About Us:

Position Responsibilities:

• Provide oversight of commercial clients within the health system, employer, labor/union and public verticals for large/jumbo accounts (>15,000+ lives).
• Serve as the relationship liaison on assigned book of business, incorporating internal support where and when needed to foster relationships 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 for 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.
• Assemble internal resources to overcome challenges.
• Anticipate customer needs and proactively identify new opportunities within assigned accounts.
• Comprehensive knowledge of our business, including products and services, with ability to field and answer client questions correctly.
• Review and advise on JUDI product roadmap to ensure current priorities and milestones meet client expectations.
• Other duties as assigned.
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Required Qualifications:

• At least 5 years of pharmacy benefits experience and appropriate healthcare industry knowledge.
• Bachelor’s or advanced degree in health administration, business, or relevant professional experience.
• PharmD preferred but not required.
• Exceptional business acumen and strong clinical knowledge and expertise.
• Strong data analysis, presentation, financial, and statistical reporting skills.
• Project management experience preferred.
• Ability to exercise judgment, maintain confidentiality, and act diplomatically.
• Travel estimated to not exceed 25% during busiest times of year.
• Progressive staff management experience and mentorship abilities.
• Ability to identify, research, and resolve issues independently.
• Excellent communication, facilitation, and conflict resolution skills.
• Strategic and operational focus with strong planning and organizational skills.
• Ability to manage multiple priorities and deadlines, work independently with minimal supervision, and work extended hours as needed.
• Proficiency in Microsoft Office and industry-related software programs.