Senior Pharmacy Strategy & Key Accounts Executive

MacroHealth; United States; On-site; USD 120,000 - 190,000; Full time

Job summary

MacroHealth is seeking a senior Pharmacy Strategic Account Executive to manage and grow a portfolio of complex pharmacy accounts across brokers, consultants, PBMs, health plans, and employers. You will act as a strategic consultant, aligning pharmacy benefit designs with client goals and driving retention, growth, and high-value outcomes.

In this role you’ll partner with Commercial Account Management, Clinical, Product, Analytics, and Operations to deliver industry-leading client experiences,

Qualifications

• 5+ years in PBM, consulting, or related client-facing roles.
• Minimum 3 years in a senior account role focused on retention/growth.
• Experience managing complex, multi-client accounts.
• Experience with brokers, consultants, employers, health plans, or PBMs at senior levels.
• Track record of retention and growth in pharmacy/managed care.

Responsibilities

• Manage and cultivate strategic relationships at senior levels with clients, consultants, brokers, and producers to foster valued business partnerships.
• Serve as the primary pharmacy subject matter expert for strategic planning, consultation, and ongoing account management, overseeing a book of business for complex, multi-client accounts involving multiple custom benefit designs.
• Proactively engage clients to understand evolving needs, business plans, and financial objectives, driving retention and satisfaction by ensuring continuous alignment with MacroHealth’s pharmacy benefit solutions.
• Act as a trusted advisor on pharmacy benefit design, formulary strategy, utilization management, specialty pharmacy, and emerging pharmacy trends.
• Review and present new products, services, capabilities, and technologies to secure pharmacy renewals and achieve add-on sales, ensuring retention, profitability, and growth of existing business.
• Analyze client data and organizational financial objectives to recommend appropriate pharmacy benefit products and services including formulary management, clinical programs, specialty pharmacy, and network management.
• Develop, implement, and execute comprehensive business plans and metrics for retaining and growing membership while enhancing profitability and cross-selling opportunities.
• Identify and proactively address potential retention risks through data-driven strategies and pre-emptive client engagement.
• Lead the design, implementation, and ongoing management of pharmacy benefit programs – including formulary updates, plan design changes, and vendor coordination.
• Oversee pharmacy-related RFPs, renewals, and vendor evaluations in partnership with internal stakeholders.
• Ensure pharmacy solutions align with client goals, regulatory requirements, and MacroHealth’s organizational strategy.
• Develop client-specific action plans and long-term strategies for specific account needs, providing client-centric feedback to influence product development and solution offerings.

Skills

PBM expertise

Strategic relationships

Client consulting

Financial acumen

CRM (Salesforce)

Education

Bachelor’s degree

PharmD/PhD

Tools

Salesforce

ChurnZero

Job description

MacroHealth is seeking a senior Pharmacy Strategic Account Executive to manage and grow a portfolio of complex pharmacy accounts across brokers, consultants, PBMs, health plans, and employers. You will act as a strategic consultant, aligning pharmacy benefit designs with client goals and driving retention, growth, and high-value outcomes.

In this role you’ll partner with Commercial Account Management, Clinical, Product, Analytics, and Operations to deliver industry-leading client experiences,