Remote Position

Certified Pharmacy Analyst - Remote West Virginia

🌍 Remote Β· United States πŸ’Ό Full-time

SummaryAt 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 missionAs 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 for3-5 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 roleFully 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-REMOTELI-JT1The 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 , and educational assistance.We also have a variety of leadership and technical development academies to help build your skills and capabilities.. Experience: 3 years required

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