Strategic Account Executive, PBM / Pharmacy Division

Job Description

Job Description

About Crumdale Specialty :

Crumdale Specialty is a diversified insurance firm providing custom, self-funded healthcare solutions to a limited distribution network of brokers, consultants, and agents nationwide. Ranked on the Inc. 5000 Fastest Growing Companies and Best Workplaces, we leverage industry expertise, superior talent, data analytics, and a disruptive mindset to manufacture, underwrite, and administer agile, transparent, and cost-saving solutions. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees.

At Crumdale, people come first. We strive to make a positive impact on the people we serve. We believe this starts with the passion and purpose of our team. Our company culture is rooted in alignment, innovation, and integrity.

About the Job :

The Senior Account Executive (SAE) within the PBM / Pharmacy Division is responsible for the customer’s total service experience with Crumdale. The Senior Account Executive (SAE) acts as a trusted advisor while managing ongoing client relationships (brokers, TPAs & employers) and ensuring service delivery with a focus on the pharmacy benefit. Acts as the client centric, client facing resource for assigned clients. Represents clients internally as advocate and coordinates with other functional areas within the company to implement client benefits, complete projects, and address service needs. This includes serving as the key liaison between the customer and Crumdale, building strong relationships with our client groups, implementing benefit communication programs with the client’s organization, helping the client interpret data to guide decision making, and troubleshooting any issues that may arise to ensure client satisfaction with Crumdale. The commitment and dedication required of the Senior Account Executive is critical to the growth and success of the company.

Requirements

Responsibilities :

• Designated lead point of contact for assigned clients and own overall and day-to-day client service delivery
• Responsible for the overall establishment and maintenance of a successful and lasting client relationship while supporting all aspects of each client’s account
• Create unique consultative partnerships with each client group to achieve their designated outcomes or goals
• Build relationships with brokers, consultants, TPA and employers
• Managed and support the successful implementation of client prescription benefit plan and ongoing communication for our partnerships
• Accountable for client satisfaction and retention
• Participates in client meetings and finalist presentations
• Present and support client presentations with a focus on trends identified from client’s data
• Support key client groups on areas including contract renewal, pricing, benefit or clinical program changes
• Ensure a successful new client implementation and smooth transition of client from other organizations
• Ensure delivery and accuracy of client’s pharmacy deliverables (e.g. invoices, rebates, true-ups, reports, performance reviews)
• Manage ongoing contract relationships and service delivery to clients with a focus on the pharmacy benefit
• Monitor progress to deadlines
• Ensure appropriate and effective communication among team members, the client, their advisors, and the PBM
• Communicate issues internally and provide support to resolve benefit escalated questions and service issues
• Assist with the preparation and presentation of deliverables and outcomes
• Support the pharmacy practice on internal marketing or intellectual capital initiatives
• Partners with internal Account Managers to address client needs and proactively management the pharmacy benefit program
• Represent client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
• Own new client relationship from implementation through renewals
• Own client’s performance review process
• Product consultation and upsell
• Contract negotiations
• Pharmacy trend management and cost containment

Skills :

Gritty self-starter who can thrive in a high-growth, entrepreneurial startup environment

Deep-rooted knowledge of the PBM industry and current industry trends

Extensive knowledge of PBM contracts, pricing, clinical / financial programs and trend management

Strong verbal and written communication skills including presentation skills within a client relationship management setting with internal and external parties

Fundamental knowledge of pharmacy, market trends and competitive landscape, with an ability to assess and consider these factors when developing strategies

Solid understanding of health and welfare benefits claims processing and claims payment administration

Exceptional interpersonal and communication skills, comfortable and poised in any setting from small face-to-face meetings to large conference-like presentations

Effectively build trust and establish meaningful relationships within clients, vendors and internal departments

Solid financial acumen, with an understanding of marketplace economics

Ability to work w / lower staff & C-suite with all partners (brokers, TPAs, Employers, PBMs, partners and Crumdale / TRx)

Independent critical thinker with strong analytical, reasoning and problem-solving skills

Ability to work independently and in a collaborative group setting

Solid organizational skills and must be able to adhere to strict deadlines

Reputation of ethical and professional character

Expert with MS Office suite (Excel, Word, PPT)

Working knowledge of Salesforce

Working knowledge of Microsoft Teams, OneDrive and Citrix SharePoint

Travel :

25%

Ability to travel as needed to client groups, corporate office or industry related events

Experience :

5+ years client facing account management experience at a reputable PBM

Previous experience working with employers, members, consultants, brokers and TPAs

Education :

Bachelor’s degree preferred, or equivalent relevant work experience

MBA & / or PharmD preferred

Benefits

Medical

Dental

Vision

Life

Disability

Flexible PTO

Please note : Crumdale Specialty will not be engaging with external recruitment agencies. We kindly request that agencies refrain from contacting us regarding this position.