Gainwell Technologies LLC
Principal Clinical Pharmacist- Remote
US · Principal · Full-time
Stay score
odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~45% per draw at Level III). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →Employer immigration record
from this employer's Department of Labor filings
Green-card follow-through: 100%
DOL often reclassifies their job titles
Files H-1B transfers
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
Community outcomes
No reports yet — be the first to help the next applicant.
About the role
- 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.
Responsibilities
- Partner with cross-functional teams to configure PA workflows, clinical logic, renewals, letters, routing, reporting, and operational processes.
- Create and maintain test scenarios, cases, validation documentation, and requirements traceability.
- Participate in QA, unit, integration, UAT, regression, and production testing for PA builds and updates.
- Validate PA workflows and clinical logic against approved policies, client requirements, regulations, and operational expectations.
- Identify and document configuration issues, workflow gaps, risks, and clinical inconsistencies; support resolution efforts.
- Support production readiness by ensuring requirements, testing, documentation, reporting, procedures, and approvals are complete.
- Maintain PA criteria, drug class reviews, clinical policies, and evidence-based materials.
- Use claims, PA, utilization, quality, and trend data to support analysis, investigations, and program improvements.
Requirements
- Active pharmacist license in good standing required.
- Experience working cross-functionally with clinical, operations, configuration, technology, reporting, product, account management, client-facing teams, and leadership stakeholders.
- Proficiency with Microsoft Office products and ability to quickly learn proprietary systems, workflow tools, reporting platforms, and configuration or testing tools.
Nice to have
- PharmD preferred
- Bachelor of Pharmacy degree accepted.
- Preferred: 7 or more years of progressive experience in clinical pharmacy, managed care, PBM, Medicaid pharmacy, prior authorization, pharmacy operations, or related clinical program operations.
- Strong knowledge of Medicaid pharmacy programs, managed care pharmacy, PBM operations, state and federal requirements, regulatory expectations, and pharmacy-related Medicaid requirements preferred.
Compensation
- $114k-$162k
Benefits
- Support PA program builds by translating approved clinical criteria, coverage requirements, client rules, and workflow needs into build requirements.
- Support clinical program operations, including PDL, provider engagement, adherence, safety, specialty pharmacy, quality, and population health initiatives.
- Benefits begin on Day One
This listing is sourced directly from Gainwell Technologies LLC's careers page and normalized into a canonical job model.