About Gainwell
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. 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
The Pharmacy Technician for Texas Vendor Pharmacy Modernization (VPM) project is expected to be a subject matter expert in areas of pharmacy knowledge as well as call center operations. Duties will include, but are not limited to:
- Answering incoming calls
- Appropriate processing of prior authorization requests
- Assisting providers with inquiries through other media platforms (fax, secure messaging, chat)
Your role in our mission
- Remain compliant with all PHI protocols and requirements, including the handling of company confidential data according to policy and guidelines
- Adhere to existing security policies and procedures
- Process submitted prior authorization requests within the required time frame mandated by the State client
- Completion of approval process for prior authorizations where all criteria are met, and clinical judgement of a pharmacist is not required
- Complete necessary communication with providers regarding the status of their authorization submission or any other inquiries
- Follow standard operating procedures to receive incoming calls and use learned knowledge and resources to resolve the call on initial contact
- Provide a positive experience when communicating with members and providers
- Complete outreach to providers to obtain information when required
- Appropriately document all inquiries received via phone, fax, or chat for providers
- Provide a high level of customer care with our providers
- Meet all department requirements, goals, and performance expectations
- Complete all tasks assigned within regulatory guidelines
- Actively identify areas of inefficiencies and provide innovative suggestions to leadership to keep processes current
- Develop an understanding of the client’s business and apply knowledge to support efficient procedures and adherence to service level agreements
- Perform standard, recurring processing and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrate knowledge and skill in assigned work processes
- Complete any additional job-related tasks as requested
What we’re looking for
- 2 years of relevant experience as a pharmacy technician in retail pharmacy, hospital pharmacy, managed care, insurance, or pharmacy benefit management
- Valid pharmacy technician license/certification/registration as required by state law. If national certification is required, it must be from an accredited pharmacy technician certification program (e.g., PTCB, ExCPT, etc.)
- General computer knowledge including Microsoft Office, use of the internet, and email is required
- Willingness to work a flexible schedule to accommodate peak volume times
What you should expect in this role
- Work from Home in the El Paso, TX area; reliable high-speed internet connectivity is required
- Employees working-from-home may be asked to report to the office, at times, to support work efforts
Job Type: Full-time
Pay: $29,100.00 – $41,600.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
- Work from home
Schedule:
- 8-hour shift
- Day shift
- Monday to Friday
- Weekends as needed
Experience: Pharmacy technician: 2 years (Required)
License/Certification: Pharmacy Technician Certification (Required)
Work Location: Remote
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