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Pharmacist, Advisor
Gainwell TechnologiesPharmacist Advisor guiding Gainwell’s Medicaid pharmacy programs and medication management solutions. Conducting clinical reviews, provider consultations, regulatory compliance, and operational support remotely across the United States.
Core Competencies
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Demonstrates expertise in clinical pharmacy, ensuring compliance with state and federal regulations, including Medicaid requirements, while conducting medication therapy evaluations and providing clinical guidance. Strong analytical and communication skills are essential for effective stakeholder engagement and support of pharmacy operations.
ATS Keywords
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About the role
Key responsibilities & impact- Ensure compliance with state and federal regulations, including Medicaid requirements
- Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments
- Perform peer-to-peer consultations with providers
- Support prescriber outreach for identified clinical interventions
- Provide clinical guidance to call center teams
- Support pharmacy-related inquiries and escalations
- Contribute to quality improvement initiatives, program optimization, and development of best practices
- Support state meetings and assist with state-required deliverables related to account operations
- Advise on clinical policies, drug utilization, and pharmacy operations
- Align pharmacy strategies with regulatory requirements and organizational objectives
Requirements
What you’ll need- 2–4 years of clinical pharmacy experience required
- Strong knowledge of clinical pharmacy programs
- Knowledge of drug utilization review
- Knowledge of regulatory requirements
- Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred
- Strong analytical skills
- Strong communication skills
- Strong stakeholder engagement skills
- Ability to work remotely within the United States
- Ability to support 10:00 AM–7:00 PM CST PA coverage
- Willingness to travel 0–10%
Benefits
Comp & perks- Flexible hours
- Work-life balance
- Continuous learning and career development
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies