Certified Senior Pharmacy Technician

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $44.9k - $64.1k / year

⏰ Full Time

🟠 Senior

💊 Pharmacist

🦅 H1B Visa Sponsor

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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

• Review, research, and process pharmacy prior authorization requests according to established criteria, policies, regulatory requirements, and service-level agreements • Research and resolve member, provider, and pharmacy inquiries and escalations • Provide accurate information and appropriate follow-up • Document calls, authorization activity, inquiries, and resolutions • Maintain compliance with HIPAA, PHI, and applicable program requirements • Serve as a pharmacy subject matter resource • Support new-hire training, continuing education, coaching, and development of pharmacy technician team members • Monitor quality and operational trends • Identify improvement opportunities • Collaborate with supervisors and leadership to support service, productivity, and quality goals

🎯 Requirements

• Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required • Two (2) or more years of relevant pharmacy technician experience • Experience preferably within managed care, health insurance, PBM, pharmacy benefits, or a related healthcare environment • Experience with pharmacy prior authorizations, prescription claims, medication terminology, and member, provider, or pharmacy support • Experience training, coaching, mentoring, or serving as a subject matter resource preferred • Strong communication, research, problem-solving, computer, and organizational skills • Ability to navigate multiple systems and work effectively in a fast-paced remote environment • Reside within the United States • Reliable high-speed internet • Professional, distraction-free home workspace

🏖️ Benefits

• Flexible hours • Work-life balance • Continuous learning and career development • Medical coverage • Dental coverage • Vision coverage • 401(k) retirement savings plan • 401(k) employer match • Paid time off • Wellness programs • Financial programs • Flexible vacation policy • Educational assistance • Leadership and technical development academies