Job Description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Join Gainwell as a Certified Senior Pharmacy Technician and play an important role in supporting pharmacy benefit operations and delivering quality service to members, providers, and pharmacies. In this fully remote role, you will serve as a pharmacy subject matter resource, process and research prior authorization requests, resolve escalated pharmacy inquiries, and support pharmacy technicians through training and coaching. This opportunity is ideal for an experienced Certified Pharmacy Technician who thrives in a fast-paced healthcare environment and enjoys combining pharmacy knowledge with customer service and problem-solving.

Your role in our mission

1. Review, research, and process pharmacy prior authorization requests in accordance with established criteria, policies, regulatory requirements, and service-level agreements.
2. Research and resolve member, provider, and pharmacy inquiries and escalations while providing accurate information and appropriate follow-up.
3. Accurately document calls, authorization activity, inquiries, and resolutions while maintaining compliance with HIPAA, PHI, and applicable program requirements.
4. Serve as a subject matter resource and support new-hire training, continuing education, coaching, and development of pharmacy technician team members.
5. Monitor quality and operational trends, identify opportunities for improvement, and collaborate with supervisors and leadership to support service, productivity, and quality goals.

What we're looking for

1. Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required.
2. Two (2) or more years of relevant pharmacy technician experience, preferably within managed care, health insurance, PBM, pharmacy benefits, or a related healthcare environment.
3. Experience with pharmacy prior authorizations, prescription claims, medication terminology, and member, provider, or pharmacy support.
4. Experience training, coaching, mentoring, or serving as a subject matter resource for pharmacy technicians or healthcare operations staff preferred.
5. Strong communication, research, problem-solving, computer, and organizational skills with the ability to navigate multiple systems and work effectively in a fast-paced remote environment.

What you should expect in this role

1. Full-time, non-exempt, 100% remote/work-from-home position for candidates residing within the United States.
2. Monday through Friday work environment; 8am-4:30pm EST or 9am-5:30pm EST.
3. Frequent interaction with members, providers, pharmacies, pharmacy technicians, leadership, and other internal stakeholders while independently managing assigned responsibilities.
4. Reliable high-speed internet and a professional, distraction-free home workspace are required to effectively perform remote responsibilities.
5. Eligible employees have access to Gainwell benefits, including medical, dental and vision coverage, a 401(k)-retirement savings plan, paid time off, and additional wellness and financial programs, subject to applicable eligibility requirements.

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The pay range for this position is $44,900.00 - $64,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.