Blue Cross and Blue Shield Association logo

Synergie Account Executive Lead

Blue Cross and Blue Shield Association
  • IL
  • $105,400–$152,800 Per Year
3 days ago

Job Description

Job Description Summary:

The Account Executive serves as the primary contact and strategic liaison for assigned pharmacy clients, managing account performance across retail, mail, specialty, rebate, clinical, formulary, pharmacy benefit, and emerging solutions. Reporting to the Senior Vice President, Account Management, this role coordinates internal teams, operational support partners, PBMs, pharmacies, manufacturers, Clean Team resources, and vendors to deliver implementations, resolve issues, meet contractual commitments, and strengthen client satisfaction and retention

Job Description:

Own day-to-day account management and strategic client relationships, including account meetings, business reviews, communications, escalations, and executive engagement.

Manage an assigned line of business, align client expectations with operational execution, and ensure contractual obligations, service commitments, and deliverables are met accurately and on time.

Lead implementation and change activities for new clients, programs, and service enhancements, including planning, readiness, testing, communications, launch support, and transition to ongoing operations.

Monitor service delivery, service-level agreements, performance guarantees, and client commitments; coordinate timely resolution of issues affecting members, pharmacy access, claims, specialty fulfillment, rebates, and clinical programs.

Oversee pharmacy program performance across retail, mail, specialty, rebate, formulary, utilization management, and related benefit operations; identify risks and support corrective actions and optimization.

Develop and present reports, dashboards, scorecards, executive summaries, and business reviews. Analyze operational, financial, pharmacy, claims, utilization, and rebate data to identify trends and recommend improvements. Validate the accuracy and completeness of reporting and deliverables produced by internal teams, operational support partners, Clean Team resources, and third-party vendors.

Manage relationships and performance across PBMs, specialty pharmacies, manufacturers, network partners, and other vendors, facilitating issue resolution and corrective action when needed.

Lead root cause analysis and continuous improvement efforts to improve quality, efficiency, service delivery, and client outcomes.

The posting range for this position is:

$105,400.00 - $152,800.00

Qualifications:

Education

  • Required BS in Business, Healthcare Administration, Pharmacy, Public Health, Finance, or a related field; or equivalent experience

Experience

  • Required 3 - 5 Years in account management or comparable client-facing experience within a health plan, PBM, pharmacy services, managed care, or healthcare services environment.

Knowledge Skills and Abilities

  • Experience supporting pharmacy benefits or operations, such as retail, mail, specialty, rebates, clinical programs, or managed care services.

  • Demonstrated success as the primary contact for large or complex accounts and in coordinating cross-functional teams and vendors.

  • Ability to analyze operational, financial, pharmacy, claims, and rebate data and translate findings into actionable recommendations.

  • Strong knowledge of pharmacy operations, PBM services, benefit management, issue resolution, and service delivery.

  • Excellent communication, presentation, relationship management, analytical, organizational, and problem-solving skills.

  • Proficiency with Microsoft Office, reporting platforms, and data analysis tools; ability to work independently in a remote or hybrid environment while managing multiple priorities.

  • Experience supporting health plans, Blue plans, employer groups, government-sponsored programs, or PBM clients strongly preferred.

  • Knowledge of formulary management, manufacturer contracting, utilization management, clinical programs, and Commercial, Medicare, Medicaid, or Federal Employee Program operations strongly preferred.

  • Experience leading client implementations, business transitions, operational projects, reporting, analytics, data governance, or Clean Team support strongly preferred.

  • MBA, PharmD, MHA, or another advanced healthcare or business degree preferred.

  • Demonstrates AI literacy and an understanding of generative AI tools, including appropriate business applications and limitations.

#LI_REMOTE

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Numbers & Facts

LocationIL
IndustryInsurance
Salary$105,400–$152,800 Per Year
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Analysis Skillsunmatched
  • Artificial Intelligence (AI)unmatched
  • Business Administrationunmatched
  • Business Operationsunmatched
  • Business Solutionsunmatched
  • Communication Skillsunmatched
  • Compensation and Benefitsunmatched
  • Continuous Improvementunmatched
  • Contract Managementunmatched
  • Contract Manufacturingunmatched
  • Contract Requirementsunmatched
  • Corrective Actionunmatched
  • Cross-Functionalunmatched
  • Customer Relationsunmatched
  • Customer Relationship Management (CRM)unmatched
  • Customer Retention/Renewalunmatched
  • Customer Satisfactionunmatched
  • Data Analysisunmatched
  • Financial Analysisunmatched
  • Formularyunmatched
  • Government Fundingunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Healthcare Administrationunmatched
  • Leadershipunmatched
  • Legalunmatched
  • Literacyunmatched
  • Managed Careunmatched
  • Medicaidunmatched
  • Medicareunmatched
  • Microsoft Officeunmatched
  • Multitaskingunmatched
  • Operational Auditunmatched
  • Operational Supportunmatched
  • Performance Analysisunmatched
  • Performance Managementunmatched
  • Pharmacyunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Project/Program Managementunmatched
  • Public Financeunmatched
  • Public Healthunmatched
  • Quality Managementunmatched
  • Relationship Managementunmatched
  • Reporting Dashboardsunmatched
  • Retailunmatched
  • Risk Analysisunmatched
  • Root Cause Analysisunmatched
  • Sales Managementunmatched
  • Scorecardingunmatched
  • Service Deliveryunmatched
  • Service Level Agreement (SLA)unmatched
  • Strategic Accountsunmatched
  • Time Managementunmatched
  • Trend Analysisunmatched
  • Utilization Managementunmatched
  • Willing to Travelunmatched

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