Program Manager {PBM}

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<span class="jobdescription"><p><span style="font-family:arial, helvetica, sans-serif">Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.</span></p><div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Summary</b></h2> </div><div><p>We are seeking a talented Program Manager with PBM who can coordinate the delivery of our pharmacy solution suite for a state Medicaid program(s). This individual needs to have strong analytical skills, excellent presentation and face-to-face client skills.</p></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Your role in our mission</b></h2> </div><div><p>The Program Manager for Software Implementation is responsible for leading cross-functional programs to successfully deliver complex software implementation projects. This role oversees planning, execution, risk management, stakeholder alignment, and delivery across multiple interconnected projects, ensuring implementations are completed on time, within scope, and aligned with business objectives.</p> <p>The Program Manager serves as the primary point of coordination between business stakeholders, engineering, product, vendors, and customers throughout the implementation lifecycle.</p> <p> </p> <p><strong>What We’re Looking for this Role to do</strong></p> <ul type="disc"> <li style="font-family:arial, helvetica, sans-serif">Identifies sales opportunities and assists the account management team with successful close of sale (including proposal development process).</li> <li style="font-family:arial, helvetica, sans-serif">Builds and manages client relationships with State Medicaid clients with support from the Program Director.</li> <li style="font-family:arial, helvetica, sans-serif">Builds relationships and collaborates effectively with implementation team, product team, and engineering team to ensure successful delivery of services to client(s); assists in the creation and/or review of client deliverables.</li> <li style="font-family:arial, helvetica, sans-serif">Responsible for ensuring client satisfaction for a defined Pharmacy implementation project(s).</li> <li style="font-family:arial, helvetica, sans-serif">Oversight and management of specific products/services of a contract or special projects for State Medicaid Utilization Management contracts.</li> <li style="font-family:arial, helvetica, sans-serif">Continuous monitoring and timely reporting to management on progress toward business goals.</li> <li style="font-family:arial, helvetica, sans-serif">Assist in the development of both internal and external reports to monitor delivery and financial performance.</li> <li style="font-family:arial, helvetica, sans-serif">Identifies opportunities for process improvements, client relationships and satisfaction, and strategic agendas and partnerships. </li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What we're looking for</b></h2> </div><div><ul type="disc"> <li>5+ years of <strong>Medical Claims</strong>, <strong>PBM, and / or Pharmacy Solution experience</strong></li> <li>5+ years’ experience in <strong>Program Management of a large Software Implementation</strong></li> <li>Strong communication skills with the ability to negotiate and collaborate across multi-functional team</li> <li>Hands-On experience in SDLC, Agile, MS Project and testing methodologies (SIT, UAT. Performance testing)</li> <li>(Preferred) General technical knowledge of APIs, Integrations, Hosting Infrastructure </li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What you should expect in this role</b></h2> </div><div><ul type="disc"> <li style="font-family:arial, helvetica, sans-serif">Remote position from US locations.</li> <li style="font-family:arial, helvetica, sans-serif">Opportunities to travel through your work (0-20%).</li> <li style="font-family:arial, helvetica, sans-serif">Willingness to work a flexible schedule to accommodate business needs and travel as required.</li> <li style="font-family:arial, helvetica, sans-serif">Video cameras must be used during all interviews, as well as during the initial week of orientation </li> </ul> <p> </p> <div> <div> <div> <p>The deadline to submit applications for this posting is <strong>August 31, 2026.</strong></p> </div> </div> </div></div></div></div><p><span style="font-family:arial, helvetica, sans-serif">The pay range for this position is $86,800.00 - $124,000.00 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 <a href="https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US">401(k) employer match, comprehensive health benefits</a>, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</span></p> <p> </p> <p><span style="font-family:arial, helvetica, sans-serif">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 <a href="https://www.gainwelltechnologies.com/">company website</a> and visit our <a href="https://jobs.gainwelltechnologies.com/">Careers site</a> for all available job role openings.</span></p> <p> </p> <p><span style="font-family:arial, helvetica, sans-serif"><em>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.</em></span></p> </span>

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