Prior Authorization Pharmacy Technician - Remote US

IL PA Technician - DDI Remote US

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.

Summary Supports prior authorization (PA) processing with a focus on Drug-Drug Interaction (DDI) review within PBM operations. Helps ensure safe, accurate, and compliant medication approvals while contributing to quality clinical support and operational efficiency.

Your Role in Our Mission Process prior authorization requests with an emphasis on DDI screening and clinical accuracy Review medication profiles to identify potential drug-drug interactions and risks Collaborate with pharmacists and clinical teams to support reviews, escalations, and approvals Maintain accurate and compliant documentation of all reviews and decisions Meet established productivity, quality, and service level benchmarks Support the implementation of prior authorization processes across multiple programs and accounts

What We're Looking For High school diploma or equivalent required Pharmacy Technician certification required in accordance with state regulations, where applicable 2+ years of experience in PBM, pharmacy operations, or prior authorization environments Familiarity with DDI screening tools, pharmacy systems, and clinical review processes Strong attention to detail with a focus on accuracy, compliance, and quality

What You Should Expect in This Role Fully remote (U.S.) work environment Clinical-support role within PBM pharmacy operations Focus on patient safety, accuracy, and regulatory compliance Ongoing collaboration with pharmacists and clinical teams

The pay range for this position is $38,400.00 - $54,900.00 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.