Pharmacist, Advisor- Remote

Gainwell Technologies LLC•Any city, OH
•$90,900 - $129,900•Remote

About The Position

As a Pharmacist Advisor at Gainwell, you will provide clinical expertise and strategic guidance to support pharmacy programs, ensuring safe, effective, and compliant medication management solutions. You will advise on clinical policies, drug utilization, and pharmacy operations while collaborating with cross-functional teams to enhance program performance and patient outcomes. You will help align pharmacy strategies with regulatory requirements and organizational objectives. In addition to prior authorization activities, this role supports state meetings and state-required deliverables related to account operations. It provides broader clinical and operational support and is not solely focused on prior authorization responsibilities. This is a remote-based role within the United States, with flexibility to support client and business needs. The work schedule is 10:00 AM–7:00 PM CST for prior authorization coverage, with 0–10% travel.

Requirements

  • 2–4 years of clinical pharmacy experience.
  • Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements.
  • Strong analytical, communication, and stakeholder engagement skills.

Nice To Haves

  • Experience with Medicaid or Medicare pharmacy programs, or in PBM environments.

Responsibilities

  • Ensure compliance with state and federal regulations, including Medicaid requirements.
  • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments.
  • Perform peer-to-peer consultations with providers and support prescriber outreach for identified clinical interventions.
  • Provide clinical guidance to call center teams and support pharmacy-related inquiries and escalations.
  • Contribute to quality improvement initiatives, program optimization, and development of best practices.
  • Support state meetings and assist with state-required deliverables related to account operations.

Benefits

  • Flexible vacation policy for salaried, full-time candidates.
  • 401(k) employer match.
  • Comprehensive health benefits.
  • Educational assistance.
  • Leadership and technical development academies.
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