[Remote] Texas Pharmacy Account Manager

Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is a leader in healthcare solutions, and they are seeking a Texas Pharmacy Account Manager to oversee clinical and financial strategies within the Pharmacy Center of Excellence. This role involves managing pharmacy operations, ensuring compliance with contractual obligations, and delivering exceptional client service while leading a team and developing operational efficiencies.

Responsibilities

• Act as the primary point of contact for the state Medicaid Pharmacy Director, state leadership, and staff
• Serve as a primary point of contact responsible for the hiring, onboarding, and training of new pharmacy operations staff, as well as ongoing staff development
• Provide holistic oversight of all account clinical operations contractual activities including clinical activities, prior authorization, and Medicaid drug rebate processes
• Accountable for ensuring all services are provided timely and accurately, including assisting staff during high-volume demands or low staffing situations
• Subject matter expert in state client benefits, financial reporting, and cost of care initiatives
• Ownership of weekly, monthly, and quarterly pharmacy business review data and presentations
• Accurately track all metrics and initiatives for timely and accurate delivery, meeting all client expectations and ensuring timely updates and presentations to clients
• Review and provide feedback to staff and leadership on monthly and quarterly operations reports
• Manage oversight of operations staff productivity and performance, including preparation and delivery of staff performance reviews and evaluations, and compliance with audit control objectives
• Provide coaching and feedback to staff on conduct and performance, and support skill development and professional growth that will lead to improved outcomes
• Work with operations and client delivery team leaders to help ensure all monthly and quarterly pharmacy Service Level Agreements (SLAs) are accurate and completed on time
• Ensure pharmacy service policies and procedures are up to date
• Develop subject matter expertise in industry best practices, process improvement, and customer service standards of excellence
• Assist and/or lead special projects and ad-hoc client requests as required
• Foster a positive team environment by upholding corporate culture and values
• Initiate development of clinical operations process improvements, organizational structure, and implementation of technology to increase operational efficiencies and drive quality improvements
• Provide oversight, management, and supervision of subcontracted vendors to ensure expectations are being met and quality service is being provided
• Proactively lead the performance and direction of clinical pharmacy services

Skills

• PharmD (preferred) or Bachelor of Pharmacy degree with a master's degree in a related field
• Active, unrestricted Pharmacist license required; Texas Pharmacist license preferred but not required
• 6+ years of experience in PBM or MCO Medicaid
• 5+ years of operational leadership experience, including managing teams and driving performance
• Account management experience working with state leaders and key stakeholders
• Experience with Medicaid program management
• Experience with workforce management tools and productivity tracking
• Experience with P&T Committee, PDL, and DUR Board administration
• Significant experience coordinating and collaborating with work teams
• Experience with Medicaid program management
• Experience with workforce management tools and productivity tracking
• Significant experience coordinating and collaborating with work teams

Benefits

• Generous, flexible vacation policy
• A 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• A variety of leadership and technical development academies to help build your skills and capabilities

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