Senior Account Manager, PBM Partnerships

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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  Actively leverage AI tools to accelerate account planning, research, communication, and reporting — contributing to Interra's broader AI-first commercial motion.

• 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.

• 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.

• 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.