Synergie Account Executive Lead

Blue Cross Blue Shield Association; Illinois; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Paid time off

11 holidays

Medical/dental/vision insurance

401(k) matching

Lifestyle spending account

Job summary

The Blue Cross Blue Shield Association is seeking an Account Executive to be the primary liaison for assigned pharmacy clients, coordinating across retail, mail, specialty, rebates, and clinical programs. You will partner with PBMs, pharmacies, manufacturers, and vendors to deliver implementations and meet contractual commitments.

You will own day-to-day account management, oversee service delivery against SLAs, and lead change activities for new clients while driving client satisfaction and

Qualifications

• BS in Business, Healthcare Administration, Pharmacy, Public Health, Finance or related field.
• 3–5 years in account management or comparable client-facing experience in health plan or healthcare services.
• Experience supporting pharmacy benefits or operations (retail, mail, specialty, rebates, clinical programs).
• Proven ability to coordinate cross-functional teams and vendors.
• Strong communication, presentation, and relationship management skills.
• Knowledge of formulary management, PBM services, and benefit operations preferred.
• MBA/PhD or advanced degree preferred; AI literacy mentioned.

Responsibilities

• Own day-to-day account management and strategic client relationships including meetings and executive engagement.
• Lead implementation and change activities for new clients and services.
• Monitor service delivery, SLAs, and client commitments with timely issue resolution.
• Coordinate internal teams, PBMs, pharmacies, manufacturers, and vendors.
• Analyze operational, financial, pharmacy, and rebate data to identify trends and improvements.
• Lead root cause analysis and continuous improvement to enhance quality and efficiency.

Skills

Communication

Presentation

Relationship management

Analytical

Organizational skills

Problem-solving

Data analysis

AI literacy

Microsoft Office

Education

BS in Business, Healthcare Administration, Pharmacy, Public Health, Finance, or related field

MBA, PharmD, or advanced healthcare/business degree preferred

Tools

Microsoft Office

Reporting platforms

Data analysis tools

Job description

The Account Executive serves as the primary contact and strategic liaison for assigned pharmacy clients, managing account performance across retail, mail, specialty, rebate, clinical, formulary, pharmacy benefit, and emerging solutions. Reporting to the Senior Vice President, Account Management, this role coordinates internal teams, operational support partners, PBMs, pharmacies, manufacturers, Clean Team resources, and vendors to deliver implementations, resolve issues, meet contractual commitments, and strengthen client satisfaction and retention Job Description:

Own day-to-day account management and strategic client relationships, including account meetings, business reviews, communications, escalations, and executive engagement.

Manage an assigned line of business, align client expectations with operational execution, and ensure contractual obligations, service commitments, and deliverables are met accurately and on time.

Lead implementation and change activities for new clients, programs, and service enhancements, including planning, readiness, testing, communications, launch support, and transition to ongoing operations.

Monitor service delivery, service-level agreements, performance guarantees, and client commitments; coordinate timely resolution of issues affecting members, pharmacy access, claims, specialty fulfillment, rebates, and clinical programs.

Oversee pharmacy program performance across retail, mail, specialty, rebate, formulary, utilization management, and related benefit operations; identify risks and support corrective actions and optimization.

Analyze operational, financial, pharmacy, claims, utilization, and rebate data to identify trends and recommend improvements. Validate the accuracy and completeness of reporting and deliverables produced by internal teams, operational support partners, Clean Team resources, and third-party vendors.

Manage relationships and performance across PBMs, specialty pharmacies, manufacturers, network partners, and other vendors, facilitating issue resolution and corrective action when needed.

Lead root cause analysis and continuous improvement efforts to improve quality, efficiency, service delivery, and client outcomes.

Required BS in Business, Healthcare Administration, Pharmacy, Public Health, Finance, or a related field; Required 3 - 5 Years in account management or comparable client-facing experience within a health plan, PBM, pharmacy services, managed care, or healthcare services environment.

• Experience supporting pharmacy benefits or operations, such as retail, mail, specialty, rebates, clinical programs, or managed care services.
• Demonstrated success as the primary contact for large or complex accounts and in coordinating cross-functional teams and vendors.
• Ability to analyze operational, financial, pharmacy, claims, and rebate data and translate findings into actionable recommendations.
• Strong knowledge of pharmacy operations, PBM services, benefit management, issue resolution, and service delivery.
• Excellent communication, presentation, relationship management, analytical, organizational, and problem-solving skills.
• Proficiency with Microsoft Office, reporting platforms, and data analysis tools; ability to work independently in a remote or hybrid environment while managing multiple priorities.
• Experience supporting health plans, Blue plans, employer groups, government-sponsored programs, or PBM clients strongly preferred.
• Knowledge of formulary management, manufacturer contracting, utilization management, clinical programs, and Commercial, Medicare, Medicaid, or Federal Employee Program operations strongly preferred.
• Experience leading client implementations, business transitions, operational projects, reporting, analytics, data governance, or Clean Team support strongly preferred.
• MBA, PharmD, MHA, or another advanced healthcare or business degree preferred.
• Demonstrates AI literacy and an understanding of generative AI tools, including appropriate business applications and limitations.

#LI_REMOTE

A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.