Account Executive, Health Systems
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Job Description
Account Executive overseeing commercial clients within health systems and public sectors. Leading strategic initiatives and relationship management to enhance client satisfaction and performance.
Responsibilities:
- Provide oversight of commercial clients within the health system, employer, labor/union and public verticals for large/jumbo accounts (approximately >15,000+ lives, subject to fluctuate due to the needs of the business)
- Serve as the relationship liaison on assigned book of business, incorporating internal support where and when needed to the foster relationship with influencers and decision makers at the plan
- Develop relationship strategy plans, with support of clinical account manager and account manager
- Lead strategic reviews (e.g. QBRs), prioritize initiatives and maintain momentum across sales and implementation cycles.
- Support member and client satisfaction execution and net promoter score goals
- Provide deep and approachable trend management recommendations with support of reporting
- Maintain thorough knowledge of contractual obligations assigned book of business, including financials, performance guarantees, terms, and regulatory/compliance
- Lead client renewal process, including contract management
- Lead ownership of performance guarantee reporting and maintenance
- Lead regulatory and compliance components
- Interpret current pharmacy and healthcare trends, and meet with clients to provide proactive recommendations for plan management; find ways of adding value to the client curating offerings tailored to the client’s specific needs
- Identify and contribute to process improvement efforts across Capital Rx
- Assemble internal resources to overcome challenges
- Anticipate customer needs and proactively identify new opportunities within assigned accounts
- Comprehensive knowledge of our business, including products and services. Strong ability to field questions from the client side, answer them and answer them correctly
- Review and advise on JUDI product roadmap to ensure current priorities and milestones will meet the client expectation
- Other duties as assigned
- Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Requirements:
- 5+ years’ experience in the healthcare industry and/or pharmacy benefits experience
- Demonstrated experience supporting integrated delivery networks (IDNs), hospital systems, or academic medical centers
- Strong ability to navigate and balance plan sponsor goals (e.g. cost control, benefit design, member experience) with health-system pharmacy objectives (e.g. revenue protection, access, utilization management)
- Experience facilitating consensus among stakeholders with competing incentives, using data, clinical rationale, and contract terms to drive alignment
- Working knowledge of 340B program mechanics
- Understanding of healthcare regulatory considerations impacting health systems and PBM oversight.
- Bachelor’s or advanced degree in health administration, business, or relevant professional experience
- Strong data analysis and presentation skills
- Financial and statistical reporting knowledge and experience
- Ability to exercise considerable judgment, maintain confidentiality, and act in a diplomatic manner
- Travel is estimated to not exceed 25% in the busiest times of year
- Progressive staff management experience
- An educator who is trustworthy and willing to share information and serve as a mentor
- Ability to independently identify, research and resolve issues
- A person who can relate to people at all levels of an organization and possesses excellent communication skills
- An excellent facilitator who is experienced in resolving conflicts between different parties to a dispute
- A decisive individual who possesses a strategic focus as well as an operational, implementation, and detail-oriented perspective
- A strategic planner with sound technical skills, analytical ability, good judgment, and strong operational focus
- A well-organized and self-directed individual who can work with minimal amount of supervision
- Ability to work extended hours, weekends, and holidays pursuant with industry demands
- Proficient in Microsoft Office and industry related software programs.
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
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