Account Executive, PBA Services

About the Role

Key Responsibilities

• 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 specific objectives, client priorities and service model deliverables.
• Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers.
• Maintain thorough knowledge and tracking of contractual obligations on 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 assigned book of business, incorporating other internal staff where and when needed to the relationship; build and 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 to answer timely & accurately.
• Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands.
• Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions and provide proactive recommendations.
• Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, products, solutions, and capabilities.
• Partner with Business Development, Underwriting Teams & Senior Account Executives to support growth and retention efforts, including RFP support, Broker/Consultant engagement, and client business development.
• 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 & opportunities.
• Identify and contribute to process improvement efforts.
• Own the client end-to-end, including service model deliverables, contractual negotiations, escalations, and PNL management.
• Adhere to the Capital Rx Code of Conduct and report noncompliance.

Requirements

• Bachelor's or advanced degree in health administration, business, or relevant professional experience.
• Relevant professional experience for at least five (5) years in pharmacy, working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial and Government Program business lines.
• Market and operational knowledge of Medicare Part D, Medicaid, and Health Exchange pharmacy.
• Experience 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.
• Decisive individual with technical skills, analytical ability, good judgment, operational focus, and attention to detail.
• Highly organized, flexible, and able to shift priorities easily while working independently.
• Proficient in Microsoft Office Suite, especially Excel, and other industry software programs.
• Ability to travel up to 25% and present to small and large groups.

Nice to Have

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution.

Qualifications

• Bachelor's or advanced degree in health administration, business, or relevant professional experience.
• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree is a plus.
• At least five (5) years of professional experience in pharmacy or related health plan/managed care roles.

Benefits & Perks

• Salary range of $120,000 — $160,000 USD.