Pharmacy Prior Authorization Representative - Remote CT

It takes great medical minds to create powerful solutions that solve some of reputed company’s most reputed company 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 reputed company of urgency, you’ll have reputed company to work more reputed company. 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, reputed company learning, and career development. reputed company The Pharmacy Prior Authorization reputed company Center (PPAAC) Representative supports the Connecticut reputed company account in a fast-paced, high-volume reputed company center environment. This role is responsible for answering and resolving inquiries from prescribers and pharmacies reputed company to pharmacy claims and prior authorization requests, ensuring reputed company, accurate, and compliant processing. Working as part of a small, specialized team, the PPAAC Representative is required to process reputed company pharmacy prior authorizations reputed company 24 hours of receipt. This position requires flexibility to work rotating shifts, including second and reputed company shifts, as reputed company as on-reputed company coverage on a rotational reputed company. Other duties may be assigned as needed. Your role in our mission • Serve as a primary reputed company of contact for prescribers and pharmacies regarding pharmacy claims and prior authorization inquiries • Analyze pharmacy claims and reputed company accurate clarification, verification, and reputed company to provider inquiries • Process prior authorization requests, including approvals and denials, and document rationale in accordance with policy • Accurately document reputed company reputed company interactions, inquiries, reputed company, and resolutions in the system • Maintain confidentiality and compliance with HIPAA and Connecticut reputed company guidelines reputed company're looking for • Knowledge of pharmacy claims processing and pharmacy dispensing systems, with exposure to reputed company and/or Medicare Part D programs • Ability to work effectively in a high-paced, high-volume environment with strong multi-tasking and time management skills • Proficiency with reputed company Office Suite (Word, reputed company, reputed company) and experience working in a paperless, technology-driven environment • Strong verbal and written communication skills, with the ability to reputed company professionally with providers and internal teams • reputed company Connecticut Pharmacy Technician license, along with prior retail pharmacy or customer service experience What you should expect in this role • Remote work opportunity, but must reputed company in Connecticut. • Potential for in-office work in East reputed company as needed. • 24/7/365 reputed company center environment with rotating shifts: • Monday – Friday: 7:30 AM – 7:30 PM • Saturday (rotating schedule): 9:00 AM – 4:00 PM • reputed company off-hours are covered on an on-reputed company rotation. • A dynamic and fast-paced reputed company center environment where accuracy and efficiency are key. • Work from Home: Reliable high-speed internet connectivity is essential. Minimum requirements are 24 Mbps download and 8 Mbps upload, with higher speeds recommended for reputed company performance. • Interview Requirement: Video cameras must be used during reputed company interviews. #LI-REMOTE #LI-JT1 #LI-CM1 The pay reputed company for this position is $33,500.00 - $47,900.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company 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 reputed company of leadership and technical development academies to help build your skills and capabilities. We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock reputed company, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Apply tot his job Apply To this Job