Principal Medicaid Pharmacy Strategist, PDL, Pricing & Contracting (Any city, IL

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 Principal Medicaid Pharmacy Strategist, PDL, Pricing & Contracting at Gainwell, you will contribute your pharmacy, Medicaid, analytical, and clinical expertise to support state Medicaid pharmacy programs and the populations they serve. This role supports the development and maintenance of Medicaid Preferred Drug Lists (PDLs), clinical coverage criteria, drug cost analyses, and supplemental rebate strategies.

The ideal candidate will be a pharmacist with extensive knowledge of Medicaid pharmacy operations, including drug pricing methodologies, supplemental rebate programs, Medicaid Drug Rebate Program concepts, clinical criteria development, and pharmacy point-of-sale (POS) claims processing. This position requires a strong ability to translate complex clinical, utilization, pricing, and rebate data into actionable recommendations for Medicaid clients.