Director, Pharmacy Insights

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

As the Director, Pharmacy Insights at Gainwell, you will ensure the streamlined delivery of reporting and pharmacy insights within Gainwell Technologies for the Pharmacy COE. You will play a critical role in shaping how our organization leverages descriptive and diagnostic output to uncover insights that inform client reviews and large-scale organizational decisions. You will direct analysis and serve as leadership liaison to present findings to Pharmacy leadership, clients, and vendors. You will determine best practices and implement improvements to current practices. You will also oversee the completion and distribution of client deliverables.

Your role in our mission

• Manage a team of reporting and pharmacy insight professionals responsible for leveraging technology and powerful data insights to facilitate increased quality, reduction of costs and compliance with regulatory requirements.
• Apply knowledge of advanced data science within the healthcare industry to identify opportunities to increase efficiency.
• Work in partnership with key business stakeholders on process improvement opportunities.
• Maintain an understanding of current business issues, objectives, and strategies within Pharmacy and recognize opportunities to apply data science techniques to help solve problems and enhance business capabilities.
• Work closely with engineers to identify situations to enhance data model for increased efficiency and optimization.
• Oversee the use of data visualization tools (e.g., Tableau, PowerBI) to share ongoing insights.
• Function as a subject matter expert on reporting and pharmacy insights.
• Be an evangelist driving wider adoption of pharmacy insights across the enterprise.
• Build and maintain a highly effective team.
• Ensure team has necessary tools and training to perform their duties.
• Manage timely execution of information delivery.
• Provide and participate in staff development and training needs to encourage top performers.
• Ensure departmental goals are consistently met or exceeded and ensures adequate staffing levels to meet client deliverables.
• Manage assigned staff by facilitating resolution of concerns and employee relations issues and provide ongoing feedback, coaching, guidance and direction in daily responsibilities for projects.
• Manages performance of direct reports in accordance with the Performance Management Process.

What we're looking for

• Demonstrated leadership experience and abilities.
• Demonstrated knowledge of pharmacy operations and data, Government programs, Medicaid population, and managed care organizations.
• Proven experience with analyzing, monitoring healthcare plan data focusing on quality, cost, and compliance with Federal and State requirements.
• Creative ability to convert data findings into meaningful stories that can be shared with leadership to facilitate innovation and problem solving.
• Proven experience optimizing department processes to increase efficiency and ensure accountability.
• MS in Public Health/Public Health Administration or Computer Sciences or equivalent experience.
• SQL knowledge and experience working with relational databases, query authoring (SQL) as well as a proficiency with business intelligence and advanced insight tools.
• Experience working with stakeholders including the Executive, Product, Data, and Design teams to assist with data-related efforts.
• Experience with Data mining, Data Science, and Predictive insights is a plus.
• Knowledge of Payment Reform methodologies and related initiatives in the Medicaid space.
• Healthcare knowledge within a Medicaid and Pharmacy/Healthcare plan claims processing environment.

What you should expect in this role

• This position is remote with up to 20% travel annually.
• Supports Gainwell Pharmacy Center of Excellence (CoE).

The deadline to submit applications for this posting is April 23, 2025.

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.

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