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Gainwell Technologies

Pharmacist, Advisor

Gainwell Technologies

. Ensure compliance with state and federal regulations, including Medicaid requirements .

Posted 10/16/2026full-timeRemote • United StatesJuniorMid-Level💰 $90,900 - $129,900 per yearWebsite

About the role

Key responsibilities & impact
  • Ensure compliance with state and federal regulations, including Medicaid requirements
  • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments
  • Perform peer-to-peer consultations with providers
  • Support prescriber outreach for identified clinical interventions
  • Provide clinical guidance to call center teams
  • Support pharmacy-related inquiries and escalations
  • Contribute to quality improvement initiatives and program optimization
  • Develop best practices
  • Support state meetings
  • Assist with state-required deliverables related to account operations
  • Provide broader clinical and operational support beyond prior authorization responsibilities
  • Collaborate with cross-functional teams to enhance program performance and patient outcomes
  • Align pharmacy strategies with regulatory requirements and organizational objectives

Requirements

What you’ll need
  • 2–4 years of clinical pharmacy experience required
  • Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements
  • Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred
  • Strong analytical, communication, and stakeholder engagement skills
  • Must support a 10:00 AM–7:00 PM CST work schedule for prior authorization coverage
  • Remote-based within the United States
  • Pharmacist clinical expertise and medication management knowledge

Benefits

Comp & perks
  • Flexible working hours
  • Work-life balance
  • Continuous learning and career development
  • Generous, flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
  • Leadership and technical development academies
  • 0–10% travel requirement