Texas Pharmacy Account Manager

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

 
Summary

The PBM Clinical Account Manager is a visible, client-facing role within the Gainwell Pharmacy Center of Excellence. This key role will be responsible for the clinical and financial strategy and oversight of the PBA services operations teams including, but not limited to, clinical, cost of care, operational, claims, and other functions as needed to monitor KPIs, SLAs, productivity metrics, and appropriate staffing levels to ensure that all contractual obligations are met, while guiding process improvement and identifying efficiencies. The individual will be expected to recommend and evaluate the effectiveness of company performance in relation to contracts, delivery, and client intent.

A key function of this role will be developing and presenting monthly and quarterly business review data and insights. The manager is responsible for ensuring all pharmacy-related deliverables are met on time and that quality meets client expectations. The ideal candidate will demonstrate leadership qualities, possess broad knowledge of clinical operations and pharmacy benefit administration services, and maintain a commitment to delivering exceptional client service.

This role requires the ability to adapt to client requests and support staff as needed, including assisting with operational tasks.

Your role in our mission

Act as the primary point of contact for the state Medicaid Pharmacy Director, state leadership, and staff

Serve as a primary point of contact responsible for the hiring, onboarding, and training of new pharmacy operations staff, as well as ongoing staff development

Provide holistic oversight of all account clinical operations contractual activities including clinical activities, prior authorization, and Medicaid drug rebate processes

Accountable for ensuring all services are provided timely and accurately, including assisting staff during high-volume demands or low staffing situations

Subject matter expert in state client benefits, financial reporting, and cost of care initiatives

Ownership of weekly, monthly, and quarterly pharmacy business review data and presentations

Accurately track all metrics and initiatives for timely and accurate delivery, meeting all client expectations and ensuring timely updates and presentations to clients

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

Manage oversight of operations staff productivity and performance, including preparation and delivery of staff performance reviews and evaluations, and compliance with audit control objectives

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

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

Ensure pharmacy service policies and procedures are up to date

Develop subject matter expertise in industry best practices, process improvement, and customer service standards of excellence

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

Foster a positive team environment by upholding corporate culture and values

Initiate development of clinical operations process improvements, organizational structure, and implementation of technology to increase operational efficiencies and drive quality improvements

Provide oversight, management, and supervision of subcontracted vendors to ensure expectations are being met and quality service is being provided

Proactively lead the performance and direction of clinical pharmacy services 

What we're looking for

PharmD (preferred) or Bachelor of Pharmacy degree with a master’s degree in a related field

Active, unrestricted Pharmacist license required; Texas Pharmacist license preferred but not required

6+ years of experience in PBM or MCO Medicaid

5+ years of operational leadership experience, including managing teams and driving performance

Account management experience working with state leaders and key stakeholders

Experience with Medicaid program management (preferred)

Experience with workforce management tools and productivity tracking (preferred)

Experience with P&T Committee, PDL, and DUR Board administration

Significant experience coordinating and collaborating with work teams preferred

What you should expect in this role

10–20% travel

Remote within the U.S.

Texas-based candidates preferred, but not required

Applications for this posting will be accepted until June 26, 2026. 

The pay range for this position is $150,000.00 - $190,000.00 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.

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 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.