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Account Executive – Medicare

Department: Client
Location: New York, NY

Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

Position Responsibilities:

  • Provide oversight of client account management team with a focus on member and client satisfaction, trend management, client retention, and regulatory compliance
  • Lead development of client relationship strategy plans
  • Lead client renewal process
  • 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
  • Maintain thorough knowledge of contractual obligations assigned book of business, including financials, performance guarantees, terms, and reporting/compliance
  • 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
  • Can assemble internal resources to overcomes challenges
  • Anticipates customer needs and proactively identifies new opportunities within assigned accounts.
  • Comprehensive knowledge of our business, including products and services. Able 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

Required Qualifications:

  • Bachelor’s or advanced degree in health administration, business, or relevant professional experience
  • A knowledgeable individual with appropriate healthcare industry experience with at least 5 years pharmacy, health plan, or PBA/PBM management experience
  • Health plan experience required
  • Market and operational knowledge of Medicare Part D is required
  • Strong data analysis and presentation skills
  • Financial and statistical reporting knowledge and experience
  • Project management experience preferred
  • Ability to exercise considerable judgement, 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
  • A good 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 judgement, and strong operational focus
  • Ability to work with peers in a team effort
  • Demonstrated ability to manage multiple priorities and deadlines
  • A well-organized and self-directed individual who is able to work with minimal amount of supervision
  • Capability to efficiently complete tasks in a fast-paced environment
  • Ability to work extended hours, weekends, and holidays pursuant with industry demands
  • Proficient in Microsoft Office and industry related software programs

Base Salary: $135,000 - $155,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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