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Certified Pharmacy Technician - Remote US

Work from home Full-time role Hiring

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

Gainwell Technologies is hiring a Certified Pharmacy Technician - Remote US to support our PBM clinical/technical call center. In this fully remote role, you'll handle provider calls, process prior authorizations, and resolve pharmacy inquiries across multiple channels-while protecting PHI and meeting strict turnaround times. Your role in our mission

  • Process prior authorization (PA) requests within mandated state timeframes and complete approvals when pharmacist review isn't required.
  • Field and resolve provider inquiries on first contact; document all interactions accurately in the appropriate systems.
  • Conduct proactive outreach to providers to obtain missing information and close PA cases.
  • Follow SOPs, meet productivity/quality KPIs, and complete assigned tasks within regulatory guidelines.
  • Flag inefficiencies and recommend process improvements to keep workflows current and compliant.

What we're looking for

  • Active Pharmacy Technician registration with a Board of Pharmacy or national certification (PTCB, ExCPT, etc.).
  • 2+ years' experience as a pharmacy tech (retail, hospital, managed care, PBM or insurance).
  • Strong knowledge of drug names, medical terminology, and pharmacy insurance/claims processes.
  • Excellent verbal/written communication, accuracy, and attention to detail in a fast-paced, metrics-driven environment.
  • Proficiency with Microsoft Office and ability to learn internal systems quickly while working independently or in a team.

What you should expect in this role

  • 100% remote call center work with scheduled shifts; flexibility may be needed during peak volumes.
  • High-volume provider interaction via phone, email, fax, and web portals.
  • Strict adherence to PHI/HIPAA and state regulatory timelines.
  • Performance expectations tied to quality, accuracy, and efficiency metrics.
  • Collaborative support from leadership and opportunities to suggest process improvements.

#LI-REMOTE #LI-JT1 The pay range for this position is [[salaryMin]] - [[salaryMid]] 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. Apply tot his job Apply To this Job

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