Pharmacy Prior Authorization Representative - Remote CT

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

Summary

The Pharmacy Prior Authorization Call Center (PPAAC) Representative supports the Connecticut Medicaid account in a fast-paced, high-volume call center environment. This role is responsible for answering and resolving inquiries from prescribers and pharmacies related to pharmacy claims and prior authorization requests, ensuring timely, accurate, and compliant processing.