Certified Pharmacy Technician
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Job Description
Certified Pharmacy Technician supporting Gainwell’s healthcare programs with pharmacy claims, benefits, and prior authorizations. Resolving member and provider inquiries remotely while maintaining compliant documentation.
Responsibilities:
- Support members, providers, and pharmacies with 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 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
- Support pharmacy-related operations across various programs and clients
- Participate in training and professional development opportunities
Requirements:
- Active Certified Pharmacy Technician (CPhT) certification preferred
- 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
- 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
Benefits:
- Work flexibility
- Learning and career development
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) with company match
- Flexible paid time off
- Paid holidays
- Wellness programs
- Additional employee support resources
- Professional development opportunities
- Educational assistance
- Leadership and technical development academies
- Generous flexible vacation policy
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