Senior Director, Pharmacy 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

Gainwell Rx supports States and their Medicaid members across the country with prescription drug related services. The Senior Director Pharmacy Operations is a strategic operational leader who is responsible for designing, optimizing and overseeing all aspects of Gainwell Rx's pharmacy operations. This role will lead in the development and execution of the UM strategic roadmap ensuring that all operations are clinically appropriate, evidence based and compliant with all turnaround times.

The Senior Director serves as a key liaison between our state Medicaid clients and internal business partners to drive innovation, regulatory compliance and operational excellence across our Utilization Management operations.

Your role in our mission

• Develop and execute the organization's pharmacy utilization management strategy, ensuring alignment with all compliance, clinical, financial and operational goals
• Implement continuous improvement initiatives, leveraging data and analytics to optimize workflows and reduce administrative burden
• Set strategic vision for Pharmacy Utilization Management team
• Work closely with analytics and IT teams to enhance UM technology platforms, automation and reporting capabilities
• Provide strategic consultative pharmacy services to state Medicaid leadership advising them on pharmacy operations best practices and technology
• Aligns with State Sector Leads and Account General Managers on client needs and VOC, partnering with Product and pharmacy leadership team.
• Assesses market trends, customer segments, and drives internal and external value proposition and message for Gainwell Rx.
• Partners with Pharmacy executive team in developing and delivering pharmacy market and solution training to state account teams.
• Drives new solution ideas, partners with states on new concepts, and works with product & engineering teams to deliver models to support them.
• Collaborates with Marketing on Gainwell Rx overall market message, media strategy, and GTM strategy.
• Supports state needs through RFP and bid proposals
• Partners with Pharmacy executive team to drive business strategy and business development through market and competitive insights and analysis.
• Drives market analysis in support of business development and technology projects along with senior leadership key initiatives.
• Serves as an industry expert on Gainwell Rx, interfacing with external clients, vendors, and business partners.
• Skilled people leader with experience building and navigating teams through rapid growth and change management

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 operational teams and matrix organizations.
• Strong people with experience building and navigating teams through rapid growth and change management
• 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 March 13, 2026.

The pay range for this position is $ - $ 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 '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…