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Pennsylvania Licensed Pharmacy Specialist

Location: Remote
Compensation: Hourly
Reviewed: Thu, Aug 13, 2026
This job expires in: 0 days

Job Summary

To support patient access to life-saving medications, the full-time Pharmacy Prior Authorization Specialist will manage prior authorization requests and appeals with insurance carriers, collaborating with healthcare professionals while ensuring HIPAA compliance, and may work remotely from Pennsylvania.

Key responsibilities
  • Manage prior authorization requests and appeals with insurance carriers
  • Collaborate with physicians, pharmacists, and other departments
  • Maintain accurate documentation of authorization details and monitor expiring authorizations
Required qualifications
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Pharmacy Technician License/Registration with Board of Pharmacy
  • Knowledge of pharmacy terminology, insurance claims, and coordination of benefits
  • Experience with CoverMyMeds and NCPDP claim rejection resolution

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