Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST Full-Time position working out of the State of…
Our Onco360 Pharmacy in New Hyde Park, NY has a need a Full-Time Pharmacist! Onsite: Monday through Friday, 11:30am to 8:00pm EST Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of communi…
Here we grow again! Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Our Onco360 Pharmacy in New Hyde …
Skills: Medication Order Evaluation, Patient Database Management, Clinical Support, Regulatory Compliance, Drug Procurement
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Full-time
high school, associate degree, professional certificate
Medical, Dental, Vision, 401k With Match, Paid Time Off, Paid Holidays
Posted 54d ago
~40 hrs/week
Remote in Indiana, United States
Responsibilities
The specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They collaborate with physicians and pharmacists while maintaining accurate documentation and HIPAA compliance.
Requirements
Requires a high school diploma, a pharmacy technician license, and at least one year of pharmacy or prior authorization experience. Knowledge of insurance claims, Medicare, Medicaid, and tools like CoverMyMeds is essential.
Full job description
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up
Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST
Full-Time position working out of the State of Indiana. This position may work remotely
Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
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.
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
Pharmacy Technician License/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