Location: Hybrid (Local to NYC or Denver Metropolitan areas)
Position Summary:
Capital Rx is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, you'll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You'll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements. If you're passionate about delivering exceptional service and driving healthcare innovation, we'd love to hear from you!
Position Responsibilities:
Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how Capital Rx can best help them achieve their desired results
Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention
Partner with account team members to provide best-in-class member and client service
Support member issue resolution at client-level
Identify and contribute to process improvement efforts within the team
Responsible for management and execution of client contractual requirements
Responsible for client retention including execution of contract renewals
Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients
Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies
Interpret current pharmacy and healthcare trends and provide proactive recommendations
Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations
Comprehend and effectively explain formulary and clinical programs to clients, including member experience
Communicate drug information to clients and respond to plan-specific clinical inquiries
Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested
Build and manage strong relationships with third-parties who also service our clients
Support general business needs and operations, as required
Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends.
Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Required Qualifications:
Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance
Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency
Prior account management experience preferred
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
Experience working with large datasets and analyzing raw data in Excel
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Ability to travel and present to small and large groups
Travel estimated not to exceed 25%
This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range
$140,000
—
$160,000 USD
About Capital Rx
Capital Rx is a health technology company providing claim administration and technology solutions for carriers, health plans, TPAs, employer groups, and government entities. As a public benefit corporation, Capital Rx is executing its mission to materially reduce healthcare costs as a full-service PBM and through the deployment of Judi, the company's cloud-native enterprise health platform. Judi connects every aspect of the healthcare ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of benefits and rebuilding trust in healthcare.
Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Position Summary:
Capital Rx is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, you'll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You'll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements. If you're passionate about delivering exceptional service and driving healthcare innovation, we'd love to hear from you!
Position Responsibilities:
Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how Capital Rx can best help them achieve their desired results
Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention
Partner with account team members to provide best-in-class member and client service
Support member issue resolution at client-level
Identify and contribute to process improvement efforts within the team
Responsible for management and execution of client contractual requirements
Responsible for client retention including execution of contract renewals
Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients
Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies
Interpret current pharmacy and healthcare trends and provide proactive recommendations
Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations
Comprehend and effectively explain formulary and clinical programs to clients, including member experience
Communicate drug information to clients and respond to plan-specific clinical inquiries
Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested
Build and manage strong relationships with third-parties who also service our clients
Support general business needs and operations, as required
Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends.
Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Required Qualifications:
Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance
Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency
Prior account management experience preferred
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
Experience working with large datasets and analyzing raw data in Excel
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Ability to travel and present to small and large groups
Travel estimated not to exceed 25%
This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range
$140,000
—
$160,000 USD
About Capital Rx
Capital Rx is a health technology company providing claim administration and technology solutions for carriers, health plans, TPAs, employer groups, and government entities. As a public benefit corporation, Capital Rx is executing its mission to materially reduce healthcare costs as a full-service PBM and through the deployment of Judi, the company's cloud-native enterprise health platform. Judi connects every aspect of the healthcare ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of benefits and rebuilding trust in healthcare.
Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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