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 Certified Pharmacy Technician supports pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, pharmacy claims inquiries, benefit questions, and other pharmacy-related services. This role works in a fast-paced, high-volume environment while ensuring accuracy, compliance, and exceptional customer service. The ideal candidate combines strong pharmacy knowledge with excellent communication skills and a commitment to supporting healthcare outcomes.

Your role in our mission

• Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.
• Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.
• Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.
• Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.
• Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.

What we're looking for

• Active Certified Pharmacy Technician (CPhT) certification required.
• Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.
• Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.
• Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.
• Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.

What you should expect in this role

• Support pharmacy-related operations serving members, providers, pharmacies, and healthcare professionals across a variety of programs and clients.
• Research and resolve pharmacy inquiries related to benefits, claims, medications, prior authorizations, and other pharmacy services.
• Utilize multiple systems and resources to investigate issues, document interactions, and provide timely and accurate resolutions.
• Participate in training and professional development opportunities designed to expand pharmacy, healthcare, and customer service knowledge.
• Remote work environment with opportunities for professional growth and a comprehensive benefits package including medical, dental, vision, 401(k) with company match, flexible paid time off, paid holidays, wellness programs, and additional employee support resources.

This is a pipeline requisition intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position in the near future.

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The pay range for this position is $37,440 - $47,840 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 , 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 and visit our 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.

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