Pharmacy Services Supervisor - Remote US (Any city, MD, US, 99999)

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

As a Pharmacy Services Supervisor at Gainwell Technologies, you will lead pharmacy operations teams supporting Medicaid and Pharmacy Benefit Management (PBM) programs. This role is responsible for ensuring operational excellence across provider and member support, prior authorization services, pharmacy claims operations, quality initiatives, and service delivery while maintaining compliance with contractual requirements, service level agreements, and regulatory standards.

Your role in our mission

• Supervise daily pharmacy operations supporting provider and member call center services, prior authorization functions, pharmacy claims review activities, and related operational workflows.

• Lead, coach, develop, and evaluate team members while overseeing hiring, onboarding, training, performance management, and employee development activities.

• Monitor productivity, quality, attendance, staffing levels, KPIs, SLAs, and operational performance metrics to ensure contractual obligations are consistently achieved.

• Collaborate with pharmacy leadership, quality teams, training staff, clients, and business partners to support process improvements, operational initiatives, and compliance requirements.

• Support reporting, audit readiness, documentation maintenance, issue resolution, and special projects while fostering a culture of accountability, service excellence, and continuous improvement.

What we're looking for

• 3+ years of experience in managed care, Medicaid, PBM, pharmacy operations, healthcare call center operations, prior authorization, or related healthcare environments.

• 2+ years of leadership experience supervising, coaching, mentoring, training, or managing operational teams.

• Experience managing performance metrics, productivity goals, quality standards, KPIs, SLAs, staffing levels, and operational reporting.

• Strong working knowledge of Microsoft Office Suite, including Excel, reporting tools, and operational systems.

• Experience supporting Medicaid pharmacy claims processing, prior authorization programs, pharmacy operations, or healthcare services preferred.

What you should expect in this role

• Remote work environment supporting Medicaid and PBM pharmacy operations.

• Fast-paced operational setting focused on quality, compliance, productivity, and service excellence.

• Collaboration with pharmacy leadership, quality teams, training personnel, clients, and cross-functional business partners.

• Opportunity to lead operational initiatives and develop high-performing teams.

• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

This posting is intended to build a strong pool of qualified candidates with an expected start date in August 2026. We will be actively reviewing applications and coordinating screening calls and interviews.

The pay range for this position is $55,500.00 - $79,300.00 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.

Originally posted on Himalayas