Strategic Account Executive- Healthcare Mkts (PBM

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Full Time  Remote

30+ days ago Requisition

Rx Benefits is hiring! We are adding Strategic Account Executives (SAE’s) to our growing team focused on serving the Hospital and tribal entity markets along with other clients with in-house pharmacies. This Strategic Account Executive position directly supports the broker consultant(s) and clients, including Human Resources and In-house pharmacy leadership and staff by continuously analyzing drug trend, recommending plan design strategies and clinical products to accomplish client goals and objectives.

The SAE closely partners with broker consultants and clients throughout the client life cycle with a goal of client satisfaction and client retention. Internally, the SAE supports our sales and implementation teams during and after the sales phase of the business. SAE assumes complete responsibility of building and maintaining an extremely positive relationship with our clients. This position requires extensive knowledge of the PBM industry and the hospital landscape.

The ability to become a trusted advisor will ultimately enable the SAE to reach set retention goals and secure client referrals. This is a remote position with travel as needed.

• Client Consultation
  • Builds and grows relationships with brokers and clients by offering strategic solutions to hospital pharmacy challenges.
  • Performs proactive utilization and trend analysis to identify solutions that assist in managing and reducing drug spend.
  • Plays major advisory role by providing client consultation on Rx Benefits and/or PBM services and products.
  • Creates plan design strategies that effectively align with the goals of the HR, finance, and the pharmacy teams.
  • Builds collaborative partnership with broker consultant and hospital (tribal) staff to promote maximization of in-house pharmacy capabilities.
• Client and Industry Awareness
  • Responsible for understanding the client's organization and key contacts, products/services and client initiatives.
  • Ongoing awareness of hospital (tribal) landscape and in-house pharmacy.
  • Understanding of 340B and the overall impacts on the entity.
• Accountable for accurate and timely preparation of client deliverables; assists in new client onboarding, facilitates in-house pharmacy set up for new and existing clients, initiates requests for benefit plan changes, produces the expected monthly and quarterly reports.

• Participates in ongoing educational events for skill and knowledge development.
• Attends ongoing training specific to in-house pharmacy processes and procedures.
• Develops and maintains effective working relationships in a consultative role with service partner contacts (such as analysts, underwriters, brokers & consultants, PBMs, sales and service representatives) and client HR & in-house pharmacy contacts.
• Partners with client onboarding team for new client implementations
• Facilitates in-house set up discussions, complete necessary set-up form and review with client/IHP.
• Facilitates new client deliverables: benefit welcome kits, member communications, and open enrollment deliverables in conjunction with internal client onboarding.
• Prepares and obtains employee materials and presents employee benefits via webinars or in face-to-face enrollment meetings.
• Effectively communicates with internal key stakeholders while keeping them fully informed of all important activities on client accounts.
• Performs Quality Checks of service agreements, claims processing, benefit designs, financial reports, etc.
• Specializes in effective practices to meet in-house pharmacy objectives.
• Acts as liaison in conjunction with pharmacy benefit operations, between client, client in-house pharmacy team, brokers and PBM companies to independently resolve all service problems. Specifically, assist the client in resolving billing, claim, eligibility, COBRA and customer service problems.
• Devises strategies and recommendations for clients in regard to cost containment…