Certified Pharmacy Analyst - Remote West Virginia

Date: Sep 17, 2025

Location:

Any city, WV, US, 99999

Req ID: 32595

Work Mode: Virtual (Exception only)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

At Gainwell Technologies, we put people first, making healthcare simpler and more effective for the communities we serve. We are seeking a WV Pharmacy Analyst to join our team. This role is remote but requires residency in West Virginia and an active WV Pharmacy Technician Certificate/License. You will play a key role in processing and analyzing pharmacy claims, ensuring compliance with state and federal guidelines, and supporting pharmacy operations.

Your role in our mission

As a WV Pharmacy Analyst, you will:

Review and analyze pharmacy claims to ensure compliance with established guidelines and accuracy of information.
Support prior authorization processes, including communication with providers and pharmacies.
Research and resolve claim discrepancies, including National Drug Codes (NDC) and First Data Bank (FDB) references.
Collaborate with internal teams to support program goals and operational performance.
Assist with reporting, audits, and quality assurance activities.
Provide technical guidance and support to internal teams and external stakeholders.

What we're looking for

3–5 years of experience as a Pharmacy Technician.
1–2 years of experience with First Data Bank (FDB) and/or National Drug Codes.
Familiarity with claims processing systems and procedures.
Residency in West Virginia and an active WV Pharmacy Technician Certificate/License.
Strong written and verbal communication skills.
Ability to collaborate effectively across teams and work independently.

What you should expect in this role

Fully remote position, but candidate must reside in West Virginia.
Reliable high-speed internet connection is required.
Standard schedule is Monday–Friday, with flexibility based on business needs.
Collaboration with internal and external stakeholders in a virtual environment.
Opportunities for growth and advancement through Gainwell University and professional development programs.
Annual performance evaluations with potential for merit-based increases.

#LI-REMOTE
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The pay range for this position is $40,900.00 - $58,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.