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

As a Prior Authorization Pharmacy Technician – Remote, you will support our pharmacy benefit management (PBM) services by managing incoming provider inquiries, processing prior authorizations, and ensuring accurate and timely communication. Your role combines pharmacy expertise with exceptional customer service in a call center environment.

Your role in our mission

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

• Handle inbound and outbound calls related to prior authorization requests and provider inquiries.

• Accurately process and document prior authorization requests within required timeframes.

• Provide courteous and knowledgeable support to healthcare providers across multiple communication platforms (phone, email, fax, web).

• Ensure all communications and data handling are compliant with HIPAA and internal confidentiality protocols.

• Collaborate with cross-functional teams to resolve issues and improve service delivery.

What we're looking for

• At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM.

• Active pharmacy technician license.

• Strong communication, documentation, and problem-solving skills.

• Proficient in Microsoft Office, email, and internet usage.

• Comfortable working in a fast-paced, team-oriented, call center environment.

What you should expect in this role

• • Remote, full-time position with flexible scheduling to accommodate business needs.

  • Fast-paced, high-volume call center environment focused on provider support.

  • Ongoing training and development to enhance pharmacy and service skills.

  • Collaborative culture where innovation and suggestions for process improvements are welcomed.

  • Opportunity to positively impact provider satisfaction and member care through quality service.

  #LI-REMOTE

  #LI-JT1

  #LI-CM1

The pay range for this position is $35,000.00 - $50,000.00 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. 

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