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Pharmacy Account Executive

2 months ago

Englewood, United States WELLDYNE Full time
Job DescriptionJob Description

Summary

The Pharmacy Account Executives are responsible for the total service experience and relationship of assigned accounts. This includes serving as a strategic liaison between the client and WellDyne, providing expertise in plan consultations, recommendations and implementation of products, programs, and services such as benefit design, provisions of pharmacy benefit information, on-line system edits and restrictions, and recommendations regarding client pharmacy benefit utilization. They are responsible for maintaining strong client relations, growth, profitability, and retention through contract renewals and upselling of products and services.

Essential Duties and Responsibilities

  • Identifies and establishes a professional relationship with client’s key decision-makers. Establishes and maintains client relationships at the appropriate levels, including medical and pharmacy directors, CEO’s, benefit managers and consultants.
  • Manages performance trends that optimize the quality and cost-effectiveness of drug benefit program for clients and their members.
  • Responsible for selling/introducing clients to new product and/or service offerings that provide value and reduce the drug spend impact on the client.
  • Monitor and adjust recommendations, as appropriate to achieve lower net cost, better health outcomes, and higher levels of satisfaction for clients and their members.
  • Responsible for organizing and leading client business planning meetings, executive briefings, client meetings and internal team strategy planning. Maintains consistent and regular client communication.
  • Manages assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and identifies expansion opportunities, and incorporates into strategic plan for client management. Manages client contract compliance and renewal activities.
  • Collaborates with primary internal partners including sales and underwriting on Request for Proposals (RFPs) for existing clients by formulating and reviewing responses.
  • Participates in new business and finalist presentations to represent service experience, or coordinate attendees from other service-related areas.
  • Continually educates Clients on current topics in the industry, new product developments, and the competitive landscape. Provides collateral materials and support when necessary to help facilitate relationship.
  • Provides timely and accurate answers to issues/inquiries from internal and external sources.
  • Provides implementation support, measurement standards, and revisions as needed that incorporate applicable best practices with proven outcomes.
  • Develops and implements a client plan that meets the goals and objectives of the client and is in alignment with corporate business strategy.
  • Acts as primary contact/liaison between internal business, technology, and operations development teams for assigned clients. Maintains an understanding of all WellDyne operational areas and the interfaces with internal departments to define business rules as they apply to processes and procedures, document business requirements and develop work-flow diagrams, functional hierarchies, process models, contracting and fee schedules, and ensure business requirements are properly translated into customer deliverables.
  • Other duties as assigned.

Education and Experience

  • Bachelor’s degree in Health Administration, Business, or related field preferred. Proven industry experience may be acceptable in lieu of degree.
  • A minimum of 5 years account management experience required.
  • A minimum of 2 years PBM industry experience preferred.
  • Experience reading, interpreting and negotiating contract terms required.
  • Experience interpreting financial data required.
  • Client-facing presentation experience required.
  • Must have good negotiation skills, well-developed facilitation and collaboration skills. Knowledge of the PBM industry, underwriting process, pricing, medical terminology, pharmacy claims and managed care principles and practices is desired.
  • Requires ongoing learning in the pharmacy benefit management industry and continuous product knowledge development in the areas of healthcare and PBM, company specific product offerings, pricing components, and company capabilities and limitations.
Knowledge, Skills, and Abilities
  • Strong organizational and planning skills.
  • Effective verbal and written communication skills.
  • Ability to learn and convey regulatory or technical information at the level of the client, member, or healthcare professional.
  • Ability to understand the importance of and maintain the confidentiality of all patient information.
  • Ability to work independently and within a team environment.
  • Demonstrate pride in and commitment to the profession through appearance and professional conduct.
  • Ability to use public speaking skills to speak effectively in large and small group situations.
  • Ability to use problem solving skills, including identifying and accepting a challenging situation and creating and implementing a solution.
  • Maintains an awareness of developments in the community and pharmaceutical fields that relate to job responsibilities and integrate them into practice.
  • Reviews and responds to client and member concerns as well as concerns of other departmental staff as they relate to specified accounts.
  • Actively participates in management team meetings by providing status reports, and working to ensure tasks and business requirements are appropriately logged, tracked and on-target to meet client and company business objectives.
  • Effectively communicates with all levels of departmental staff, as well as members, clients, and healthcare professionals. Encourages the use of multiple communication mechanisms to ensure effective communication among members, clients, and healthcare providers.
  • Interacts with other team members to identify and share best practices, issues encountered, and general subject matter content related to job functions.
  • Ensures a cooperative environment through participative communication skills, teamwork, and professional behavior of ethics.
  • Takes appropriate actions, assess each situation, and follows through with the utmost attention to accurate communication.
  • Maintains an expert knowledge on claims processing and operations processes relating to regulatory provisions as they relate to this position.
  • Identifies and develops solutions to maximize department processes and procedures.
  • May require additional coverage times outside of regularly scheduled hours.

WellDyne Can Offer You

  • Medical, Dental and Vision Benefits
  • Medical Savings Account Options with Company match
  • 401K after 90 days of employment
  • Employee Assistance Program
  • Life and Supplemental insurance
  • Educational Reimbursement
  • Paid Time Off

Work Environment / Physical Demands

This position is in both a typical office environment which requires prolonged sitting in front of a computer and in an external environment where travel is required. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Travel may be required up to 30% of the time with more travel required during certain times of the year based on business needs.

EOE M/F/D/V