Pharmacy Technician - Remote US
About The Position
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. SummaryAs an RI Account Pharmacy Technician at Gainwell Technologies, you will support the Rhode Island Medicaid pharmacy programs by serving as a subject matter expert across pharmacy operations, prior authorizations, and provider support. In this role, you will assist pharmacists, providers, and state partners to ensure accurate processing, regulatory compliance, and a high-quality experience for stakeholders supporting critical healthcare programs.Your role in our missionIn this role, you will support Gainwell’s commitment to operational excellence and compliance by:
Requirements
- High school diploma or GED, with active Pharmacy Technician registration or certification (PTCB, ExCPT, or equivalent, or ability to obtain within 12 months).
- At least 2 years of Pharmacy Technician experience in retail, hospital, managed care, insurance, PBM, or related healthcare settings.
- Working knowledge of pharmacy claims processing, prior authorizations, and government-sponsored pharmacy programs.
- Strong organizational and communication skills with the ability to manage multiple priorities.
- Proficiency with Microsoft Office and the ability to learn internal pharmacy systems.
- A 100% remote role requiring a reliable high-speed internet connection (minimum 24 Mbps download / 8 Mbps upload) to support daily systems and communication needs.
- A fast-paced work environment requiring consistent accuracy, timeliness, and high-quality service delivery.
- Frequent interaction with providers, internal teams, and external stakeholders via phone, email, and virtual meetings.
Responsibilities
- Processing prior authorization (PA) requests for RI Medicaid, including Point of Sale (POS) and Physician Administered Drugs (PAD), within established turnaround times.
- Supporting state pharmacy programs including RI Medicaid, AIDS Drug Assistance Program (ADAP), and Rhode Island Pharmaceutical Assistance to the Elderly (RIPAE/SPAP) by applying program policies and completing approvals when pharmacist clinical judgment is not required.
- Reviewing, resolving, and responding to pharmacy claims inquiries from providers, state agencies, and internal teams, including billing guidance and claims processing rules.
- Maintaining collaborative working relationships with state partners such as EOHHS, Office of Healthy Aging (OHA), and Department of Children, Youth and Families (DCYF).
- Ensuring accurate documentation of all inquiries and strict adherence to PHI, HIPAA, and data security requirements.
Benefits
- Opportunities for professional development and career advancement within Gainwell’s Provider Operations teams.
- A comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, floating holidays, and employee wellness programs.
- All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance.
- We also have a variety of leadership and technical development academies to help build your skills and capabilities.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
