Urwah Admin

Gainwell Technologies LLC

<div><div><div><div><div><h1 class="jobSectionHeader"><b>EDI Helpdesk Representative - Remote US
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 20, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, MT, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36698
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As an <b>EDI Helpdesk Representative - Remote US</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve, a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges.</p>
<p>This position supports Gainwell's Montana Medicaid operations while offering the flexibility of working remotely from anywhere within the United States.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Serve as the first point of contact for healthcare providers by answering inbound calls and responding to EDI-related inquiries.</li>
<li>Research, troubleshoot, and resolve provider issues or escalate more complex concerns to the appropriate teams.</li>
<li>Conduct outbound follow-up calls and communications to ensure timely resolution of provider requests.</li>
<li>Process provider and member updates while maintaining accuracy, compliance, and documentation standards.</li>
<li>Meet established service, quality, and productivity goals while delivering exceptional customer support.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>High School Diploma or GED required.</li>
<li>Minimum two years of experience in customer service, call center support, helpdesk support, healthcare operations, provider services, claims processing, or a related field.</li>
<li>Strong verbal and written communication skills with a customer-focused approach.</li>
<li>Proficiency with Microsoft Office and the ability to navigate multiple systems simultaneously.</li>
<li>Ability to work independently, manage competing priorities, and maintain attention to detail in a remote environment.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>100% remote position open to candidates located anywhere within the United States.</li>
<li>Equipment provided by Gainwell Technologies.</li>
<li>Monday through Friday schedule during standard business hours.</li>
<li>Video cameras must be used during all virtual interviews and the first week of training.</li>
<li>Candidates must successfully complete a skills and competency assessment before advancing in the hiring process.</li><br>
</ul><p></p><p><b>This posting is intended for pipelining. We will accept applications on an ongoing basis.
</b></p><p>#LI-REMOTE</p>
<p>#LI-JT1</p><br>
</div></div></div><p></p><p>The pay range for this position is $35,000 - $50,000 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&rsquo;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.</p><br>
<p></p><p>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&rsquo;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.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>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. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

EDI Helpdesk Representative - Remote US

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Certified Pharmacy Technician - Remote US
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 19, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, OH, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36696
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><div>The Certified Pharmacy Technician supports pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, pharmacy claims inquiries, benefit questions, and other pharmacy-related services. This role works in a fast-paced, high-volume environment while ensuring accuracy, compliance, and exceptional customer service. The ideal candidate combines strong pharmacy knowledge with excellent communication skills and a commitment to supporting healthcare outcomes.</div>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.</li>
<li>Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.</li>
<li>Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.</li>
<li>Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.</li>
<li>Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>Active Certified Pharmacy Technician (CPhT) certification required.</li>
<li>Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.</li>
<li>Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.</li>
<li>Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.</li>
<li>Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Support pharmacy-related operations serving members, providers, pharmacies, and healthcare professionals across a variety of programs and clients.</li>
<li>Research and resolve pharmacy inquiries related to benefits, claims, medications, prior authorizations, and other pharmacy services.</li>
<li>Utilize multiple systems and resources to investigate issues, document interactions, and provide timely and accurate resolutions.</li>
<li>Participate in training and professional development opportunities designed to expand pharmacy, healthcare, and customer service knowledge.</li>
<li>Remote work environment with opportunities for professional growth and a comprehensive benefits package including medical, dental, vision, 401(k) with company match, flexible paid time off, paid holidays, wellness programs, and additional employee support resources.</li><br>
</ul><div></div><div>This is a <b>pipeline requisition</b> intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position in the near future.</div><br>
<div></div><div>#LI-REMOTE</div>
<div>#LI-JT1</div><br>
</div></div></div><p></p><p>The pay range for this position is $37,440 - $47,840 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&rsquo;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.</p><br>
<p></p><p>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&rsquo;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.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>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. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Certified Pharmacy Technician - Remote US

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Medical Claims Recovery Specialist - Hybrid NC
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 18, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Raleigh, NC, US, 27608
</p></div></div></div></div><div><div><div><div>Req ID: 36655
</div></div></div></div><div><div><div><div>Work Mode: Occasional onsite (1-2 days per week recurring)
</div></div></div></div><div></div><div><div><div><div><p>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>HMS works to make the healthcare system better for everyone. We identify and prevent fraud, waste, and abuse so individuals can access the care they need&mdash;now and in the future. Through innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and meet regulatory requirements. We also empower consumers to take a more active role in their health. Each year, we save our clients billions of dollars while supporting healthier communities.
<br>
At HMS, you will have the opportunity to develop new skills, grow your career in a dynamic industry, and make a meaningful difference in the lives of others.
<br>
We are seeking a detail-oriented and motivated Case Management Assistant (Onsite). This role is responsible for verifying, documenting, and coordinating information required to process applications and case management assignments. Responsibilities include confirming third-party liability, validating documentation, coordinating with employers, and providing high-quality customer service while ensuring accurate data entry, timely processing, and compliance with program requirements.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Provide enrollment support and HIPP/Premium Assistance program information to Medicaid-eligible individuals and their families via phone.
</li><li>Verify, document, and investigate healthcare coverage for Medicaid recipients and their dependents.
</li><li>Identify members who may qualify for the HIPP/Premium Assistance program.
</li><li>Complete periodic and ad-hoc reports as required.
</li><li>Handle high-volume customer service calls, including inquiries about the HIPP/Premium Assistance program.
</li><li>Perform accurate and timely data entry.
</li><li>Obtain and/or verify all documentation required for eligibility and enrollment into the HIPP/Premium Assistance program.
</li><li>Maintain active cases during open enrollment and premium review periods to support revenue and program growth.
</li><li>Independently manage a variety of cases of differing complexity within established service level agreements.
</li><li>Conduct outgoing follow-up calls regarding case status, payments, or outstanding requirements.
</li><li>Perform advanced document review, case status identification, basic legal research, and escalate issues when necessary.
</li><li>Prioritize and manage all case events and critical payment/recovery tasks while meeting internal and regulatory deadlines.
</li><li>Interact professionally with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and internal clients.</li></ul>
</div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>2+ years of relevant professional experience in subrogation, claims, or case management.</li>
<li>Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.</li>
<li>Experience in a legal or insurance office setting (Estate recovery or casualty preferred).</li>
<li>Familiarity with Medicaid and/or Medicare programs is preferred</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Hybrid work arrangement based in the Raleigh, Norrth Carolina office &mdash; onsite 2 days per week.
</li><li>Schedule: Monday&ndash;Friday, 8:00 AM &ndash; 5:00 PM.
</li><li>Video cameras are required during all interviews and throughout the first week of orientation.
</li><li>To work effectively as a teleworker or hybrid employee, you must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload (higher speeds recommended for optimal performance).</li></ul><br>
<p></p><p>This posting is intended for pipelining. We will accept applications on an ongoing basis.</p>
<p>#LI-HYBRID #LI-JA1 #LI-CM1</p><br>
</div></div></div><p></p><p>The pay range for this position is $35,500.00 - $43,500.00 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&rsquo;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.</p><br>
<p></p><p>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&rsquo;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.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>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. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p><br>
</div></div></div></div><p><br>
<b>Nearest Major Market: </b>Raleigh</p></div>

Medical Claims Recovery Specialist - Hybrid NC

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Senior ETL Data Analyst
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 17, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, IL, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36616
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You&rsquo;ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As a Senior Professional, ETL Data Analyst (Pharmacy/PBM) at Gainwell, you will perform advanced data analysis, requirements gathering, and ETL mapping design to support pharmacy and healthcare data solutions. This role focuses on translating business requirements into technical specifications, ensuring data integrity, and enabling scalable data transformation processes across Medicaid and PBM environments.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><p>When joining Gainwell, you will:</p>
<ul><li>Perform requirements gathering and data analysis to support ETL development and healthcare data transformation initiatives</li>
<li>Create detailed mapping documents and technical specifications based on business and system requirements</li>
<li>Partner with ETL developers, DBAs, and configuration teams to ensure accurate implementation of data solutions</li>
<li>Analyze data using SQL and data models to identify transformation logic, trends, and business insights</li>
<li>Develop test cases and support testing (unit, integration, system, and UAT) to validate that solutions meet design and business expectations</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>5+ years of healthcare business analysis experience, preferably in Medicaid or PBM environments</li>
<li>3+ years of strong SQL and technical data analysis experience</li>
<li>Knowledge of QNXT/schema and healthcare domains including <b>member, eligibility, TPL, claims/encounters (medical &amp; pharmacy), provider, clinical, drug rebate, and financial data</b></li>
<li>Experience with <b>requirements gathering, ETL/data mapping, and interface development</b></li>
<li>Strong communication, analytical, and problem-solving skills with ability to translate technical concepts into business terms</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Remote Opportunity within the United States</li>
<li>Video cameras must be used during all interviews, as well as during the initial week of orientation.</li>
<li>This posting is intended for pipelining. We will accept applications on an ongoing basis</li><br>
</ul></div></div></div><p></p><p>The pay range for this position is $69,400.00 - $99,200.00 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&rsquo;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.</p><br>
<p></p><p>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&rsquo;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.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>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. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Senior ETL Data Analyst

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Bilingual Call Center Representative - Remote FL
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 10, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Tallahassee, FL, US, 32301-5020
</p></div></div></div></div><div><div><div><div>Req ID: 36410
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As a <b>Bilingual Call Center Representative - Remote FL</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><p>This is an important position in Gainwell&rsquo;s commitment to helping clients deliver better health and human services outcomes.</p>
<ul><li>Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed</li>
<li>Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved</li>
<li>Adhere to the client&rsquo;s SLAs and consistently meet production targets</li>
<li>Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes</li>
<li>Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>2 or more years of customer service experience in any industry</li>
<li>Knowledge of basic help desk software, computer software and Microsoft Office applications</li>
<li>Strong problem-solving skills to bring inquiries to effective resolution</li>
<li>Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally</li>
<li>Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Opportunities to travel through your work (0-10%)</li></ul></div></div></div></div></div></div></div></div><p></p>

Bilingual Call Center Representative - Remote FL

<div><p>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Summary</b></h2></div><div><p>
As an <b>Advisor Business Analyst - Provider</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Your role in our mission</b></h2></div><div><p>
Play a critical part in ensuring Gainwell is meeting our clients&rsquo; objectives in important areas.</p><ul><li>
Help coordinate a business analyst team&rsquo;s duties and activities on IT projects and nurture newer team members by providing guidance and support</li><li>
Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact</li><li>
Work with the client to develop business specs at the start of a technical project</li><li>
Analyze, plan, design, document or make recommendations to improve business processes to support client&rsquo;s technology goals</li><li>
Help verify that all requirements have been met by approving and validating test results
</li><li>Exercise your ability to use basic analytical or relational database software &mdash; such as Excel or SQL &mdash; to quantify the anticipated impact of work</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What we're looking for</b></h2></div><div><ul><li><b>
9 or more years</b> of experience as a <b>Business Analyst in Healthcare Industry</b> with 3 or more years of <b>Medicaid and Medicare experience preferred</b></li><li>
Knowledge of computer programming concepts such as configuration, development and batch processing</li><li>
Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools</li><li>
Strong client communication skills translating client needs to actionable objectives</li><li>
Strong analytical and business process re-engineering skills</li><li>
Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel</li><li>
A leader who motivates others to action and communicates key technical ideas in a digestible way</li><li>
Experience working in <b>Scrum, Agile, SaFe &amp; Waterfall methodologies</b></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you should expect in this role</b></h2></div><div><ul><li>
Opportunities to travel through your work (0-10%)</li><li>
Fully remote options from Contiguous US locations only</li><li>
Video cameras must be used during all interviews, as well as during the initial week of orientation</li><li><p><b>
This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.</b></p></li></ul><p>
#LI-HC1</p><p>
#LI-Scrum/Agile</p></div></div></div><p></p><p><br>
The pay range for this position is [[salaryMin]] - [[salaryMid]] 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&rsquo;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.</p><p></p><p><br>
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&rsquo;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.</p><p></p><p><i><br>
Gainwell Technologies </i><i>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. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div>

Advisor Business Analyst - Provider

<div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Summary</b></h2></div><div><p>
Gainwell Technologies is seeking a Certified Pharmacy Technician - Remote US to support a high-volume PBM clinical and technical call center environment. In this fully remote role, you will assist with provider inquiries, process prior authorizations, and help ensure timely, accurate resolution of pharmacy-related requests while maintaining compliance with HIPAA, state regulations, and internal quality standards.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Your role in our mission</b></h2></div><div><ul><li>
Process prior authorization requests within required turnaround times and complete approvals when pharmacist review is not needed.</li><li>
Handle provider inquiries efficiently across phone, email, fax, and web-based channels, aiming for first-contact resolution whenever possible.</li><li>
Conduct outbound communication to providers to obtain missing information and support closure of pending prior authorization cases.</li><li>
Accurately document all interactions, decisions, and follow-up actions in the appropriate systems.</li><li>
Follow established workflows, productivity expectations, and quality standards while identifying opportunities for process improvement.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What we're looking for</b></h2></div><div><ul><li>
Active <b>Certified Pharmacy Technician (CPhT)</b> certification and/or active Pharmacy Technician registration as required by applicable Board of Pharmacy regulations.</li><li>
At least <b>2 years of pharmacy technician experience</b>, preferably in retail, hospital, managed care, PBM, insurance, or prior authorization support.</li><li>
Strong knowledge of drug terminology, pharmacy operations, and pharmacy benefit or claims-related processes.</li><li>
Experience working in a fast-paced, metrics-driven environment with strong attention to detail and accuracy.</li><li>
Proficiency in Microsoft Office applications and the ability to quickly learn internal systems and workflows.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you should expect in this role</b></h2></div><div><ul><li>
Fully remote position supporting a high-volume call center operation.</li><li>
Frequent interaction with providers through phone, email, fax, and web portals.</li><li>
Strict adherence to HIPAA, PHI, regulatory, and turnaround-time requirements.</li><li>
Performance expectations tied to productivity, quality, and service metrics.</li><li>
Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, floating holidays, and wellness programs.</li></ul><p>
#LI-REMOTE</p><p>
#LI-JT</p></div></div></div><p></p><p><br>
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&rsquo;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.</p><p></p><p><br>
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&rsquo;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.</p><p></p><p><i><br>
Gainwell Technologies </i><i>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. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div>

Join Gainwell Technologies LLC and explore 8   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Gainwell Technologies LLC

About Company

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Certified Pharmacy Technician - Remote US

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Certified Pharmacy Technician - Remote US