Director, Rx Account Management

Gainwell Technologies LLCAny city, OH
$143,600 - $210,000Remote

About The Position

GainwellRx serves as a comprehensive pharmacy services platform supporting state Medicaid programs and members nationwide across a broad spectrum of prescription drug services. The Director of Rx Account Management is a strategic, results-driven operational leader responsible for designing, optimizing, and leading all aspects of GainwellRx’s pharmacy account operations. The Director establishes scalable processes, enhances performance metrics, and continuously improves service delivery to meet the evolving needs of state Medicaid partners. As a senior leader, this role acts as a critical liaison between state Medicaid clients, executive account leadership, and internal cross-functional teams. The Director fosters strong client relationships, ensures alignment on program goals, and proactively addresses operational challenges to deliver high-quality, compliant, and cost-effective pharmacy solutions. Additionally, the Director is accountable for advancing strategic initiatives, supporting growth objectives, and championing a culture of accountability, innovation, and continuous improvement across the organization.

Requirements

  • Degree in pharmacy, or advanced degree with significant experience leading clinical operations.
  • 10+ years of pharmacy related experience.
  • 5+ years leading large teams and organizations.
  • Strong people and team leader, experienced with navigating change and matrix reporting relationships
  • Experience interacting with clients in the healthcare industry.
  • Experience in utilization management and prior authorization.
  • Track record of leadership of teams and projects spanning people, process, and technology.
  • Experience managing departmental budgets and driving process improvement.
  • Excellent communications skills, with ability to communicate externally and with senior leaders and c-suite executives.
  • Innovative forward thinker with excellent leadership skills.

Responsibilities

  • Develop and execute a utilization management strategy that is aligned on company goals,
  • Lead a team of Pharmacy Account Directors supporting multiple state Medicaid Pharmacy programs delivering consultative services with a high NPS and operational excellence
  • Provide strategic consultative pharmacy services to state Medicaid leadership advising them on all aspects of a Medicaid pharmacy benefit
  • Aligns with State Sector Leads and Account General Managers on client needs and VOC, partnering with Product and pharmacy leadership team.
  • Assesses market trends, customer segments, and drives internal and external value proposition and message for GainwellRx.
  • Partners with Pharmacy executive team in developing and delivering pharmacy market and solution training to state account teams.
  • Aligns with Product team and Growth team for field campaigns, training, webinars, and client presentations.
  • Drives new solution ideas, partners with states on new concepts, and works with product & engineering teams to deliver models to support them.
  • Collaborates with Marketing on GainwellRx overall market message, media strategy, and GTM strategy.
  • Supports state needs through RFP and bid proposals
  • Partners with Pharmacy executive team to drive business strategy and business development through market and competitive insights and analysis.
  • Connect market insights into growth strategies and solution pipeline strategies.
  • Drives key initiatives in support of strategy, pharmacy growth, and business development.
  • Drives market analysis in support of business development projects and senior leadership key initiatives.
  • Serves as an industry expert on GainwellRx, interfacing with external clients, vendors, and business partners.
  • Collaborates across account teams, sales teams, product teams, and other shared service functions.

Benefits

  • work flexibility
  • learning
  • career development
  • flexible vacation policy
  • 401(k) employer match
  • comprehensive health benefits
  • educational assistance
  • leadership and technical development academies
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