SmithRx Logo

SmithRx

Account Executive - Pharmacy Benefits

Posted 4 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
129K-150K Annually
Senior level
Remote
Hiring Remotely in USA
129K-150K Annually
Senior level
Manage strategic relationships with large PBM clients, own renewals, drive retention, and ensure client satisfaction. Analyze pharmacy claims, rebates, and ROI data to recommend cost-containment strategies and present executive business reviews. Coordinate cross-functional teams, address escalations, communicate risks, support formulary and clinical program discussions, monitor industry trends, and mentor account management staff. Travel up to 25%.
The summary above was generated by AI

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

The Customer Success Team is focused on helping SmithRx’s clients derive the full value of their PBM services. We build and manage effective relationships with our customers’ operational leadership, communicating the value of our services in the context of customers’ business goals with the goal of retaining high performing, satisfied customers. We identify risks to client satisfaction proactively and collaborate across product and operational lines to tenaciously pursue solutions and advocate for our clients.

As a SmithRx Account Executive, you will be the primary strategic partner for our clients (employers, health plans, or TPA groups). You aren't just a "point of contact"; you are a healthcare consultant responsible for managing a book of business, driving client retention, and identifying opportunities to optimize pharmacy spend while improving member outcomes. You will bring strong industry and PBM knowledge and serve as a trusted advisor and business partner for your client’s operational leadership.

What you will do:

  • Establish and maintain relationships for large complex accounts
  • Own and facilitate end to end renewal process
  • Accountable for client satisfaction
  • Lead internal teams and act as internal client advocate
  • Provide executive updates on client status and risks.
  • Represent Customer Success in Finalist meetings.
  • Analyze pharmacy claims data to identify trends, provide cost-containment recommendations, and deliver quarterly/annual business reviews (QBRs).
  • Create and maintain a client strategic action plan.
  • Partner with clinical pharmacists to present formulary changes and clinical program recommendations to clients.
  • Stay ahead of industry trends, including drug pipelines, legislative changes, and competitive PBM landscapes.
  • Partner with leadership to review deliverables (QBR’s, reporting and client communications) to ensure "executive-ready" quality.
  • Coordinate with internal teams (Implementation, Operations, and Pricing) to resolve member issues and ensure seamless service delivery.
  • Serve as a formal or informal mentor to Account Managers (AMs), Account Specialists, and Account Coordinators; provide guidance on client communication strategies, career development, and navigating complex PBM workflows.
  • Responsible for understanding the Client's organization & structure, knowing the Client's product/services and staying aware of Client news and changes. Maintain and update Client record with changes. 
  • Develop and maintain effective working relationships in liaison role with Pharmacy Operations, service partner contacts and client contacts.
  • Ensure full, proactive communication of all important client account activities with cross-functional partners
  • Prioritize issues and assess escalations that may lead to client attrition risk with the Account Managers to ensure a strong mitigation plan is in place
  • Travel required: Up to 25%

What you will bring to SmithRx:

  • Requires 3-5 years of Account Executive experience in PBM or health insurance 
  • Requires 5+ years of direct account management or relationships management experience in the healthcare space; working knowledge of commercial health insurance and pharmacy benefits strongly preferred
  • Ability to interpret complex data sets (claims, rebates, and ROI) and translate them into actionable stories for C-suite executives.
  • A positive growth mindset with the ability to approach difficult situations in a calm and focused manner; understand the challenge and move forward tactfully towards a solution
  • Executive-level communication and interpersonal skills, with the ability to effectively navigate and mediate conflict and foster honest dialogue
  • Experience in Client relationship management ensuring expectations and deliverables are documented and met, key stakeholders are informed, and client satisfaction is achieved
  • Ability to work independently as well as part of an extended, cross-functional team
  • Self-driven, results-oriented and disciplined work ethic
  • Ability to take initiative with little to no direction
  • Be transparent and honest in a positive, professional and polite manner
  • Expert conflict resolution skills
  • Bachelor’s degree or equivalent experience required

What SmithRx Offers You: 

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits 
  • 401(k) Retirement Savings Program 
  • Short-term and long-term disability
  • Discretionary Paid Time Off 
  • Paid Company Holidays
  • Wellness Benefits
  • Commuter Benefits 
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Zone A includes the following locations:

  • San Francisco Bay Area - California
  • Metro New York City - Connecticut, New Jersey, New York and Pennsylvania
Zone A Pay Range
$129,000$150,000 USD

Zone B includes the following locations:

  • California - outside of San Francisco Bay Area
  • Metro Denver / Boulder - Colorado
  • Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
  • Metro Boston / Cambridge - Massachusetts and New Hampshire
  • Metro Austin - Texas
  • Metro Seattle - Washington
Zone B Pay Range
$129,000$150,000 USD

Zone C includes all other locations not listed above, including:

  • Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
  • Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia
Zone C Pay Range
$129,000$150,000 USD

Compensation & Benefits

  • Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
  • Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.

HQ

SmithRx San Francisco, California, USA Office

300 Brannan St, San Francisco, CA, United States, 4107

Similar Jobs

27 Minutes Ago
In-Office or Remote
Senior level
Senior level
Information Technology • Internet of Things • Mobile • On-Demand • Software
Owns strategic enterprise client relationships, serving as the executive point of accountability across the customer lifecycle. Develops account plans, drives revenue growth, retention, and expansion, leads complex multi-year services engagements, manages sales cycles, coordinates cross-functional teams, resolves escalations, mitigates risks, and maintains accurate forecasting and pipeline discipline.
Top Skills: AWSAzureGCPHybrid CloudPrivate CloudPublic CloudVMware
27 Minutes Ago
In-Office or Remote
Expert/Leader
Expert/Leader
Information Technology • Internet of Things • Mobile • On-Demand • Software
Leads enterprise new-business sales strategy, revenue growth, and acquisition of strategic customers. Builds and develops enterprise sales leaders and hunters, cultivates C-level relationships, manages major technology pursuits, and strengthens cloud and alliance partnerships. Owns forecasting, pipeline governance, sales productivity, organizational performance, and succession planning while driving go-to-market strategy across cloud, managed services, cybersecurity, infrastructure, AI, and digital transformation markets.
Top Skills: Artificial IntelligenceAWSBroadcom VmwareChallengerCommand Of The MessageCrm PlatformsCybersecurityForecasting ToolsGCPMeddpiccAzureMiller HeimanSales Analytics
54 Minutes Ago
Remote or Hybrid
245K-307K Annually
Senior level
245K-307K Annually
Senior level
Fintech • Machine Learning • Payments • Software • Financial Services
Leads and develops multiple teams of product-focused software engineers building customer-facing shopping technology. Oversees full-stack development, cloud deployments, microservices modernization, enterprise architecture, scalability, resilience, and technical strategy. Partners with product and business leaders to align roadmaps with technology capabilities, establishes engineering standards, mentors senior engineers, and drives talent development, innovation, and succession planning.
Top Skills: Agentic Ai Coding ToolsAWSBig DataC#GoGCPJavaJavaScriptJSONMachine LearningMicroservicesAzureNetworking ProtocolsNode.jsNosql DatabasesPythonReactRelational DatabasesRestRustScalaSpa FrameworksTypescript

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account