
Sr. PBM Strategic Account Executive - Commercial
- Philadelphia, PA
- $110,200-188,800 per year
- Permanent
- Full-time
- Managing assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and management staff
- Managing downstream client contract renewal activities with the primary goals of retaining clients, obtaining multiple year agreements and maintaining or improving profitability
- Maintaining consistent and regular downstream client communications. Preparing and presenting regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization and cost reports
- Prioritizes and conducts regular on - site or telephonic client meetings as appropriate to proactively review client benefits, drug utilization and trend management strategies
- Managing account team and ensuring that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy
- Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. Reviews Benefit Design Summary documents at least annually with clients and receives appropriate client signature approval
- Maintaining a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees. Ensuring that all assigned contracts are monitored and reported as stated in the terms
- Managing and mentoring client services team members on creating and delivering client presentations, implementation activities and daily client interaction; Providing staff with feedback at least quarterly on the level of accomplishment of personal and departmental goals
- Developing strategies for staff development and retention
- Participating in recruitment activities for prospective employees
- Establishing multiple corporate relationships and participating in client sponsored events / charities
- Cultivating in - group growth through these relationships
- Staying abreast of industry trends and developments and demonstrating solid communication skills in presenting these to clients and staff
- Demonstrating expertise in pharmacy benefit strategies and clinical programs
- Supervising and assisting in the development of client specific implementation plans and managing overall client implementations
- Providing leadership to client services team members in departmental and corporate initiatives.
- Providing regular feedback to the management team regarding client requirements and business development opportunities
- Providing training, support and direction to customer service representatives and staff as necessary. Updating the web tool with appropriate client specific information, e.g. member communication materials, formulary exceptions, exception documents. Educating and assisting clients in using help desk for day - to - day inquiries
- Participating in sales preparation meetings and finalist sales presentations as necessary
- Ensuring quick response and follow - up to client inquiries, including returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 48 hours
- Follows - up with client within 24 hours after issue resolution
- Regularly attending and actively participating in company meetings as requested
- Participating as preceptor / mentor to new staff as requested. Assisting in the development of ongoing training topics and materials for staff
- Following all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate
- Performing other duties as assigned to meet corporate objectives
- Providing support to other departments as requested
- Sr. Strategic Account Executive must be able to be onsite with client as needed within 2 business days
- 5+ years of strategic and/or consultative client management and selling experience with senior - level executives at key client accounts in the PBM industry
- 3+ years of experience in the Health Plan Commercial Market
- Proficient knowledge of the PBM industry
- Proven ability to handle complex client issues
- Understanding of pharmacy benefit strategies and pricing practices
- Solid business and financial acumen
- Demonstrative presentation, employee management, project implementation skills
- PBM experience
- PharmD/RPh welcome
- Experience working on PBM client contract negotiations such as addendums and renewals
- Experience supporting Healthplan and downstream clients
- Experience understanding of PBM financial terms and rebates
- Familiarity with RxClaim; Tracker and Navigator
- Excellent written and oral communication skills
- Demonstrates a high degree of client focus and attention to service
- Excellent negotiation skills