Drug Rebate Analyst

🕒 June 23

🇺🇸 United States – Remote

💵 $35.9k - $51.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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

• Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues • Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations • Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines • Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation • Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction

🎯 Requirements

• Active Certified Pharmacy Technician (CPhT) certification preferred • Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred • Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment • Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail

🏖️ Benefits

• medical • dental • vision • 401(k) with company match • flexible paid time off • paid holidays • wellness programs • additional employee support resources