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Albuquerque, New Mexico, United States · Remote OK
Entry level
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Albuquerque, NM | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before September 30, 2026! Join a mission-driven team mak…
Onco360 Pharmacy has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor. This is an excellent opportunity to join our company and help with our expanding Specialty Pharmacy program! This…
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Skills: Customer service, Communication, Interpersonal skills, Medical terminology, Pharmacy terminology
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Pittsburgh, Pennsylvania, United States · Remote OK
$23/hr
Mid level
We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives. F…
Pittsburgh, Pennsylvania, United States · Remote OK
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Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Specialty Oncology Pharmacy. As our company continues to grow, we strive to hire new team members with a passion for making a difference i…
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New Hyde Park, New York, United States · Remote OK
$23/hr
Entry level
This is an excellent opportunity for professional growth! As our organization continues to expand and our employees develop and promote within, we currently have Full Time positions available on our phone support team. O…
Skills: Customer service, Interpersonal skills, Verbal communication, Written communication, Medical terminology
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Full-time
high school, associate degree
Medical, Dental, Vision, 401k with a match, Paid Time Off, Paid Holidays
Posted 6d ago
~40 hrs/week
Remote in Utah, United States
Responsibilities
The Pharmacy Prior Authorization Specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They also collaborate with healthcare professionals and maintain accurate documentation while ensuring HIPAA compliance.
Requirements
Candidates must have a High School Diploma or GED and at least 1 year of pharmacy or prior authorization experience. Registration with the Board of Pharmacy is required as per state law.
Full job description
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Salt Lake City, Utah | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in the State of Utah. This is a full-time position. Remote work if licensed in State of Utah.
Why Join Us?
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.
Company 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; and Short/Long-Term Disability
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
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.
What You Bring
Required:
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
Preferred:
Associate degree or Certified Pharmacy Technician (PTCB)
3+ years of experience in pharmacy or prior authorizations
Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
Onco360 is recognized as one of the nation's leading independent specialty pharmacies dedicated exclusively to oncology and rare disease patients. Through its comprehensive patient support programs, clinical expertise, and commitment to personalized care, we play a critical role in helping patients access, manage, and adhere to complex therapies while navigating the challenges associated with cancer treatment.
We focus on delivering specialized pharmacy services and improving the patient experience positions us at the forefront of healthcare innovation. By collaborating with healthcare providers, pharmaceutical manufacturers, and patient communities, Onco360 is helping bridge the gap between therapeutic innovation and real-world patient outcomes.
In its focus to bring together the stakeholders involved in the cancer treatment process, Onco360 is advancing the continuum of oncology pharmaceutical care through patient advocacy, dispensing excellence, and the clinical experience and expertise that comes from its focus in oncology.
Onco360 is headquartered in Louisville, KY and dispenses nationally through its network URAC, ACHC, NAPB, and JCAHO accredited Oncology Pharmacies.
Offices: 13410 Eastpoint Centre Dr, Louisville, Kentucky 40223, US · 335 Bear Hill Road, Waltham, MA 02451, US · 140 John James Audubon Pkwy, Suite 101, Amherst, New York 14228, US · 1985 Marcus Ave suite 120, New Hyde Park, NY 11021, US · 4700 W Sam Houston Pkwy N, Suite 150, Houston, Texas 77041, US
Oncology PharmacyInsurance and Benefit InvestigationsSpecialty PharmacyOncology-Specific PharmacyIndependent Oncology PharmacyBoard Certified Oncology PharmacistsLimited Distribution MedicationsCancer CareOncology Specialty PharmacyMedication Therapy Management Programs
Onco360 is recognized as one of the nation's leading independent specialty pharmacies dedicated exclusively to oncology and rare disease patients. Through its comprehensive patient support programs, clinical expertise, and commitment to personalized care, we play a critical role in helping patients access, manage, and adhere to complex therapies while navigating the challenges associated with cancer treatment.
We focus on delivering specialized pharmacy services and improving the patient experience positions us at the forefront of healthcare innovation. By collaborating with healthcare providers, pharmaceutical manufacturers, and patient communities, Onco360 is helping bridge the gap between therapeutic innovation and real-world patient outcomes.
In its focus to bring together the stakeholders involved in the cancer treatment process, Onco360 is advancing the continuum of oncology pharmaceutical care through patient advocacy, dispensing excellence, and the clinical experience and expertise that comes from its focus in oncology.
Onco360 is headquartered in Louisville, KY and dispenses nationally through its network URAC, ACHC, NAPB, and JCAHO accredited Oncology Pharmacies.
Offices: 13410 Eastpoint Centre Dr, Louisville, Kentucky 40223, US · 335 Bear Hill Road, Waltham, MA 02451, US · 140 John James Audubon Pkwy, Suite 101, Amherst, New York 14228, US · 1985 Marcus Ave suite 120, New Hyde Park, NY 11021, US · 4700 W Sam Houston Pkwy N, Suite 150, Houston, Texas 77041, US
Oncology PharmacyInsurance and Benefit InvestigationsSpecialty PharmacyOncology-Specific PharmacyIndependent Oncology PharmacyBoard Certified Oncology PharmacistsLimited Distribution MedicationsCancer CareOncology Specialty PharmacyMedication Therapy Management Programs