Florida Licensed Medication Access Specialist

Job Summary

Providing clinical support for the UHealth medication access program, the full-time Florida Licensed Medication Access Specialist will review medical necessity documentation, manage prior authorizations, and collaborate with prescribers and payers to ensure patient access to specialty therapies while working remotely.

Key responsibilities

• Reviews medical necessity documentation and clinical criteria for prior authorization and appeal requests
• Acts as the clinical reviewer for peer-to-peer reviews and complex appeals, presenting rationale to prescribers and payers
• Provides case consultation to Medication Access Coordinators and supports training and competency development

Required qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy (BS Pharmacy); or Bachelor of Science in Nursing (BSN) or higher nursing degree
• Active, unrestricted Florida license as a Pharmacist (RPh) or Registered Nurse (RN) in good standing
• Two to four years of experience in specialty pharmacy, oncology, or infusion nursing
• Knowledge of payer prior authorization and appeals processes, and specialty drug policies
• Strong written and verbal communication skills for peer-to-peer reviews and consultations