Key Accounts Manager: Medical Schemes

• Account Management:
• Establish and maintain strong working relationships with medical aid organizations, including insurers, managed care organizations, and third-party administrators.
• Serve as the main point of contact for medical aid organizations, proactively engage in regular communication and build trust.
• Collaborate with medical aid representatives to negotiate contracts, pricing agreements, and reimbursement terms that align with the pharmacy group's objectives.
• Facilitate effective communication between the pharmacy group and medical aid organizations, ensure accurate and timely exchange of information.
• Act as a liaison to resolve any issues or concerns raised by medical aid organizations, coordinate with relevant departments within the pharmacy group to address them promptly.
• Provide regular updates to both internal and external stakeholders regarding changes in medical aid policies, formulary updates, and other relevant information.
• Identify growth opportunities within assigned accounts and develop strategies to capitalize on them.
• Formulary Management:
• Work closely with medical aid organizations to understand their formulary requirements and ensure the pharmacy group's compliance with those guidelines.
• Collaborate with pharmacy and clinical teams to ensure that the pharmacy group's product offerings align with the medical aid organizations' preferred drug lists.
• Assist in the development and implementation of strategies to maximize formulary access and reimbursement for the pharmacy group's products.
• Stakeholder Liaison.
• Build and nurture strong relationships with key decision-makers within medical schemes and healthcare organizations.
• Act as the primary point of contact for key accounts, addressing their needs, resolving issues, and ensuring customer satisfaction.
• Performance Monitoring and Reporting:
• Monitor and evaluate the pharmacy group's performance with medical aid organizations, including key performance indicators (KPIs) such as claims processing, medication adherence, and patient satisfaction.
• Generate reports and analyse data to identify trends, opportunities, and areas for improvement.
• Present findings and recommendations to internal stakeholders and medical aid organizations to optimize operational processes and enhance patient outcomes.
• Stay updated on industry trends, market conditions, and competitor activities to proactively identify new business opportunities.
• General:
• Adhere to company Policies and Standard Operating Procedures.
• Adhere to Health and Safety rules and regulations.

• Essential: Matric or an equivalent Senior Certificate.
• Degree in Sales and Marketing or a related field.
• Advantage: Postgraduate qualification in Commerce or Pharmacy.
• Essential: Minimum 3 - 5 years’ experience in Key Accounts Management.
• Advantage: 2 years management experience in Healthcare Administration or Pharmacy Operations.

• R 1.1 mil – R1.32 mil per annum.

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