Drug Rebate Analyst - Remote US

Gainwell Technologies LLCAny city, OH
$35,900 - $51,300Remote

About The Position

The Drug Rebate Analyst – Remote, 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.

Requirements

  • 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.

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 preferred.

Responsibilities

  • 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.
  • 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.

Benefits

  • medical
  • dental
  • vision
  • 401(k) with company match
  • flexible paid time off
  • paid holidays
  • wellness programs
  • additional employee support resources
  • educational assistance
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