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Senior Manager, Pharmacy and Drug Rebate Services
Gainwell Technologies. Oversee pharmacy operations teams, including drug rebate invoicing, collections, claims review, grievance and appeals, and related functions .
Posted 9/24/2026full-timeRemote • Florida • United StatesSenior💰 $101,300 - $144,700 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy operations management, including drug rebate invoicing, claims processing, and staff training. Proven ability to monitor KPIs, lead process improvements, and ensure compliance with industry standards.
Highest-signal resume keywords
Pharmacy Operations ManagementManaged Care ExperienceWorkforce Management ToolsStaff Training and DevelopmentKPI Monitoring
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Drug Rebate InvoicingClaims ReviewMedicaid Pharmacy Claims ProcessingPrior AuthorizationMedical BillingPerformance ReviewsOperations DocumentationProductivity MetricsSLA ComplianceProcess Improvement
Soft Skills
Excellent Communication SkillsOrganizational SkillsLeadership QualitiesCoaching SkillsMultitasking Ability
Tools & Technologies
MS Office SuiteExcelPDF Editing SoftwareWorkforce Management Software
Industry Keywords
Pharmacy Benefit ManagementManaged CareMedicaidOperational ActivitiesAudit Control
About the role
Key responsibilities & impact- Oversee pharmacy operations teams, including drug rebate invoicing, collections, claims review, grievance and appeals, and related functions
- Monitor KPIs, SLAs, productivity metrics, and staffing levels to meet contractual obligations
- Lead process improvement and efficiency initiatives
- Hire, onboard, and train new pharmacy operations staff
- Review and provide feedback on monthly and quarterly operations reports
- Manage staff productivity and performance, including performance reviews and evaluations
- Monitor staff attendance and timekeeping for accuracy and policy compliance
- Coach staff and support skills development and professional growth
- Ensure monthly and quarterly SLAs are accurate and completed on time
- Keep pharmacy service policies and procedures up to date
- Work with the account PBM Manager to update staff performance metrics
- Prepare and maintain operations documentation
- Develop management and client reports
- Liaise with subject matter experts on industry best practices, process improvement, and customer service
- Interact with internal and external stakeholders to achieve operations goals
- Participate in project work-plan tasks and ensure compliance with audit control objectives
- Lead or assist with special projects and ad hoc client requests
- Foster a positive team environment and lead by example
Requirements
What you’ll need- Bachelor’s Degree or 5+ years of PBM experience
- 5+ years of managed care or Medicaid experience preferred
- 10+ years of experience in managing or supervising staff and performing human resource functions
- Experience utilizing workforce management (WFM) and productivity tools
- Strong MS Office Suite, Excel, and PDF Editing Software skills
- Experience with Medicaid pharmacy claims processing, prior authorization, and/or medical billing preferred
- Excellent verbal and written communication skills
- Ability to communicate expectations clearly to the team and provide ongoing direction and feedback
- Excellent organizational skills
- Ability to track and prioritize operational activities on an ongoing basis
- Strong leadership qualities to help with staff training, feedback, and coaching
- Ability to remain approachable and effectively coach staff to performance goals
- Ability to multitask, troubleshoot, and prioritize all functions and responsibilities
Benefits
Comp & perks- Work flexibility
- Learning and career development
- 100% remote work
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
- Up to 20% travel to support key client meetings