Synergie Account Executive Lead

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.

BCBSA Employees

Welcome

Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It’s easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!

About Us

At Blue Cross Blue Shield Association (BCBSA), we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us!