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Senior Director, Account Management

SmithRx - Remote - Remote - posted 2026-09-14

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Salary: USD 200,000 - 300,000 / 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 is rapidly scaling its operations. The Senior Director of Account Management is a strategic people leader responsible for building, developing, and scaling a high-performing Account Management organization. This role manages Account Executives and Account Management leaders, serving as a coach and strategic partner while establishing consistency in client relationship management, escalations, performance tracking, and growth opportunities. Key responsibilities include: **People Leadership & Talent Development** - Lead, coach, and develop Account Executives and Account Management leaders to achieve individual and organizational goals - Establish a high-performance culture grounded in accountability, collaboration, client advocacy, and continuous improvement - Conduct regular talent assessments, identify high-potential employees, and create individualized development plans - Provide clear, timely, and actionable performance feedback - Build a strong leadership bench and succession plan for critical roles - Ensure appropriate staffing, capacity, spans and layers, and role clarity as the organization scales - Partner with HR on recruiting, onboarding, performance management, promotions, and employee engagement **Account Management Leadership** - Establish clear expectations, operating rhythms, and performance standards across the Account Management organization - Ensure Account Executives operate proactively and strategically rather than primarily responding to client issues - Coach teams to develop strong executive relationships and become trusted strategic advisors to clients - Drive consistency in account planning, QBRs, client communications, escalation management, and business reviews - Monitor team performance against key client and business metrics, including retention, satisfaction, engagement, and financial performance - Ensure appropriate escalation and executive engagement for high-risk or strategically important clients **Organizational Effectiveness** - Evaluate team structure, workloads, account assignments, and capacity to ensure sustainable performance - Identify opportunities to improve processes, tools, training, and operating models - Develop scalable frameworks and playbooks that enable consistent Account Management practices - Establish meaningful OKRs and reporting to measure team effectiveness - Partner with leadership to evolve the Account Management model as the business grows **Cross-Functional & Executive Partnership** - Partner with Operations, Product, Sales, Finance, Clinical, Legal, Member Services, and other functions to deliver an integrated client experience - Represent Account Management in leadership discussions and strategic initiatives - Escalate organizational and client risks with clear recommendations and action plans - Translate company direction into clear priorities and expectations for the Account Management team - Serve as a visible and trusted leader across the organization **Requirements** - 10+ years of experience in Account Management, Client Success, Customer Success, or a related client-facing function - 5+ years of people leadership experience, including managing managers and/or senior-level professionals - Experience working with various clients ranging in size from small to enterprise level employers, Health Plans, TPAs, brokers, and consultants - Demonstrated success building and developing high-performing teams - Experience managing organizational growth, capacity planning, or evolving operating models - Strong executive presence and communication skills - Demonstrated ability to coach leaders and address performance issues effectively - Strong strategic thinking, business acumen, and decision-making skills - Experience working cross-functionally in a complex, fast-paced organization - Bachelor's Degree required - Healthcare, benefits, pharmacy, PBM, or related industry experience strongly preferred

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