Pharmacy Prior Authorization Specialist

Full-time position based in Salt Lake City, Utah. Remote work available if licensed in the State of Utah. Starting pay at $23.00/hr and up, with a $5,000 sign-on bonus for employees starting before September 30, 2026.

About the role

Join a mission-driven team making a difference in the lives of cancer patients. As a Pharmacy Prior Authorization Specialist, you will ensure patients receive medications that require pre-authorizations from insurance carriers by addressing and rectifying rejected claims and conducting necessary third-party authorization requests.

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.
• Experience with pharmacy test claims, NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, and CoverMyMeds.

Preferred Qualifications

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

Benefits

• Medical, dental, and vision coverage.
• 401k with company 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.

Pay

Starting at $23.00/hr and up, with a $5,000 sign-on bonus for employees starting before September 30, 2026.