Principal, PBM Operations Business Process Engineering

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.

Your role in our mission

· Primary point of contact for the Pharmacy Clinical Operations organization, operational and process excellence management needs

· Conduct thorough assessments of existing business processes, identify bottlenecks, inefficiencies, and areas for optimization, then design, implement, and monitor process improvements.

· Optimize operational and technical business processes to enhance efficiency, reduce costs, and improve overall operational performance through continuous improvement, data analysis, and the implementation of best practices.

· Proactively identifies inefficiencies and implements process improvements

· Gathering and analyzing process-related data to identify trends, establish performance metrics to measure the impact of process changes, often using tools for tracking and reporting.

· Creating detailed process maps and flowcharts to visualize current workflows and design optimized future-state processes

· Collaborating with various departments and senior leaders to identify improvement opportunities, gain support for initiatives, and ensure alignment with organizational goals and strategy.

· Promotes a culture of continuous improvement, coaching and mentoring team members, provides training on process excellence concepts, tools, techniques.

· Prepares and delivers reports to executive leadership outlining progress towards goals and issue resolution across multiple areas of the organization.

· Remains current on new trends and best practice to incorporate into quality activities within the organization.

· Participates in the development and completion of Request for Proposals (RFPs) as required in reference to process flows.

· Identifies and prioritizes improvement projects to align with State Medicaid Agency operational and quality improvement requirements

· Ensures that member and provider perspectives are used to inform operational quality improvement projects and interventions and to assess the effectiveness thereof

What we're looking for

· Bachelor's degree or equivalent combination of education and experience

· Master's degree in business or technical field preferred

· Five or more years of experience in process management and quality improvement within managed care, or PBM pharmacy operations

· Five or more years of leadership or supervisory experience

· Experience working with operational systems and technologies

· Adept at applying and recommending quality improvement methodologies in pharmacy (ex. Lean, Six-Sigma, IHI’s Model for Improvement)

· Experience evaluating, operational benchmarking, quality metrics, and re-engineering operational and technical services.

Skills:

· Excellent verbal and written communication skills

· Demonstrated leadership ability to set vision, goals and create a positive culture

· Drives results through evaluation, analysis, and benchmarking of operational performance and quality metrics

· Leads across the organization through influence and collaboration

· Approachable and professional in all interactions

· Independently generate and deliver clear and concise executive level presentations

· Effective time management, be self-motivated, handle multiple tasks with accuracy

· Must be able to solve problems and make sound decisions without supervision

What you should expect in this role

· Work from home; reliable high-speed internet connectivity is required

· Occasional travel may be needed

The pay range for this position is $108,500.00 - $155,000.00 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.