Pharmacy Prior Authorization Technician - Remote US

Date: Nov 16, 2025

Location:

Any city, CT, US, 99999

Req ID: 31521

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

Join Gainwell Technologies and support the Connecticut Medicaid program as a Pharmacy Prior Authorization Technician. You will process high-volume prior authorization requests, analyze claims information, and ensure accurate and timely clinical determinations. This fully remote position requires an active Pharmacy Technician License issued by any U.S. state; a national CPhT certification is preferred.

Your role in our mission

• Active Pharmacy Technician License issued by any U.S. state (CPhT preferred).
• Knowledge of pharmacy claims, dispensing systems, and medication workflows.
• Ability to work independently and meet productivity goals in a fast-paced environment.
• Proficiency with Microsoft Office applications and electronic documentation tools.
• Strong communication, organization, time management, and problem-solving skills.

What we're looking for

• 3+ years of experience in retail pharmacy or similar high-volume pharmacy settings.
• Experience with Medicaid, Medicare Part D, or state pharmaceutical programs.
• 2+ years of customer service or pharmacy support experience.
• Experience using pharmacy software systems and processing electronic requests.
• Prior experience managing shared Outlook mailboxes or workflow queues.

What you should expect in this role

• Fully remote role; must reside within the Continental United States.
• Standard schedule: Monday–Friday, 9:00am–5:30pm Eastern Time; some holiday coverage may be required.
• Reliable high-speed internet connection required (minimum 24 Mbps download / 8 Mbps upload).
• Comprehensive Gainwell benefits package including medical, dental, vision, 401(k), and paid time off.
• Join a collaborative team responsible for timely and accurate prior authorization processing.

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The pay range for this position is $33,500.00 - $47,900.00 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.