Certified Pharmacy Technician

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $39k - $52k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Maintain day-to-day relationships with state agency personnel • Support eligibility updates, reporting, formulary activities, and prior authorization support • Support state agency pharmacy programs, policies, processes, and reporting requirements • Support POS and HCPCS adjudication related to medication prior authorizations • Review, research, and process pharmacy prior authorization requests according to established criteria, policies, regulatory requirements, FDA guidance, and service-level expectations • Research and resolve program, member, provider, and pharmacy inquiries • Document activity accurately • Address provider enrollment questions involving limited distribution drugs • Partner with internal departments on pharmacy initiatives • Provide pharmacy program subject-matter expertise • Identify opportunities to improve quality and operational performance

🎯 Requirements

• Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required • Two or more years of relevant pharmacy technician experience • Experience preferably within managed care, health insurance, PBM, pharmacy benefits, Medicaid, or a related healthcare environment • Experience with pharmacy prior authorizations, prescription claims, medication terminology, and member, provider, or pharmacy support • Experience with POS claims, HCPCS, provider enrollment, formularies, eligibility, or related pharmacy program operations highly desirable • Strong communication, research, problem-solving, computer, and organizational skills • Ability to navigate multiple systems in a fast-paced remote environment • Reside within the United States • Reliable high-speed internet and a professional, distraction-free home workspace • Ability to work Monday through Friday, 8:00 a.m.–5:00 p.m. Eastern Time

🏖️ Benefits

• Medical, dental, and vision benefits • 401(k) options • 401(k) employer match • Flexible vacation policy • Educational assistance • Leadership and technical development academies • Flexible work hours • Career development and continuous learning opportunities • Work-life balance