The Role: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.
What you'll bring:- 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 & Perks:Competitive compensationRemote-firstWork from anywhere in US. We also provide a one-time home office stipend to set up your workspace, plus a monthly Wi-Fi reimbursement.
Flexible work Flexible scheduling and core collaboration hours (10:00 AM - 3:00 PM ET), giving you space for both deep work and real life.
Company-wide offsite We invest in connection-join us for an annual offsite to collaborate, build relationships, and have some fun together.
Time off that you're expected to use Flexible PTO designed for real recharge, plus 17 company holidays, paid sick leave, and paid parental leave.
Comprehensive health coverage Choose from multiple medical plan options with significant company premium contributions, along with dental (including orthodontia) and vision coverage for you and your family.
Includes company contributions to HSA/FSA accounts (based on plan selection).
Financial wellness 401(k) with company match to help you plan for the future.
