
Sr Strategic Account Executive - PBM Commercial Health Plans - Remote
- Lansing, MI
- $110,200-188,800 per year
- Permanent
- Full-time
- Manages assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and manages staff outcomes, maybe direct and indirect
- Manages client contract renewal activities with the primary goals of retaining client, obtaining multiple-year agreements, and maintaining or improving profitability
- Accountable for understanding the primary business objectives of the client, developing, and managing shared goals, and demonstrating program value to the client
- Understands OptumRx product and service offering, and can articulate the operational, clinical, and financial value of our programs to the client across multiple stakeholders with the goal of deploying new programs and services
- Maintains consistent and regular client communications
- Prepares and presents regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization, and cost reports, and OptumRx industry news
- Prioritizes and conducts regular on-site or telephonic client meetings as appropriate to proactively review client benefits, drug utilization and trend management strategies
- Maintains a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees. Ensures that all assigned contracts are monitored and reported as stated in the terms
- Documents all client related activities as directed into the approved documents and or application
- Manages and mentors account management team members
- Specific topics may include the creation and delivery of client presentations, upsell techniques, implementation activities and daily client interaction
- Provides staff with feedback at least quarterly on the level of accomplishment of personal and departmental goals
- Establishes multiple corporate relationships and participates in client sponsored events/charities as appropriate. Cultivates in-group growth through these relationships
- Stays abreast of industry trends and developments and demonstrates solid communication skills in presenting these to clients and staff. Demonstrates expertise in pharmacy benefit strategies and OptumRx Rx clinical programs
- Provides leadership to client services team members in departmental and corporate initiatives
- Provides regular feedback to management team regarding client metrics, client requirements and existing and new business development opportunities
- Participates in sales preparation meetings and finalist sales presentations as necessary.
- Ensuring client satisfaction
- Provides support to other departments as requested
- Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, Code of Conduct, Business Ethics Policies and Procedures and other policies and procedures applicable to position
- Actively participates in Compliance and Ethics Program, including attending annual compliance and ethics training and reporting suspected violations of the law or OptumRx’s policies and procedures via OptumRx’s Procedures for Reporting
- Incidents of Possible Improper Employment Practices, Misconduct, or Improper Financial/Accounting Practices
- Follows all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Account Management, as appropriate
- Management of book of business
- Secure renewal and upselling programs
- Manage ongoing contract relationships and service delivery to clients for ten or more accounts
- Act as outward-facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts
- Build relationships with clients (not individual members) and partners with an OptumRx Pharmacy Services Specialist for overall and day-to-day service delivery
- Represent client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
- 5+ years of Pharmacy Benefits Management Client relationship management or Account Management experience
- 3+ years of experience with upselling PBM products and programs to clients
- 2+ years of experience with managing to client contracts
- Experience presenting to senior level client leadership
- Client facing presentation experience
- Advanced understanding of PBM industry including contracting
- Ability to work in self-motivated environment with limited supervision
- Ability to potentially travel TBD, but could be up to 25% - 50%
- Willing to work with clients in the eastern time zone
- 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
- Microsoft Office Experience including Teams
- Familiarity with RxClaim; Tracker and Navigator
- Demonstrated excellent verbal and written skills
- Proven solid oral and written communication
- Proven solid negotiation skills
- Proven ability to prioritize and meets deadlines
- Proven ability to demonstrate professionalism both with internal and external clients