Job Description

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

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. The ideal candidate is dependable, analytical, and comfortable working in a fast-paced, remote environment.

Your role in our mission

You will contribute to Gainwell’s operational excellence by:

• 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.
• Partnering with internal teams to support accurate provider information across all operational systems.

What we're looking for

• To excel in this role, you should bring:

  • 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.

What you should expect in this role

• Most benefits begin on the first day of employment , including medical, prescription drug coverage, dental, vision, life insurance, employee discounts, and the 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.

• Remote position requiring 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.

This posting is intended for pipelining purposes. We will be reviewing applications on an ongoing basis, screening qualified candidates, and coordinating interviews with the hiring manager as hiring begins shortly.

#LI-REMOTE

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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. 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. 

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