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Salary: USD 129,000 - 150,000 / annual
SmithRx is a venture-backed health-tech company disrupting the Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. The company has onboarded hundreds of thousands of members since 2016 and serves employers, health plans, and TPA groups across the country.
As an Account Executive, you will be the primary strategic partner for large, complex client accounts. You are not simply a point of contact—you are a healthcare consultant responsible for managing a book of business, driving client retention, and identifying opportunities to optimize pharmacy spend while improving member outcomes. You will serve as a trusted advisor to clients' operational and executive leadership.
Key responsibilities include:
- Establishing and maintaining relationships with large complex accounts
- Owning and facilitating the end-to-end renewal process
- Driving client satisfaction and retention
- Leading internal teams and acting as an internal client advocate
- Providing executive updates on client status and risks
- Analyzing pharmacy claims data to identify trends and deliver cost-containment recommendations through quarterly and annual business reviews (QBRs)
- Creating and maintaining client strategic action plans
- Partnering with clinical pharmacists to present formulary changes and clinical program recommendations
- Staying ahead of industry trends including drug pipelines, legislative changes, and competitive PBM landscapes
- Coordinating with internal teams (Implementation, Operations, Pricing) to resolve member issues and ensure seamless service delivery
- Serving as a mentor to Account Managers, Account Specialists, and Account Coordinators
- Maintaining comprehensive knowledge of client organizations, products, and industry changes
- Developing effective working relationships with Pharmacy Operations and service partners
- Prioritizing issues and assessing escalations to mitigate client attrition risk
- Travel required: up to 25%
Requirements:
- 3–5 years of Account Executive experience in PBM or health insurance
- 5+ years of direct account management or relationship management experience in healthcare; working knowledge of commercial health insurance and pharmacy benefits strongly preferred
- Ability to interpret complex data sets (claims, rebates, ROI) and translate them into actionable insights for C-suite executives
- Positive growth mindset with ability to approach difficult situations calmly and tactfully
- Executive-level communication and interpersonal skills; ability to navigate and mediate conflict
- Experience in client relationship management ensuring expectations, deliverables, and stakeholder communication
- Ability to work independently and as part of cross-functional teams
- Self-driven, results-oriented, disciplined work ethic
- Ability to take initiative with minimal direction
- Expert conflict resolution skills
- Bachelor's degree or equivalent experience required
