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.
Summary
A minimum of 2 recent years of pharmacy experience coupled with customer service is required, preferably in a retail pharmacy. Must have knowledge of the prior authorization process. Must be able to work the required shift 11:00 AM to 8:00 PM Monday through Friday with a Saturday rotation and be located within 50 miles of Newark, DE. The Pharmacy Call Center position entails answering incoming telephone inquiries from providers who are inquiring about prior authorizations and claims in a polite and professional manner, interpreting chart notes, communicating with team members, and other various duties.
Your role in our mission
This is an important position in Gainwell's commitment to helping clients deliver better health and human services outcomes.
The ideal candidate will have an understanding of achieving service level agreements and will strive to meet or exceed key performance indicators. This position requires outstanding customer service to medical and pharmacy providers, commitment to quality, and must be able to interpret policies and procedures. Must be able to multitask by speaking and typing concurrently. Must have strong attention to detail and solid analytical skills. The candidate will have problem resolution skills. Must be able to read, write and speak the English language and will be able to de-escalate upset callers. Additionally, the candidate will be able to perform efficiently in a high volume call center and maintain professionalism and composure in stressful situations.
What we're looking for
* Experience working in a metric-driven work environment.
* Experience in a Pharmacy related environment.
* Experience working in the Healthcare Industry
* Experience working with Medicaid or Medicare
* Experience meeting specific service level agreements (SLAs)
* A dedicated team player with a positive demeanor
What you should expect in this role - Participates productively as a member of a team.
- Completes tasks beyond the general support level.
- Accepts instruction and direction from leadership. Ability to manage tasks and assignments in an independent manner.
- Identifies, prioritizes, and resolves some issues independently, and escalates more complex questions or issues appropriately.
- Complies with contract requirements, business unit rules, and related legal regulations.
- HYBRID - Office setting 945 Paper Mill Rd. Neward, DE
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The pay range for this position is $30,500.00 - $43,500.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
