
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.
🔥 3 minutes ago
🔔 Pennsylvania – Remote
💵 $90.9k - $129.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💊 Pharmacist
🦅 H1B Visa Sponsor
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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.
• Provide clinical expertise and strategic guidance to support pharmacy programs • Ensure compliance with state and federal regulations, including Medicaid/Medicare requirements • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments • Perform peer-to-peer consultations with providers and support prescriber outreach for identified clinical interventions • Provide clinical guidance to call center teams and support pharmacy-related inquiries and escalations • Contribute to quality improvement initiatives, program optimization, and development of best practices
• Active Pharmacist license (RPh or PharmD) required • Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements • Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred • Strong analytical, communication, and stakeholder engagement skills
• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies
Apply Now🔥 6 hours ago
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