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Jobs/Account Manager Role/Interrahealth - Senior Account Manager, PBM Partnerships
Interrahealth

Interrahealth - Senior Account Manager, PBM Partnerships

Remote - USA1w ago
RemoteSeniorNAAccount ManagerSenior Community ManagerAccount ManagementRecords ManagementReporting

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Requirements

• Bachelor's degree required; advanced degree a plus. 7+ years of experience in strategic account management, partnerships, or commercial roles — with a meaningful portion in or selling to the PBM, health plan, or pharmacy benefit ecosystem. • Proven track record managing large, complex PBM or health plan partnerships with multimillion-dollar revenue impact; direct experience with organizations such as Evernorth, Optum, CVS Caremark, Prime, Humana, or MedImpact strongly preferred. • Deep domain knowledge of the PBM landscape: formulary management, prior authorization, pharmacy benefit design, RTPB, cost and coverage transparency, coupon/copay programs, and patient affordability solutions. • Fluency in EHR distribution models, connectivity standards, and how prescriber workflows drive utilization — with an understanding of how Interra's clinical decision support capabilities fit into that ecosystem. • Demonstrated ability to lead contract negotiations and executive presentations without over-reliance on internal support; skilled at navigating matrixed organizations where influence must be earned across functions. • Strong commercial acumen: experience building business cases, financial models, and pricing analyses to support renewals and expansion opportunities. • Exceptional executive communication skills — written and verbal — with the ability to simplify complex concepts for senior audiences and read the room in politically sensitive conversations. • Ownership mentality: you treat your book of business like a P&L, operate with a bias toward action, and bring cross-functional teams along without acting as a lone wolf. • Core Competencies: • Knowledge & Application: • Recognized expert in PBM economics, pharmacy benefit design, and healthcare commercial strategy. Applies advanced domain knowledge independently to complex, high-stakes partnership situations — including novel contract structures, competitive dynamics, and regulatory shifts — without requiring guidance. Actively uses AI tools to sharpen account intelligence and accelerate commercial execution. • Complexity & Problem Solving: • Navigates complex, multi-stakeholder partnership environments with independent judgment — determining approach on ambiguous situations, anticipating risk before it surfaces, and developing creative commercial solutions that balance partner needs with Interra's strategic and revenue objectives. • Collaboration & Interaction: • Builds trusted, multi-threaded relationships across PBM organizations at the executive level, while orchestrating internal cross-functional teams to deliver on partner commitments. Recognized internally as the authority on the PBM book of business; brings insights and market intelligence to leadership that shape commercial strategy beyond their own accounts.

Responsibilities

• Own a portfolio of large, complex PBM partnerships with significant revenue impact —managing the full account lifecycle from contract execution through renewal, expansion, and executive relationship development. • Develop and execute multi-year account plans that align partner goals with Interra revenue objectives, identifying whitespace opportunities across new use cases, populations, and distribution channels. • Lead high-stakes negotiations, QBRs, and strategic reviews independently — presenting to C-suite and VP-level stakeholders with confidence, credibility, and minimal reliance on internal escalation. • Build and maintain relationships across multiple levels of each PBM organization —spanning clinical, operations, product, commercial, and legal — while identifying and cultivating executive sponsors who can champion Interra's initiatives internally. • Manage complex contract lifecycles including amendments, SOWs, renewals, and multi-party agreements, coordinating cross-functional teams (Legal, Product, Engineering, Implementation) to deliver on partner commitments. • Build business cases and financial models to support pricing negotiations, renewal strategy, and upsell/cross-sell opportunities; maintain disciplined pipeline and forecast management with accurate revenue timing and risk visibility. • Monitor and translate market trends, competitive dynamics, and regulatory developments — including CMS mandates, NCPDP standards, and transparency requirements — into actionable account strategy and internal insights for leadership. • Actively leverage AI tools to accelerate account planning, research, communication, and reporting — contributing to Interra's broader AI-first commercial motion.

Benefits

• 🌍Remote work environment with a flexible work schedule to encourage work-life balance • ✈Annual company offsite • 🌴Generous leave package including flexible time off policy that encourages team members to take time off to relax and recharge; plus 13 paid holidays, paid sick leave, and paid parental leave • 💙 Medical, dental, and vision insurance for you and your family, plus a company funded FSA & HSA (dependent on which medical plan you choose) • 💰401(k) company match • 💸One-time workspace reimbursement to help you optimize your remote workspace

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