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Vice President, General Manager
Gainwell Technologies. Drive the vision, strategy, growth, and execution of Gainwell's Medicaid Pharmacy Administration and Technology portfolio .
Posted 9/29/2026full-timeRemote • California • United StatesLead💰 $168,000 - $240,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive leadership in Medicaid Pharmacy Administration and Technology, with a strong focus on strategic direction, product management, and compliance within highly regulated healthcare environments. Proven ability to drive modernization through cloud transformation, analytics, and interoperability initiatives while managing complex P&Ls and fostering executive relationships.
Highest-signal resume keywords
Medicaid Pharmacy AdministrationPharmacy Benefit Management (PBM)Cloud TransformationProduct Lifecycle ManagementRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingPOS AdjudicationPrior AuthorizationData AnalyticsAPI-Enabled InteroperabilityLean MethodologySix SigmaAgile Product DevelopmentFinancial Performance ManagementBusiness Case Development
Soft Skills
Executive LeadershipStrategic DirectionRelationship BuildingCollaborationCommunication
Tools & Technologies
Healthcare SaaSAI-Enabled Decision SupportFHIR StandardsPharmacy Technology SolutionsClinical Edits
Industry Keywords
Medicaid RegulationsCMS GuidanceManaged Care PharmacyPharmacy Program IntegrityDrug Rebate Requirements
Tech Stack
Tools & technologiesCloud
About the role
Key responsibilities & impact- Drive the vision, strategy, growth, and execution of Gainwell's Medicaid Pharmacy Administration and Technology portfolio
- Provide executive leadership and strategic direction for the Medicaid Pharmacy Administration and Technology product portfolio
- Lead strategy and execution for enterprise pharmacy solutions including claims processing, POS adjudication, clinical edits, prior authorization, DUR, PDLs, supplemental rebates, PBM capabilities, analytics, and interoperability initiatives
- Partner with state Medicaid agencies, executive client leadership, pharmacy directors, CMS stakeholders, clinical teams, and technology organizations
- Drive modernization through cloud transformation, automation, API-enabled interoperability, FHIR standards, data analytics, AI-enabled decision support, and scalable product architecture
- Direct delivery and implementation of pharmacy administration solutions across multiple Medicaid clients
- Serve as executive sponsor for strategic pharmacy initiatives across Product Management, Engineering, Clinical Services, Operations, Sales, Account Management, Implementation, and Government Relations
- Manage P&L, investment strategy, revenue growth, margin improvement, pricing strategy, and long-term business planning for the Medicaid Pharmacy product portfolio
- Develop business cases for strategic investments, modernization, acquisitions, partnerships, and innovation initiatives; present recommendations to executive leadership and oversee execution
- Support new business pursuits, proposal development, executive presentations, solution strategy, and client demonstrations
- Build strategic partnerships with pharmacy technology vendors, clinical partners, industry organizations, and strategic alliances
- Ensure compliance with Medicaid regulations, CMS guidance, HIPAA, NCPDP standards, drug rebate requirements, pharmacy audit requirements, and contractual obligations
Requirements
What you’ll need- Twenty or more years of progressive leadership experience in healthcare technology, Medicaid, pharmacy administration, pharmacy benefit management (PBM), healthcare SaaS, or health information systems
- Demonstrated executive experience leading Medicaid Pharmacy Administration products, pharmacy claims systems, PBM platforms, pharmacy operations, or state Medicaid pharmacy technology solutions
- Deep knowledge of Medicaid pharmacy operations including pharmacy claims adjudication, NCPDP standards, POS processing, rebates, prior authorization, drug utilization review (DUR), preferred drug lists (PDLs), pharmacy provider management, and pharmacy benefit administration
- Strong understanding of federal and state Medicaid regulations, CMS guidance, managed care pharmacy, fee-for-service pharmacy programs, and pharmacy program integrity
- Experience defining enterprise product strategy, product lifecycle management, roadmap development, commercialization, and technology modernization within highly regulated healthcare environments
- Experience leading digital transformation initiatives involving cloud technologies, APIs, interoperability, analytics, automation, and AI-enabled healthcare solutions
- Fifteen or more years of executive leadership experience managing large cross-functional organizations
- Experience working with Lean, Six Sigma, Agile product development, and continuous improvement methodologies
- Experience managing complex P&Ls, investment planning, business case development, pricing strategy, and financial performance for large healthcare technology portfolios
- Proven success building executive relationships with state Medicaid agencies, healthcare executives, technology partners, and industry organizations
Benefits
Comp & perks- Work flexibility
- Learning and career development
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies