Senior Account Executive

This is a fully remote position, open to applicants in United States.

📋 Description

• Take full strategic responsibility for a highly intricate portfolio of business, which includes employer groups, health plans, and multi-consultant partnerships.

• Oversee client account strategies, encompassing planning, execution, and continuous adjustments based on clinical trends, utilization metrics, and business insights.

• Foster trusted relationships at the executive level with clients, brokers, and consultants.

• Lead Quarterly Business Reviews (QBRs), which include setting the agenda, cross-functional preparations, pre-review planning, and delivering tailored insights and recommendations.

• Promote value-added programs such as AGS, medical carveouts with Archimedes products, and clinical program offerings.

• Convert complex reporting, claims adjudication concepts, and clinical insights into actionable recommendations.

• Diagnose root causes of performance disparities throughout the end-to-end process.

• Independently resolve intricate client challenges using operational, contractual, and clinical expertise.

• Guide Account Executive team members through sharing best practices, creating training materials, and participating in task forces and workgroups.

• Contribute to organizational objectives by enhancing client partnerships, boosting utilization of value-added programs, aligning solutions with clinical, financial, and utilization trends, and supporting sustainable growth.

• Undertake additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare administration, or a related field, or equivalent professional experience, is required.

• 5-7 years of progressive experience managing highly complex client accounts in the PBM, health plan, healthcare, or related benefits sectors, encompassing overall account strategy, performance, and retention is required.

• 5 years of proven success in managing executive-level client, broker, and consultant relationships that involve substantial customization, financial implications, and strategic oversight is required.

• 5 years of experience leading Quarterly Business Reviews (QBRs) and other strategic client interactions that focus on clinical trends, financial outcomes, utilization patterns, and performance guarantees is required.

• 5 years of experience in independently resolving complex account issues, applying sound judgment to determine when escalation is necessary versus when issues can be resolved without leadership involvement is required.

• 5 years of experience mentoring peers and contributing to formal or informal training, task forces, workgroups, or cross-functional initiatives that enhance client outcomes or operational effectiveness is required.

• 5 years of working knowledge of claims adjudication processes, including the ability to evaluate downstream impacts on client experience, financial results, and clinical program performance is required.

• 5 years of experience utilizing client reporting systems, analytics tools, and company platforms to interpret data, generate insights, and facilitate proactive, strategic decision-making is required.

• Engage in, comply with, and support compliance program objectives.

• Ability to consistently interact cooperatively and respectfully with colleagues.

• Must be authorized to work in the United States; remote work is not available to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

🏝️ Benefits

• Leading industry benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and Professional Membership support.

• Referral Bonus Program – up to $750!

• STAR Bonus % (At Risk Maximum): 7.50%.