Account Executive - Pharmacy Benefits

SmithRx; United States; Remote; USD 129,000 - 150,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Paid time off

Parental leave

Wellness programs

Job summary

SmithRx is seeking an Account Executive to serve as the primary strategic partner for employers, health plans, or TPAs. You will manage a book of business, drive client retention, and identify opportunities to optimize pharmacy spend while improving member outcomes.

You will bring PBM knowledge and act as a trusted advisor to client operational leadership, coordinating with internal teams to deliver executive-ready service and measurable value.

Qualifications

• 3-5 years of Account Executive experience in PBM or health insurance.
• 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.

Responsibilities

• 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 (QBR’s, 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 mentor to Account Managers, Account Specialists, and Account Coordinators; provide guidance on client communication strategies, career development, and navigating complex PBM workflows
• Develop and maintain relationships with Pharmacy Operations and client contacts
• Ensure proactive communication of all important client activities with cross-functional partners
• Prioritize issues and assess escalations to mitigate attrition risk with Account Managers
• Travel required: Up to 25%

Skills

Account management

PBM knowledge

Executive communication

Data interpretation

Client relationships

Education

Bachelor’s degree or equivalent

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 is 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 (QBR’s, 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 - California
• Metro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range

$129,000 – $150,000 USD

Zone B includes the following locations:

• California - outside of San Francisco Bay Area
• Metro Denver / Boulder - Colorado
• Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
• Metro Boston / Cambridge - Massachusetts and New Hampshire
• Metro Austin - Texas
• Metro Seattle - Washington

Zone B Pay Range

$129,000 – $150,000 USD

Zone C includes all other locations not listed above, including:

• Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
• Non metroColorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey,NewYork, Pennsylvania, Texas,Virginia,Washington, and West Virginia

Zone C Pay Range

$129,000 – $150,000 USD

Compensation & Benefits

• Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
• Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.