Pharmacy Account Manager

🕒 5 days ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $150k - $190k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• 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

🎯 Requirements

• 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 (preferred) • Experience with workforce management tools and productivity tracking (preferred) • Experience with P&T Committee, PDL, and DUR Board administration • Significant experience coordinating and collaborating with work teams preferred

🏖️ Benefits

• Health benefits • 401(k) employer match • Flexible vacation policy • Educational assistance • Leadership and technical development academies