SummaryThe 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.
