Position Responsibilities:
- Provide oversight of commercial clients within the health system, employer, labor/union and public verticals for large/jumbo accounts (approximately >15,000+ lives, subject to fluctuate due to the needs of the business)
- Serve as the relationship liaison on assigned book of business, incorporating internal support where and when needed to the foster relationship with influencers and decision makers at the plan
- Develop relationship strategy plans, with support of clinical account manager and operations manager
- Support member and client satisfaction execution and net promoter score goals
- Provide deep and approachable trend management recommendations with support of reporting
- Maintain thorough knowledge of contractual obligations assigned book of business, including financials, performance guarantees, terms, and regulatory/compliance
- Lead client renewal process, including contract management
- Lead ownership of performance guarantee reporting and maintenance
- Lead regulatory and compliance components
- 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 across Capital Rx
- 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. Strong ability 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:
- 5+ years’ experience in the healthcare industry and/or pharmacy benefits experience
- Bachelor’s or advanced degree in health administration, business, or relevant professional experience
- PharmD preferred, but not required
- Exceptional business acumen skills
- Strong clinical knowledge and expertise
- 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
- An 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
- Ability to work extended hours, weekends, and holidays pursuant with industry demands
- Proficient in Microsoft Office and industry related software programs