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Gainwell TechnologiesPosted 10/20/2026full-timeRemote • North Carolina • United StatesMid-LevelSenior💰 $90,900 - $129,900 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical pharmacy with a focus on medication therapy management, Prior Authorization processes, and collaboration with healthcare professionals. Proficient in analyzing clinical data and implementing quality improvement initiatives within pharmacy operations.
Highest-signal resume keywords
PharmD Or B.S. In PharmacyRegistered Pharmacist With Active State LicensureFour Years Of Experience In Clinical PharmacyClinical Reviews Using Relevant CompendiaStrong Verbal And Written Communication Skills
About the role
Key responsibilities & impact- Facilitate review of clinical documentation and the Preferred Drug List to determine proper medication therapy
- Review Prior Authorization requests from medical professionals using Preferred Drug List criteria
- Conduct peer-to-peer discussions with medical providers regarding Prior Authorization reviews
- Contact prescribers for consultation and provide clinical information on prescribing practices identified as outliers
- Review Prior Authorization data and determine opportunities for interventions
- Collaborate on refinement of consultation scripting and use feedback to improve scripts
- Assist with implementation and management of written and verbal communications to members and physicians
- Provide consultation on pharmacy-related questions and issues within the organization
- Contribute to continuous quality improvement and identify improvement opportunities
- Collaborate with product leaders, Medical Directors, Clinical Pharmacists, and Clinical Specialty Pharmacists
- Stay current on medication information and contribute to pharmacy program best practices
- Contribute creative solutions to improve pharmacy team operational efficiency and effectiveness
- Perform other duties as assigned
Requirements
What you’ll need- PharmD or B.S. in Pharmacy with relevant specialty experience
- Registered Pharmacist with active state licensure
- Four years of experience in clinical pharmacy
- Experience coordinating and collaborating with work teams preferred
- Ability to perform clinical reviews using relevant compendia and clinical trial data
- Managed care pharmaceutical services experience is a plus
- Strong research and implementation skills in practical settings
- Analytical skills with the ability to translate findings into practical and pragmatic recommendations
- Strong team orientation and respect for all team members
- Excellent interpersonal skills, with the ability to successfully consult and collaborate with internal and external stakeholders who do not directly report to this role
- Strong verbal and written communication skills
- Proficiency with Microsoft Office products and the ability to quickly learn proprietary systems
- Must be available to work evenings, weekends, or holidays as needed
- Role is remote within the United States
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical PharmacyMedication Therapy ManagementPrior Authorization ReviewData AnalysisResearch SkillsImplementation SkillsConsultation Skills
Soft Skills
Team OrientationInterpersonal SkillsCollaboration SkillsAnalytical Skills
Tools & Technologies
Microsoft Office ProductsProprietary Systems
Certifications & Qualifications
Registered Pharmacist
Industry Keywords
Managed Care Pharmaceutical ServicesClinical DocumentationPreferred Drug ListQuality ImprovementPharmacy Program Best Practices