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Pharmacist, Advisor
Gainwell Technologies. Ensure compliance with state and federal regulations, including Medicaid requirements .
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