Certified Pharmacy Technician

Gainwell Technologies

. Maintain day-to-day relationships with state agency personnel .

Posted 10/27/2026full-timeRemote • United StatesJuniorMid-Level💰 $39,000 - $52,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in pharmacy program operations, including prior authorizations, eligibility updates, and formulary management. Strong communication and problem-solving skills are essential for navigating complex inquiries and improving operational performance.

Highest-signal resume keywords

Certified Pharmacy Technician CredentialPharmacy Prior AuthorizationsManaged Care ExperiencePOS Claims ProcessingStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Technician ExperienceMedication TerminologyPrescription ClaimsProvider EnrollmentEligibility UpdatesFormulary ManagementRegulatory RequirementsResearch and DocumentationAdjudication ProcessesOperational Performance Improvement

Soft Skills

Problem-Solving SkillsOrganizational SkillsResearch SkillsCommunication Skills

Certifications & Qualifications

Certified Pharmacy Technician (PTCB/CPhT, ExCPT)

Industry Keywords

Managed CareHealth InsurancePharmacy Benefits Manager (PBM)MedicaidPharmacy ProgramsHCPCSPOS AdjudicationPrior Authorization SupportState Agency CollaborationQuality Improvement

About the role

Key responsibilities & impact

Maintain day-to-day relationships with state agency personnel
Support eligibility updates, reporting, formulary activities, and prior authorization support
Support state agency pharmacy programs, policies, processes, and reporting requirements
Support POS and HCPCS adjudication related to medication prior authorizations
Review, research, and process pharmacy prior authorization requests according to established criteria, policies, regulatory requirements, FDA guidance, and service-level expectations
Research and resolve program, member, provider, and pharmacy inquiries
Document activity accurately
Address provider enrollment questions involving limited distribution drugs
Partner with internal departments on pharmacy initiatives
Provide pharmacy program subject-matter expertise
Identify opportunities to improve quality and operational performance

Requirements

What you’ll need

Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required
Two or more years of relevant pharmacy technician experience
Experience preferably within managed care, health insurance, PBM, pharmacy benefits, Medicaid, or a related healthcare environment
Experience with pharmacy prior authorizations, prescription claims, medication terminology, and member, provider, or pharmacy support
Experience with POS claims, HCPCS, provider enrollment, formularies, eligibility, or related pharmacy program operations highly desirable
Strong communication, research, problem-solving, computer, and organizational skills
Ability to navigate multiple systems in a fast-paced remote environment
Reside within the United States
Reliable high-speed internet and a professional, distraction-free home workspace
Ability to work Monday through Friday, 8:00 a.m.–5:00 p.m. Eastern Time

Benefits

Comp & perks

Medical, dental, and vision benefits
401(k) options
401(k) employer match
Flexible vacation policy
Educational assistance
Leadership and technical development academies
Flexible work hours
Career development and continuous learning opportunities
Work-life balance