Pharmacy Account Director- Remote

Gainwell Technologies LLC•Any city, OH

3d•$175,000 - $210,000•Remote

About The Position

The Pharmacy Account Director is a strategic, client‑facing leader responsible for end‑to‑end account management, clinical and operational performance, and the growth of Medicaid pharmacy programs. This role combines executive‑level relationship management with deep oversight of pharmacy benefit administration (PBA) services, ensuring delivery of high‑quality, compliant, and cost‑effective solutions aligned with client goals. The Account Director serves as a trusted advisor to state Medicaid leadership, driving clinical strategy, operational excellence, and continuous improvement across all pharmacy services. This role partners cross‑functionally with operations, clinical, product, finance, and growth teams to deliver measurable value, optimize program performance, and support business expansion initiatives.

Requirements

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.
Executive presence and strong communication skills.
Strategic thinking with a results‑driven mindset.
Deep analytical and problem‑solving capabilities.
Ability to manage competing priorities in a fast‑paced environment.
Strong collaboration and influencing skills across matrixed organizations.
Commitment to delivering exceptional client service.

Nice To Haves

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.

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.