Role Description Interra Health is looking for a Senior Account Manager, PBM Partnerships to own and grow our most strategically important PBM relationships. This is a high-ownership, high-visibility commercial role responsible for managing multimillion-dollar partnerships with leading pharmacy benefit managers — including organizations like Evernorth, Optum, CVS Caremark, Prime, Humana, and MedImpact. You will operate at the intersection of commercial strategy, product, and operations, building executive-level relationships, driving contract outcomes, and developing multi-year account plans that expand Interra's footprint across the PBM landscape. This role demands deep domain expertise, sharp commercial instincts, and the presence to show up as a strategic partner — not a vendor — in every room you enter. What you'll do: - 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. Qualifications - 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. 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