Certified Pharmacy Technician - Remote US

Gainwell Technologies LLC•Any city, OH
•$41,600 - $47,900•Remote

About The Position

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. The role operates in a fast-paced, high-volume environment and requires accuracy, compliance, and excellent customer service. The technician researches and resolves pharmacy claims, eligibility, coverage, medication-related concerns, and other pharmacy inquiries; reviews, documents, and processes transactions and requests in accordance with client, regulatory, and operational guidelines; and uses multiple systems and resources to investigate issues and deliver accurate resolutions. The position collaborates with internal teams, healthcare professionals, and external stakeholders to support service quality and member satisfaction. It is a remote role supporting members, providers, pharmacies, and healthcare professionals across a variety of programs and clients. Training and professional development opportunities are available. This is a pipeline requisition for anticipated future business needs, with applications and screenings reviewed on an ongoing basis.

Requirements

  • Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.
  • Strong customer service, communication, and problem-solving skills.
  • Ability to work effectively in a fast-paced, high-volume environment.
  • Proficiency using pharmacy systems, multiple computer applications, and documentation tools.
  • Accuracy and attention to detail.

Nice To Haves

  • Active Certified Pharmacy Technician (CPhT) certification.
  • Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service.

Responsibilities

  • Respond to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues from members, providers, and pharmacies.
  • Research and resolve pharmacy claims, eligibility, coverage, medication-related concerns, and other pharmacy inquiries while meeting service level expectations.
  • Review, document, and process pharmacy transactions and requests according to client, regulatory, and operational guidelines.
  • Use multiple systems and resources to 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.
  • Provide timely and accurate resolutions and document interactions.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) with company match.
  • Flexible paid time off; salaried, full-time candidates are eligible for a flexible vacation policy.
  • Paid holidays.
  • Wellness programs.
  • Employee support resources.
  • Educational assistance.
  • Leadership and technical development academies.
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