Senior Director, Pharmacy Operations

Gainwell Technologies LLC

1d•Remote

About The Position

GainwellRx supports States and their Medicaid members across the country with prescription drug related services. The Senior Director Pharmacy Operations is a strategic operational leader who is responsible for designing, optimizing and overseeing all aspects of GainwellRx’s pharmacy operations. This role will lead in the development and execution of the UM strategic roadmap ensuring that all operations are clinically appropriate, evidence based and compliant with all turnaround times. The Senior Director serves as a key liaison between our state Medicaid clients and internal business partners to drive innovation, regulatory compliance and operational excellence across our Utilization Management operations.

Requirements

Degree in pharmacy, or advanced degree with significant experience leading clinical operations.
15+ years of pharmacy related experience.
10+ years leading large operational teams and matrix organizations.
Strong people with experience building and navigating teams through rapid growth and change management
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 the organization’s pharmacy utilization management strategy, ensuring alignment with all compliance, clinical, financial and operational goals
Implement continuous improvement initiatives, leveraging data and analytics to optimize workflows and reduce administrative burden
Set strategic vision for Pharmacy Utilization Management team
Work closely with analytics and IT teams to enhance UM technology platforms, automation and reporting capabilities
Provide strategic consultative pharmacy services to state Medicaid leadership advising them on pharmacy operations best practices and technology
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.
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.
Drives market analysis in support of business development and technology projects along with senior leadership key initiatives.
Serves as an industry expert on GainwellRx, interfacing with external clients, vendors, and business partners.
Skilled people leader with experience building and navigating teams through rapid growth and change management