Gainwell Technologies
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.
Prior Authorization Pharmacy Technician
🕒 June 25
🌽 Illinois – Remote
💵 $38.4k - $54.9k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
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Gainwell Technologies
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
• Process prior authorization requests with an emphasis on DDI screening and clinical accuracy • Review medication profiles to identify potential drug-drug interactions and risks • Collaborate with pharmacists and clinical teams to support reviews, escalations, and approvals • Maintain accurate and compliant documentation of all reviews and decisions • Meet established productivity, quality, and service level benchmarks • Support the implementation of prior authorization processes across multiple programs and accounts
🎯 Requirements
• High school diploma or equivalent required • Pharmacy Technician certification required in accordance with state regulations, where applicable • 2+ years of experience in PBM, pharmacy operations, or prior authorization environments • Familiarity with DDI screening tools, pharmacy systems, and clinical review processes • Strong attention to detail with a focus on accuracy, compliance, and quality.
🏖️ Benefits
• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies
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