Pharmacy Prior Authorization Specialist

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About the position

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. A career with purpose: Help patients access life-saving medications. Supportive culture: We value teamwork, respect, integrity, and passion. Growth opportunities: We invest in your professional and personal development.

Responsibilities

  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

Requirements

  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

Nice-to-haves

  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

Benefits

  • Medical
  • Dental
  • Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance
  • Short/Long-Term Disability
  • Sign-On Bonus: \$5,000 for employees starting before September 30, 2026
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