[Hiring] Prior Authorization Pharmacy Technician @Gainwell Technologies LLC

Role Description

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.

• 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.

Qualifications

• At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM.
• Active and current Certified Pharmacy Technician (CPhT) credential.
• 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.

Requirements

• Remote, full-time position with scheduling flexibility based on business and operational needs.
• Fast-paced, high-volume call center environment focused on supporting providers with accuracy and professionalism.
• Ongoing training and development designed to strengthen pharmacy knowledge, customer support skills, and overall performance.
• Collaborative team culture where continuous improvement, innovation, and process enhancement ideas are encouraged.

Benefits

• Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and other employee support programs.
• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• Leadership and technical development academies to help build your skills and capabilities.