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

The Pharmacy Technician for this WI project will serve as a subject matter expert in both pharmacy knowledge and call center operations. Key responsibilities include answering incoming calls, processing prior authorization requests accurately, and assisting providers with inquiries via various media platforms such as fax, secure messaging, and chat.

Your role in our mission

• Ensure compliance with all PHI protocols and secure handling of confidential company data according to policy guidelines.
• Process prior authorization requests within the timeframes mandated by the State client.
• Complete authorization approvals for cases where all criteria are met, without the need for a pharmacist’s clinical judgment.
• Communicate effectively with providers regarding the status of their authorization submissions or other inquiries.
• Follow standard operating procedures for incoming calls, utilizing knowledge and resources to resolve issues on the initial contact.

What we're looking for

• Certified Pharmacy Technician.
• At least 2 years of experience as a pharmacy technician in settings such as retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management.
• Valid pharmacy technician license/certification/registration, as required by state law. If national certification is necessary, it must be from an accredited program (e.g., PTCB, ExCPT).
• Proficiency with general computer skills, including Microsoft Office, internet usage, and email.
• Flexibility to adjust work hours to meet peak demand times.

What you should expect in this role

• Work from Home : Reliable high-speed internet connectivity is essential. Minimum requirements are 24 Mbps download and 8 Mbps upload, with higher speeds recommended for optimal performance.
• Interview Requirement : Video cameras must be used during all interviews.
• Schedule : Monday to Friday, fully remote.

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The pay range for this position is $33,500.00 - $47,900.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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