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SmithRx

PBM offering pass-through pricing model

Senior Director of Account Management

Account ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least 10 years of experience in Account Management, Client Success, Customer Success, or a related client-facing function.
  • At least 5 years of people leadership experience, including managing managers and/or senior-level professionals.
  • Experience working with clients ranging in size from small to enterprise-level employers, Health Plans, TPAs, brokers, and consultants.
  • Demonstrated success building and developing high-performing teams.
  • Experience managing organizational growth, capacity planning, or evolving operating models.
  • Strong executive presence and communication skills.
  • Demonstrated ability to coach leaders and address performance issues effectively.
  • Strong strategic thinking, business acumen, and decision-making skills.
  • Experience working cross-functionally in a complex, fast-paced organization.
  • A bachelor's degree is required.

Responsibilities

  • Lead, coach, and develop Account Executives and Account Management leaders to achieve individual and organizational goals.
  • Establish a high-performance culture grounded in accountability, collaboration, client advocacy, and continuous improvement.
  • Conduct regular talent assessments and identify high-potential employees, succession opportunities, and performance gaps.
  • Create and execute individualized development plans to strengthen leadership, strategic thinking, client management, and business acumen.
  • Provide clear, timely, and actionable performance feedback.
  • Build a strong leadership bench and succession plan for critical roles.
  • Ensure appropriate staffing, capacity, spans and layers, and role clarity as the organization scales.
  • Partner with Talent/HR on recruiting, onboarding, performance management, promotions, and employee engagement.
  • Establish clear expectations, operating rhythms, and performance standards across the Account Management organization.
  • Ensure Account Executives operate proactively and strategically rather than primarily responding to client issues.
  • Coach teams to develop strong executive relationships and become trusted strategic advisors to clients.
  • Drive consistency in account planning, QBRs, client communications, escalation management, and business reviews.
  • Monitor team performance against key client and business metrics, including retention, satisfaction, engagement, and financial performance.
  • Ensure appropriate escalation and executive engagement for high-risk or strategically important clients.
  • Evaluate team structure, workloads, account assignments, and capacity to ensure sustainable performance.
  • Identify opportunities to improve processes, tools, training, and operating models.
  • Develop scalable frameworks and playbooks that enable consistent Account Management practices.
  • Establish meaningful OKRs and reporting to measure team effectiveness and identify opportunities for improvement.
  • Partner with leadership to evolve the Account Management model as the business grows.
  • Partner with Operations, Product, Sales, Finance, Clinical, Legal, Member Services, and other functions to deliver an integrated client experience.
  • Represent Account Management in leadership discussions and strategic initiatives.
  • Escalate organizational and client risks with clear recommendations and action plans.
  • Translate company direction into clear priorities and expectations for the Account Management team.
  • Serve as a visible and trusted leader across the organization.
  • Lead through others rather than becoming the primary problem solver.
  • Develop talent and consistently raise the capability of the team.
  • Create accountability while maintaining a supportive, collaborative culture.
  • Connect day-to-day client management to broader business objectives and make decisions that provide clear direction when the team encounters ambiguity.
  • Anticipate challenges rather than operating reactively.
  • Build strong leaders rather than dependency on the Senior Director.
  • Champion change and help the organization adapt as the company scales.

Desired Qualifications

  • Healthcare, benefits, pharmacy, PBM, or related industry experience is strongly preferred.

About the Company

SmithRx

PBM offering pass-through pricing model

SmithRx operates in healthcare as a Pharmacy Benefit Manager (PBM) in San Francisco, managing prescription drug plans for self-insured employers and plan sponsors. It uses Pass Through Pricing: charging only an administrative fee and passing 100% of rebates to the plan sponsors and members. A real-time data–driven technology platform supports service delivery, enhancing transparency and efficiency. Revenue comes solely from admin fees, eliminating rebates-based conflicts of interest. A concierge service provides strong support to both members and clients. The goal is to offer transparent, cost-effective pharmacy benefits with excellent customer service, using technology to maximize value for clients and their members.

Company size
501-1,000
Company stage
Series C
Total funding
$97.5M
Headquarters
San Francisco, CA
Founded
2016

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