Health Plans General Manager

Position Overview

• Location Type: Not Specified
• Job Type: Not Specified
• Salary: Not Specified

RxSense is a leading healthcare technology company delivering innovative solutions for pharmacy benefits and prescription savings. Our enterprise platform brings transparency, flexibility, and efficiency to pharmacy benefit management, helping clients streamline operations and enabling consumers to save on prescriptions. By integrating intelligence across the pharmacy ecosystem, RxSense makes cost-effective healthcare more accessible. Whether for PBMs, pharmacies, or individuals, our solutions help modernize operations, reduce costs, and improve outcomes.

RxSense also owns and operates SingleCare, a free prescription savings service that offers consumers access to consistently low prices on prescription drugs. Through its partnerships with the country’s largest pharmacies and grocers, including CVS, Walgreens, Walmart, Kroger and Albertsons, SingleCare improves access and adherence to affordable medications and has helped millions of Americans save over $11 billion on their medications.

RxSense is a great place to work! Our company has earned several prestigious awards, including Fast Company’s Most Innovative Companies, Forbes’ Top Startup Employers, Modern Healthcare's Best Places to Work in Healthcare, and Inc’s Best in Business and Best Workplaces.

The Health Plan General Manager is an executive role that combines operational leadership with a strong go-to-market and business development focus. This role will be responsible for overseeing health plan client operations while driving growth through direct engagement with health plans, PBM consultants, brokers, and other key influencers. The ideal candidate will be equally comfortable managing client performance and leading sales strategies to expand our footprint across the payer landscape.

Key Responsibilities

Operational Leadership:

• Serve as the executive sponsor for health plan clients, ensuring seamless onboarding, integration, and long-term success.
• Oversee all aspects of health plan operations, including benefit design, claims administration, formulary strategy, and compliance.
• Collaborate with internal teams to ensure delivery excellence, regulatory adherence, and member satisfaction.
• Continuously improve processes and workflows to support scalable, high-quality service delivery.
• Monitor and report on key client KPIs and performance metrics.
• Lead the already in development Medicare Part-D and Medicaid services expansion.

Go-to-Market & Sales Enablement:

• Lead the sales and marketing teams to develop and execute a targeted go-to-market strategy focused on health plans.
• Cultivate relationships with PBM consultants, brokers, and industry influencers.
• Leadership over RFP responses, client pitches, and product demonstrations tailored to health plan prospects.
• Identify and develop strategic partnerships that align with our mission to enable next-generation PBM models.

Strategic Growth & Client Success:

• Work closely with product and clinical teams to align offerings with evolving health plan needs and regulations.
• Oversee account expansion and renewals by showcasing measurable value and performance outcomes.
• Serve as the voice of the client internally, championing innovation and service excellence.

Qualifications

• 10+ years of experience in pharmacy benefit management, including senior-level roles in health plan operations and/or business development.
• Proven success driving go-to-market initiatives and sales enablement, particularly with health plans and PBM consultants.
• Deep understanding of pharmacy benefit structures, regulatory frameworks, and cost containment strategies.
• Established relationships with PBM consultants, brokers, or payers strongly preferred.
• Strong executive presence, communication, and negotiation skills.
• Strategic thinker with operational rigor and a track record of delivering measurable outcomes.
• Bachelor’s degree required; MBA, MPH, or PharmD preferred.