Account Executive, PBM

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

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

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 preferred