Pharmacist, Advisor

Gainwell Technologies

. Conduct clinical evaluations of medication therapy and review prior authorization requests using established clinical guidelines and Preferred Drug List criteria .

Posted 11/6/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $90,900 - $129,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical pharmacy evaluations, prior authorization processes, and medication therapy management, while effectively collaborating with healthcare providers and stakeholders to enhance pharmacy services and operational improvements.

Highest-signal resume keywords

Doctor Of Pharmacy (PharmD)Active Pharmacist LicenseClinical Pharmacy ExperienceClinical Review Using GuidelinesMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical EvaluationsPrior Authorization ReviewsMedication Therapy ManagementClinical Pharmacy ConsultationsData AnalysisResearch SkillsClinical Guidelines ApplicationDrug Compendia KnowledgeQuality Improvement IdentificationOperational Improvement Support

Soft Skills

Analytical SkillsCommunication SkillsProblem-Solving SkillsCollaboration SkillsTeam Skills

Tools & Technologies

Proprietary SystemsClinical Call Center Support

Certifications & Qualifications

Pharmacist License

Industry Keywords

Medication TherapyPrior AuthorizationClinical PharmacyPharmacy Best PracticesDrug List Criteria

About the role

Key responsibilities & impact

Conduct clinical evaluations of medication therapy and review prior authorization requests using established clinical guidelines and Preferred Drug List criteria
Participate in peer-to-peer discussions with medical providers regarding prior authorization reviews, clinical determinations, and appropriate medication therapy
Provide clinical pharmacy consultations and interventions
Review prior authorization data to identify prescribing trends and opportunities for intervention
Support Clinical Call Center and Prior Authorization operations with pharmacy expertise
Assist with communications to members, providers, and internal teams
Collaborate with Medical Directors, Clinical Pharmacists, Clinical Specialty Pharmacists, and other stakeholders
Maintain clinical integrity and advance pharmacy program best practices
Identify and support quality and operational improvements that enhance pharmacy programs and services

Requirements

What you’ll need

Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy with relevant specialty experience
Active, unrestricted pharmacist license in the applicable state
At least four years of clinical pharmacy experience
Experience conducting clinical reviews using recognized drug compendia, clinical guidelines, and clinical trial data
Strong analytical, research, communication, and problem-solving skills
Ability to translate clinical findings into practical recommendations
Strong collaboration and team skills
Proficiency in Microsoft Office
Ability to quickly learn proprietary systems
Ability to work Eastern Time Zone hours

Benefits

Comp & perks

Flexible hours
Work-life balance
Continuous learning and career development
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies