Gainwell Technologies · 7 hours ago
Pharmacy Technician - Remote US
United States
Full-time
Remote
Entry, Mid Level
$35K/yr - $50K/yr
2+ years expGainwell Technologies is focused on solving complex healthcare challenges and is seeking a Pharmacy Technician to support Rhode Island Medicaid pharmacy programs. The role involves serving as a subject matter expert in pharmacy operations, processing prior authorization requests, and ensuring regulatory compliance.
Health CareInformation Technology
Responsibilities
Processing prior authorization (PA) requests for RI Medicaid, including Point of Sale (POS) and Physician Administered Drugs (PAD), within established turnaround times
Supporting state pharmacy programs including RI Medicaid, AIDS Drug Assistance Program (ADAP), and Rhode Island Pharmaceutical Assistance to the Elderly (RIPAE/SPAP) by applying program policies and completing approvals when pharmacist clinical judgment is not required
Reviewing, resolving, and responding to pharmacy claims inquiries from providers, state agencies, and internal teams, including billing guidance and claims processing rules
Maintaining collaborative working relationships with state partners such as EOHHS, Office of Healthy Aging (OHA), and Department of Children, Youth and Families (DCYF)
Ensuring accurate documentation of all inquiries and strict adherence to PHI, HIPAA, and data security requirements
Qualification
Required
High school diploma or GED
Active Pharmacy Technician registration or certification (PTCB, ExCPT, or equivalent, or ability to obtain within 12 months)
At least 2 years of Pharmacy Technician experience in retail, hospital, managed care, insurance, PBM, or related healthcare settings
Working knowledge of pharmacy claims processing, prior authorizations, and government-sponsored pharmacy programs
Strong organizational and communication skills with the ability to manage multiple priorities
Proficiency with Microsoft Office and the ability to learn internal pharmacy systems
Reliable high-speed internet connection (minimum 24 Mbps download / 8 Mbps upload)
Benefits
Medical
Dental
Vision
401(k) with company match
Paid time off
Floating holidays
Employee wellness programs
Educational assistance
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase