Vice President, Pharmacy Clinical Operations

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

GainwellRx is our solution and business platform to support states and Medicaid members across the country for prescription and drug related business processes and member experiences. The Vice President of Pharmacy Clinical Operations will lead teams responsible for clinical operations, prior authorization, clinical insights, industry pipeline and trends, client service models. This senior leader will also interface directly with external state clients and the executive leadership team at Gainwell.

Your role in our mission

• Partners with SVP of Pharmacy to drive clinical insights, business strategy, and operational performance.
• Sets direction of Clinical Operations team in delivering clinical services for clients.
• Collaborates across account teams, sales teams, product teams, and other shared service functions.
• Drives industry best practices and cost model delivery for key operating functions while managing to key metrics of business performance.
• Accountable for operating performance.
• Attracts, develops and manages pharmacy clinical talent and oversees central hub of Gainwell’s pharmacist talent.
• Motivates teams through change and high-profile projects and initiatives.
• Ensures alignment with company and industry standards.
• Oversees key initiatives, RFP support, and supports insight development.
• Drives organizational clinical training.
• Serves as a key leader in the pharmacy business interfacing with state pharmacy teams and representatives.
• Ownership of clinical policy for pharmacy and communications tied to clinical policy updates.
• Responsible for QI, QA, and clinical quality.
• Oversees drug pipeline and related recommendations.
• Collaborates on Rx Analytics, AI, and population health management initiatives.
• Drives new ideas, partners with states on new concepts, and works with teams to deliver models to support them.
• Supports evolution of organization and key areas of focus.

What we’re looking for

• Degree in pharmacy, or advanced degree with significant experience leading clinical operations.
• 15+ years of pharmacy related experience
• 10+ years leading large teams and organizations
• 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

What you should expect in this role

• This position is 100% remote, with approximately 20% travel to support key client meetings.

The deadline to submit applications for this posting is November 28, 2024.

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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.