Pharmacist, Advisor- Remote

About the role

As a Pharmacist Advisor at Gainwell, you will provide clinical expertise and strategic guidance to support pharmacy programs, ensuring safe, effective, and compliant medication management solutions. This role is responsible for advising on clinical policies, drug utilization, and pharmacy operations while collaborating with cross-functional teams to enhance program performance and patient outcomes. You will play a key role in aligning pharmacy strategies with regulatory requirements and organizational objectives. In addition to prior authorization activities, this role will support state meetings and assist with state-required deliverables related to account operations. This position provides broader clinical and operational support and is not solely focused on prior authorization responsibilities.

Responsibilities

• 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 and support prescriber outreach for identified clinical interventions
• Provide clinical guidance to call center teams and support pharmacy-related inquiries and escalations
• Contribute to quality improvement initiatives, program optimization, and development of best practices

Requirements

• 2-4 years of clinical pharmacy experience required
• Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements
• Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred
• Strong analytical, communication, and stakeholder engagement skills

Schedule

Work schedule: 10:00 AM - 7:00 PM CST for prior authorization coverage

Travel: 0-10%

Pay

The pay range for this position is $90,900.00 - $129,900.00 per year. Base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies