Prior Authorization Pharmacy Technician - Remote US
Location: Any city, TX, US, 99999
Work Mode: Virtual (Exception only)
Summary
As a Prior Authorization Pharmacy Technician – Remote, you will support our pharmacy benefit management (PBM) services by managing incoming provider inquiries, processing prior authorizations, and ensuring accurate and timely communication. Your role combines pharmacy expertise with exceptional customer service in a call center environment.
Your role in our mission
Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.
Handle inbound and outbound calls related to prior authorization requests and provider inquiries.
Accurately process and document prior authorization requests within required timeframes.
Provide courteous and knowledgeable support to healthcare providers across multiple communication platforms (phone, email, fax, web).
Ensure all communications and data handling are compliant with HIPAA and internal confidentiality protocols.
Collaborate with cross-functional teams to resolve issues and improve service delivery.
What we're looking for
At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM.
Strong communication, documentation, and problem-solving skills.
Proficient in Microsoft Office, email, and internet usage.
Comfortable working in a fast-paced, team-oriented, call center environment.
What you should expect in this role
- Remote, full-time position with scheduling flexibility based on business and operational needs
- Fast-paced, high-volume call center environment focused on supporting providers with accuracy and professionalism
- Ongoing training and development designed to strengthen pharmacy knowledge, customer support skills, and overall performance
- Collaborative team culture where continuous improvement, innovation, and process enhancement ideas are encouraged
- Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and other employee support programs
The pay range for this position is[[salaryMin]]-[[salaryMid]] per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.
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.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
#J-18808-LjbffrRecommended Jobs
Business Development Manager - Power Geotech Construction (PDE)
Overview NOTE: this role is remote in the US, with a preference for candidates to be based in the states of CA, CO, LA, OR, TX, or WA Who is GeoStabilization International? GeoStabilization I…
Intake Transfer RN Nights - 3/4 Split
The Transfer Center RN is responsible for evaluating, coordinating, processing, screening, and documentation of patient transfers into the SABHH. The Transfer Center RN will collaborate with relevant…
Server
For this position, pay will be variable by location - plus tips. Our Winning Family Starts With You! Check out these great benefits! ~ Flexible schedules to help you balance other life co…
Remote: Dual‑Licensed Real Estate & Mortgage Advisor
A forward-thinking mortgage brokerage is seeking proactive Dually Licensed Agents to thrive in both Real Estate and Mortgage sectors. The role includes comprehensive training, competitive compensation…
Director of Finance
At Houston Methodist, the Director Finance position is responsible for directing the financial operations and financial planning of assigned entity and ensures the smooth running of the hospital's fin…
QA Tester — Remote, Quality & Accessibility Champion
A leading consultancy in the arts seeks a Quality Assurance Tester to enhance digital products for the performing arts community. Responsibilities include testing digital platforms, developing test pl…
Texas DPS Qualified Manager (Level 3 or 4) Job
Qualified Manager Job Remote (Texas‑based only) Part‑Time | Contract | Monthly Retainer | Flexible Remote Work Quick Fit Check ✅ Management ✅ Team management ✅ Shift management ✅ Vali…
Remote Bookkeeper
We are seeking a bookkeeper to manage all our finances. Your responsibilities will include tracking our organizations revenue, expenses, and taxes, as well as producing financial reports. You will al…
CLIENT SERVICE REPRESENTATIVE
Job Description Client Service Representative On-Site Monday - Friday, 9:00 am - 6:00 pm CST Springfield, IL, Dallas Fort Worth TX, Wilmington, DE If you’ve worked in the retail, hospi…
HR Business Partner
DSV - Global transport and logistics In 1976, ten independent hauliers joined forces and founded DSV in Denmark. Since then, DSV has evolved to become the world's 3rd largest supplier of global sol…