Remote PA Pharmacist – Oregon Medicaid

Gainwell Technologies; Oregon; Remote; USD 91,000 - 130,000; Full time

Job summary

Gainwell Technologies is seeking a PA Pharmacist to review prior authorization requests from medical professionals, ensuring alignment with PDL criteria and current guidelines. This role supports utilization management across internal and external stakeholders and drives continuous program improvements.

The candidate will collaborate with Clinical Pharmacists and Medical Directors to provide pharmacy expertise, perform clinical reviews, and contribute to scripting and communications for members

Qualifications

• PharmD or B.S. in Pharmacy required.
• Registered Pharmacist with unrestricted state licensure.
• 4+ years of clinical pharmacy experience.
• Strong verbal and written communication skills.
• Experience coordinating with care teams and prior authorization.

Responsibilities

• Review Prior Authorization requests to ensure alignment with PDL criteria and guidelines.
• Support peer discussions with medical providers on PA reviews.
• Collaborate on scripting improvements through stakeholder input.
• Assist with communications to members and physicians within the Clinical Call Centers.
• Contribute to quality improvements and work with product leaders on initiatives.
• Maintain clinical integrity by staying current with guidelines and meds.
• Collaborate with pharmacy team to identify trends for utilization management.
• Other duties as assigned.

Skills

Verbal and written comms

Microsoft Office

Team collaboration

Analytical thinking

Clinical pharmacy

Call center experience

Education

PharmD or B.S. in Pharmacy

Tools

Microsoft Office

Job description

Gainwell Technologies is seeking a PA Pharmacist to review prior authorization requests from medical professionals, ensuring alignment with PDL criteria and current guidelines. This role supports utilization management across internal and external stakeholders and drives continuous program improvements.

The candidate will collaborate with Clinical Pharmacists and Medical Directors to provide pharmacy expertise, perform clinical reviews, and contribute to scripting and communications for members