
10,000+ employees
đź’Ľ Consulting
📦 Logistics
⚕️ Healthcare Insurance
đź’° 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.
đź•’ 6 days ago
🇺🇸 United States – Remote
đź’µ $44.9k - $64.1k / year
⏰ Full Time
đźź Senior
đź’Š Pharmacist
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10,000+ employees
đź’Ľ Consulting
📦 Logistics
⚕️ Healthcare Insurance
đź’° 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.
• 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 while maintaining HIPAA, PHI, and program compliance • 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
• Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required • Two (2) or more years of relevant pharmacy technician experience • 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
• Flexible hours • Work-life balance • Continuous learning and career development • Medical, dental, and 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
Apply Nowđź•’ September 10
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