost-containment opportunities.
• Develop and maintain client strategic action plans.
• Coordinate with Implementation, Operations, and Pricing teams.

Skills

Account Executive experience in PBM/HE

Executive-level communication

Data interpretation (claims, rebates,-

Education

Bachelor's degree or equivalent experience

Job description

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next‑generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best‑in‑class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

• Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
• Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward - always.
• Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

The Customer Success Team is focused on helping SmithRx's clients derive the full value of their PBM services. We build and manage effective relationships with our customers' operational leadership, communicating the value of our services in the context of customers' business goals with the goal of retaining high performing, satisfied customers. We identify risks to client satisfaction proactively and collaborate across product and operational lines to tenaciously pursue solutions and advocate for our clients.

As a SmithRx Account Executive, you will be the primary strategic partner for our clients (employers, health plans, or TPA groups). You aren't just a "point of contact"; you are a healthcare consultant responsible for managing a book of business, driving client retention, and identifying opportunities to optimize pharmacy spend while improving member outcomes. You will bring strong industry and PBM knowledge and serve as a trusted advisor and business partner for your client's operational leadership.

What you will do:

• Establish and maintain relationships for large complex accounts
• Own and facilitate end to end renewal process
• Accountable for client satisfaction
• Lead internal teams and act as internal client advocate
• Provide executive updates on client status and risks.
• Represent Customer Success in Finalist meetings.
• Analyze pharmacy claims data to identify trends, provide cost-containment recommendations, and deliver quarterly/annual business reviews (QBRs).
• Create and maintain a client strategic action plan.
• Partner with clinical pharmacists to present formulary changes and clinical program recommendations to clients.
• Stay ahead of industry trends, including drug pipelines, legislative changes, and competitive PBM landscapes.
• Partner with leadership to review deliverables (QBRs, reporting and client communications) to ensure "executive-ready" quality.
• Coordinate with internal teams (Implementation, Operations, and Pricing) to resolve member issues and ensure seamless service delivery.
• Serve as a formal or informal mentor to Account Managers (AMs), Account Specialists, and Account Coordinators; provide guidance on client communication strategies, career development, and navigating complex PBM workflows.
• Responsible for understanding the Client's organization & structure, knowing the Client's product/services and staying aware of Client news and changes. Maintain and update Client record with changes.
• Develop and maintain effective working relationships in liaison role with Pharmacy Operations, service partner contacts and client contacts.
• Ensure full, proactive communication of all important client account activities with cross-functional partners
• Prioritize issues and assess escalations that may lead to client attrition risk with the Account Managers to ensure a strong mitigation plan is in place
• Travel required: Up to 25%

What you will bring to SmithRx:

• Requires 3-5 years of Account Executive experience in PBM or health insurance
• Requires 5+ years of direct account management or relationships management experience in the healthcare space; working knowledge of commercial health insurance and pharmacy benefits strongly preferred
• Ability to interpret complex data sets (claims, rebates, and ROI) and translate them into actionable stories for C-suite executives.
• A positive growth mindset with the ability to approach difficult situations in a calm and focused manner; understand the challenge and move forward tactfully towards a solution
• Executive-level communication and interpersonal skills, with the ability to effectively navigate and mediate conflict and foster honest dialogue
• Experience in Client relationship management ensuring expectations and deliverables are documented and met, key stakeholders are informed, and client satisfaction is achieved
• Ability to work independently as well as part of an extended, cross-functional team
• Self-driven, results-oriented and disciplined work ethic
• Ability to take initiative with little to no direction
• Be transparent and honest in a positive, professional and polite manner
• Expert conflict resolution skills
• Bachelor's degree or equivalent experience required

What SmithRx Offers You:

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• Paid Company Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities

Zone A includes the following locations:San Francisco Bay Area - CaliforniaMetro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range: $129,000 USD - $150,000 USD

Zone B includes the following locations:California - outside of San Francisco Bay AreaMetro Denver / Boulder - ColoradoMetro District of Columbia - District of Columbia, Maryland, Virginia and West VirginiaMetro Boston / Cambridge - Massachusetts and New HampshireMetro Austin - TexasMetro Seattle - Washington

Zone B Pay Range: $129,000 USD - $150,000 USD

Zone C includes all other locations not listed above, including:Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia,