Pharmacy Account Director- Remote
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
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.
Client Leadership & Account Management
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.
Clinical & Operational Oversight
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.
Strategic Leadership & Growth
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.
Financial & Performance Management
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.
Team Leadership & Development
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.
Required Qualifications
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.
Preferred Qualifications
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.
Key Competencies
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.
Work Environment
Remote role with approximately 20% travel for client meetings and business needs.
Applications will be accepted until July 17, 2026.
The pay range for this position is $175,000.00 - $210,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Summary
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.
Client Leadership & Account Management
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.
Clinical & Operational Oversight
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.
Strategic Leadership & Growth
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.
Financial & Performance Management
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.
Team Leadership & Development
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.
Required Qualifications
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.
Preferred Qualifications
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.
Key Competencies
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.
Work Environment
Remote role with approximately 20% travel for client meetings and business needs.
Applications will be accepted until July 17, 2026.
The pay range for this position is $175,000.00 - $210,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.