Gainwell Technologies

Clinical Pharmacist Advisor- Remote

Gainwell Technologies$115K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Registered Pharmacist with State Licensure
  • PharmD (preferred) or Bachelor of Pharmacy
  • 5+ years in a pharmacy setting or pharmacy benefit management
  • Knowledge of Medicaid regulations at state/federal levels
  • Understanding of pharmacy-related aspects of Medicaid
  • Familiarity with HIPAA regulations

Responsibilities

  • Conduct clinical evaluations of medication therapy and review prior authorization requests
  • Facilitate peer-to-peer discussions regarding prior authorization decisions
  • Collaborate with prescribers and internal teams for clinical consultations
  • Support call center operations with clinical guidance
  • Act as a subject matter expert for pharmacy-related inquiries
  • Contribute to quality improvement initiatives and program enhancements
  • Provide input on drug utilization reviews and formulary management

Benefits

  • Remote work opportunity
  • Minimal travel requirement (0-10%)
  • Generous flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance and development programs
Full Job Description
Summary

The account Pharmacist will work directly with the account Pharmacy Manager and the state Pharmacy Program Director to operate the Medicaid prescription drug program within state budget and according to legislative requirements and laws.

Your role in our mission

  • Conduct clinical evaluations of medication therapy and review prior authorization requests using PDL criteria
  • Facilitate peer-to-peer discussions with providers regarding prior authorization decisions
  • Collaborate with prescribers and internal teams on clinical consultations and targeted interventions
  • Support call center operations by providing clinical guidance and assisting with provider/member communicationsServe as a subject matter expert for pharmacy-related questions across the organization
  • Contribute to quality improvement initiatives and program enhancements
  • Maintain clinical expertise and collaborate with cross-functional teams on pharmacy best practices
  • Provide input on drug utilization reviews and formulary managementSupport Medicaid Drug Rebate Program operations and assist with state pharmacy audits
  • Deliver training to pharmacy providers and contribute to reporting and administrative activities


What we're looking for

  • Registered Pharmacist with respective State Licensure
  • PharmD (preferred) or Bachelor of Pharmacy degree
  • At least 5 years of experience working in a pharmacy setting or pharmacy benefit management system.
  • Knowledge of Medicaid at the state and/or federal level.
  • Knowledge of pharmacy-related aspects of Medicaid.
  • Working knowledge of HIPAA regulations and requirements.


What you should expect in this role

  • Remote opportunity within the United States
  • Travel: 0-10%


This is a pipeline requisition, and applications will be accepted on an ongoing basis.

The pay range for this position is $115,000.00 - $150,000.00 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.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

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