[Remote] Pharmacy Account Director- Remote
Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is an industry leader focused on healthcare solutions. They are seeking a Pharmacy Account Director who will be responsible for end-to-end account management and the growth of Medicaid pharmacy programs, ensuring high-quality and compliant solutions aligned with client goals.
Responsibilities
- Serve as the primary executive point of contact for state Medicaid clients, including Pharmacy Directors and senior leadership
- Build and maintain strong client relationships, acting as a trusted advisor on all aspects of the Medicaid pharmacy benefit
- Lead regular client engagements, including weekly touchpoints and Monthly and Quarterly Business Reviews (MBRs/QBRs)
- Translate client priorities, voice of customer (VOC), and market needs into actionable strategies and solutions
- Ensure all contractual obligations, deliverables, and service expectations are met or exceeded
- Provide comprehensive oversight of pharmacy clinical operations, including:Prior authorization and utilization management, Drug Utilization Review (DUR) programs, P&T Committee and formulary (PDL) management and Rebate and cost‑of‑care initiatives
- Monitor KPIs, SLAs, productivity, and financial performance to ensure operational excellence
- Lead and guide process improvement initiatives to enhance efficiency, quality, and scalability
- Ensure compliance with regulatory requirements (e.g., Medicaid, HIPAA) and audit controls
- Oversee vendor and subcontractor performance to ensure alignment with service expectations
- Develop and execute account strategies aligned with organizational and client goals
- Identify and drive new solution opportunities, innovations, and program enhancements
- Partner with product, growth, and executive leadership to shape pharmacy strategy and go‑to‑market initiatives
- Support RFP responses, client presentations, and business development efforts
- Leverage market and competitive insights to inform strategy and expand solution offerings
- Own account‑level financial performance, including cost‑of‑care outcomes and budget alignment
- Analyze performance data and provide actionable insights to improve program effectiveness
- Track and report on all operational, clinical, and financial metrics
- Identify cost‑savings opportunities and value‑based outcomes for clients
- Lead, mentor, and develop a team of account managers, clinical leaders, and operations staff
- Drive a culture of accountability, collaboration, and continuous improvement
- Oversee staffing models, workforce planning, and productivity management
- Support hiring, onboarding, training, and ongoing professional development
- Provide performance feedback, coaching, and evaluations
Skills
- Bachelor's degree in Pharmacy or a related field; PharmD or advanced degree preferred
- Active Pharmacist license is required
- 8–10+ years of experience in pharmacy, PBM, or Medicaid managed care
- 5+ years of leadership experience managing teams and/or large‑scale operations
- Strong experience in pharmacy benefit administration, including clinical operations and utilization management
- Proven experience managing client relationships and delivering consultative solutions
- Demonstrated success in managing cross‑functional teams and complex initiatives
- Experience working directly with state Medicaid programs
- Expertise in P&T Committee, DUR Board, and formulary management processes
- Experience with financial performance management and cost‑of‑care initiatives
- Familiarity with workforce management tools, dashboards, and analytics
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- A variety of leadership and technical development academies to help build your skills and capabilities
Company Overview
Company H1B Sponsorship