DAPO Specialist (Pharmacy) - Remote US
Gainwell Technologies · Wisconsin, United States · 2 days ago
RemoteRemoteHealthcare$31k–$42k/yrFull-time
Summary
The DAPO Specialist supports Gainwell’s healthcare program operations by reviewing, validating, and updating provider and pharmacy-related records to ensure accuracy, compliance, and high-quality service delivery. This role is detail-driven and process-oriented, involving structured workflows, data entry, and documentation tasks that align with state Medicaid requirements and internal performance standards.
Responsibilities
- Processing DAPO work items, provider updates, and pharmacy-related data changes accurately and within required timeframes.
- Reviewing provider records for completeness, discrepancies, and compliance with state and federal guidelines.
- Following defined workflows to resolve issues and escalate complex cases when needed.
- Documenting all actions clearly in accordance with audit, contract, and policy requirements.
- Pricing internal teams to support accurate provider information across all operational systems.
Requirements
- Active Certified Pharmacy Technician (CPhT) certification (PTCB or ExCPT) required.
- 1–4 years of experience in healthcare operations, provider data, pharmacy tech work, retail pharmacy, claims, or similar environments — experience is preferred but not required.
- Strong attention to detail, accuracy in data entry, and ability to follow structured procedures.
- Proficiency with Microsoft Office applications and comfort navigating multiple systems.
- Strong written and verbal communication skills and the ability to work independently in a remote environment.
Qualifications
- High school diploma or equivalent.
- Experience in a healthcare setting preferred.
Skills
- Microsoft Office Suite proficiency.
- Structured workflow management.
- Data entry accuracy.
- Attention to detail.
- Communication skills.
Benefits
- Medical, prescription drug coverage.
- Dental, vision, life insurance.
- Employee discounts.
- Employee Assistance Program (EAP).
- Flexible vacation policy available after 90 days of employment (with manager approval for exceptions).
- Work-from-home remote setting, with a schedule window of 7:00 a.m. – 6:00 p.m. CST and willingness to work an 8-hour shift based on business needs.
- Reliable high-speed internet (minimum 24 Mbps download / 8 Mbps upload).
- Video cameras must be used during all interviews and during the first week of orientation.
Pay
The pay range for this position is $30,500 - $41,600 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.