Pharmacy Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist to manage the initiation, clinical review, submission, and follow-up of prior authorizations.

Key Responsibilities

Initiate, process, and oversee clinical review of prior authorization requests for medications and supplies

Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information for prior authorization submissions

Submit prior authorization requests accurately and timely using electronic submission platforms

Required Qualifications

High School Diploma or GED, or licensed / registered pharmacy technician, or previous pharmacy experience

1+ years of pharmacy experience

Knowledge of pharmacy or healthcare-related fields

Familiarity with pharmacy terminology, including sig codes, Roman numerals, and brand / generic medication names

Basic math and analytical skills; intermediate typing / keyboard skills