Senior Manager, Pharmacy and Drug Rebate Services

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

The Pharmacy Services Manager will oversee operations teams including, but not limited to, drug rebate invoicing, collections, claims review, grievance and appeals, or other functions. The manager works with the team supervisors and leads to monitor KPIs, SLAs, productivity metrics, and appropriate staffing levels to ensure that all contractual obligations are met, while guiding process improvement and efficiencies. The manager will also be expected to lead or assist with various projects as needed. You will instill a culture of quality, efficiency, and process improvement, while investing time in staff development.

Your role in our mission

· Responsible for the hiring, onboarding, and training of new pharmacy operations staff

· Review and provide feedback to staff on monthly and quarterly operations reports

· Manage operations staff productivity and performance, including preparation and delivery of staff performance reviews and evaluations

· Monitor staff attendance and timekeeping for accuracy and compliance with policies

· Provide coaching and feedback to staff on conduct and performance, and support skills development and professional growth that will lead to improved outcomes

· Work with operations team leaders to help ensure all monthly and quarterly Service Level Agreements (SLAs) are accurate and completed on time

· Ensures all pharmacy service policies and procedures are up to date

· Work with account PBM Manager to complete monthly updates to staff performance metrics

· Assist with preparation and maintenance of operations documentation

· Develops useful management and client reports

· Liaise with subject matter experts regarding industry best practices, process improvement and customer service to maintain state-of-the-art operations center

· Interact with internal and external stakeholders to accomplish operations goals

· Participate in project work plan tasks and ensures compliance with audit control objectives

· Assist and/or lead special projects and ad-hoc client requests as required

· Foster a positive team environment and lead by example

What we're looking for

· Bachelor’s Degree or 5+ years of PBM experience

· 5+ years of managed care or Medicaid experience preferred

· 10+ years of experience in managing or supervising staff and performing human resource functions

· Experience utilizing workforce management (WFM) and productivity tools

· Strong MS Office Suite, Excel, and PDF Editing Software skills

· Experience with Medicaid pharmacy claims processing, prior authorization, and/or medical billing preferred 

· Excellent verbal and written communication skills. Ability to communicate expectations clearly to the team and provide ongoing direction and feedback.

· Excellent organizational skills – ability to track and prioritize operational activities on an ongoing basis.

· Strong leadership qualities to help with staff training, feedback, and coaching.

· Remains approachable and can effectively coach staff to performance goals.

· Ability to multi-task, trouble shoot and prioritize all functions and responsibilities

What you should expect in this role

· This position is 100% remote, up to 20% travel to support key client meetings.

The pay range for this position is $101,300.00 - $144,700.00 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 , 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 and visit our 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.