Senior Pharmacy Clinical Operations Leader

5 days ago


Houston, Texas, United States Gainwell Technologies Full time
Lead Clinical Pharmacy Operations

Gainwell Technologies is seeking a highly skilled Senior Pharmacy Clinical Operations Leader to drive clinical operations, prior authorization, clinical insights, industry pipeline and trends, client service models. This senior leader will interface directly with external state clients and the executive leadership team at Gainwell.

Your Role in Our Mission

Partner with SVP of Pharmacy to drive clinical insights, business strategy, and operational performance. Set direction of Clinical Operations team in delivering clinical services for clients. Collaborate across account teams, sales teams, product teams, and other shared service functions. Drive industry best practices and cost model delivery for key operating functions while managing to key metrics of business performance.

Key Responsibilities

Attract, develop and manage pharmacy clinical talent and oversee central hub of Gainwell's pharmacist talent. Motivate teams through change and high-profile projects and initiatives. Ensure alignment with company and industry standards. Oversee key initiatives, RFP support, and supports insight development. Drive organizational clinical training. Serve 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. Oversee drug pipeline and related recommendations. Collaborate on Rx Analytics, AI, and population health management initiatives. Drive new ideas, partners with states on new concepts, and works with teams to deliver models to support them. Support evolution of organization and key areas of focus.

Requirements

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 We Offer

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

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