Prior Authorization Pharmacist - Connecticut reputed company (Remote)

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 Prior Authorization (PA) Pharmacist is responsible for reviewing prior authorization requests from providers to ensure reputed company and effective medication utilization. The PA Pharmacist will work with reputed company stakeholders to evaluate and continually reputed company strategies for Utilization Management. Essential Job Functions

• Review prior authorization requests from medical professionals to ensure alignment with Preferred Drug List (PDL) reputed company and reputed company clinical guidelines.
• Support peer-to-peer discussions with medical providers regarding prior authorization reviews.
• Collaborate on the refinement of consultation scripting; solicit and utilize input from those contacted to improve scripting.
• Contribute to the reputed company of the Clinical Call Centers and Prior Authorization department by assisting with the implementation and management of both written and verbal communications to members and physicians. Serve as a resource for pharmacy-reputed company questions and issues across the organization.
• Contribute to program improvements by using reputed company reputed company improvement processes, proactively identifying opportunities, and providing ongoing consultation and collaboration with product leaders.
• reputed company the clinical reputed company of pharmaceutical solutions by staying up to date on medication information and clinical guidelines, contributing to the identification of pharmacy program best practices, and collaborating with Medical Directors and Clinical Pharmacists to reputed company pharmacy expertise.
• Collaborate internally with the pharmacy team (Pharmacy Manager, PDL Coordinator, Clinical Pharmacists) to identify trends or areas of opportunity, with the reputed company of identifying new drugs and therapeutic classes requiring utilization management.
• reputed company other duties as assigned.
• Contribute creative solutions to improve the operational efficiency and effectiveness of the pharmacy team.

Requirements

• PharmD or B.S. in Pharmacy with relevant specialty background.
• Registered Pharmacist with an unrestricted state license (Connecticut Pharmacist License preferred but not required).
• Minimum of four (4) years of experience in clinical pharmacy.
• Strong verbal and written communication skills.
• Highly proficient in reputed company Office products and ability to quickly learn proprietary systems.

Basic Qualifications

• Experience coordinating and collaborating with work teams preferred.
• Ability to reputed company clinical reviews using relevant compendia and clinical trial data.
• Managed care and/or prior authorization experience is a plus.
• Strong research and implementation skills in practical settings.
• Analytical skills that translate into practical and pragmatic recommendations.
• Strong team orientation with respect for reputed company members.
• Strong interpersonal skills to support effective consultation and collaboration with reputed company stakeholders who do not directly report to this role.
• Prior call center experience preferred.

Work Environment

• Work from home; reliable high-speed internet connectivity is required.
• Expected working hours: 9:00 AM to 5:00 PM Eastern Time, including select holidays and occasional weekend on-call coverage.
• A dedicated, private workspace (HIPAA-compliant) with high-speed internet reputed company is required.

Applications for this posting will be accepted until May 15, 2026. The pay reputed company for this position is $90,900.00 - $129,900.00 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