Perry County, Ohio, United States · Remote Solely
$38k–$55k/yr
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 car…
Skills: Prior Authorization Processing, Drug-Drug Interaction Screening, Clinical Accuracy, Medication Profile Review, PBM Operations
Perry County, Ohio, United States · Remote Solely
$59k–$84k/yr
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’ll have an incredible opport…
Skills: Quality Assurance, Healthcare Operations, Root Cause Analysis, Calibration, Change Management
Muskingum County, Ohio, United States · Remote Solely
$86k–$124k/yr
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’ll have an incredible opport…
Skills: Project Management, Business Process Outsourcing, Contact Center Operations, Risk Management, Stakeholder Management
Muskingum County, Ohio, United States · Remote Solely
$86k–$124k/yr
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’ll have an incredible opport…
Skills: Project Management, Customer Experience Operations, BPO Operations, Cross-functional Leadership, Risk Management
Roseville, California, United States · On-site
$31k–$45k/yr
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’ll have an incredible opport…
Skills: Data Entry, Document Scanning, Microsoft Word, Microsoft Excel, Microsoft Outlook
Tallahassee, Florida, United States · Remote OK
$27k–$39k/yr
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’ll have an incredible opport…
Skills: Customer Service, Problem-solving, Written Communication, Oral Communication, Microsoft Office
Tada, Andhra Pradesh, India · Remote OK
Summary The Release Delivery Coordinator will manage and oversee the release management lifecycle, ensuring timely and efficient releases across multiple environments. The ideal candidate will have expertise in Release M…
Skills: Azure DevOps, ADO Dashboard, Release Management, Stakeholder Management, ITIL
Perry County, Ohio, United States · Remote Solely
$52k–$74k/yr
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’ll have an incredible opport…
Skills: Verint Operations Manager, Platform Configuration, Business Analysis, Operations Analysis, Functional Testing
Perry County, Ohio, United States · Remote Solely
$85k–$121k/yr
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 car…
Skills: Prior Authorization, Clinical Pharmacy, Utilization Management, Clinical Review, Microsoft Office
Muskingum County, Ohio, United States · Hybrid
$75k–$99k/yr
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 car…
Skills: Medical Review, Claims Processing, Policy Review, Business Analysis, Provider Support
Perry County, Ohio, United States · Remote Solely
$52k–$74k/yr
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’ll have an incredible opport…
Skills: Verint Performance Management, Speech & Text Analytics, KPI Configuration, Business Requirements Documentation, Functional Testing
Muskingum County, Ohio, United States · Remote Solely
$35k–$50k/yr
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’ll have an incredible opport…
Skills: Data Entry, Claims Processing, Healthcare Operations, Microsoft Office, Attention To Detail
Muskingum County, Ohio, United States · Remote Solely
$35k–$50k/yr
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’ll have an incredible opport…
Skills: Customer Service, Call Center Support, Helpdesk Support, Healthcare Operations, Claims Processing
Raleigh, North Carolina, United States · Hybrid
$36k–$44k/yr
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’ll have an incredible opport…
Skills: Case Management, Subrogation, Claims Processing, Microsoft Word, Microsoft Excel
Raleigh, North Carolina, United States · Hybrid
$36k–$44k/yr
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’ll have an incredible opport…
Skills: Case Management, Subrogation, Claims Processing, Microsoft Word, Microsoft Excel
Muskingum County, Ohio, United States · Remote Solely
$114k–$162k/yr
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 car…
Skills: Pharmacy Benefit Management, Medicaid Knowledge, NCPDP Standards, POS Pharmacy Claim Processing, First Databank (FDB)
Perry County, Ohio, United States · Remote OK
Summary As Provider Enrollment Analyst - Remote US, 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 mos…
Skills: Claims Processing, Adjudication, Medical Insurance Knowledge, Data Analysis, Multi-tasking
Perry County, Ohio, United States · Remote OK
Summary As Provider Enrollment Analyst - Remote US, 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 mos…
Skills: Claims Processing, Adjudication, Medical Insurance Knowledge, Data Analysis, Multi-tasking
Perry County, Ohio, United States · On-site
Summary As Provider Enrollment Analyst - Remote US, 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 mos…
Skills: Claims Processing, Adjudication, Medical Insurance Knowledge, Data Analysis, Multi-tasking
Perry County, Ohio, United States · Remote Solely
$93k–$133k/yr
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’ll h…
Skills: Engineering Leadership, AWS Cloud Platforms, Cloud Native Architecture, Microservices, APIs
Perry County, Ohio, United States • Remote Solely
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Process prior authorization requests with a specific focus on drug-drug interaction screening and clinical accuracy. Collaborate with pharmacists and clinical teams to ensure safe medication approvals and maintain compliant documentation.
Requires a high school diploma and pharmacy technician certification in accordance with state regulations. Candidates must have at least 2 years of experience in PBM, pharmacy operations, or prior authorization environments.
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.
Supports prior authorization (PA) processing with a focus on Drug-Drug Interaction (DDI) review within PBM operations. Helps ensure safe, accurate, and compliant medication approvals while contributing to quality clinical support and operational efficiency.
The pay range for this position is $38,400.00 - $54,900.00 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. Gainwell Technologies defines “wages” and “wage rates” to include “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.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
