AI-Driven Pharmacy Prior Authorization Specialist

Obsidian; New York (NY); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Opportunity to work on high-impact projects

Collaboration with a world-class AI research organization

Job summary

Obsidian is seeking Medication and Pharmacy Prior Authorisation specialists to enhance AI in pharmacy benefit management. You will utilize your expertise to evaluate AI tools that streamline authorisation requests, impacting patient medication access.

The ideal candidate will have over 5 years of experience in pharmacy prior authorisation, comprehensive knowledge of drug formularies, and exceptional communication skills. Join us to shape the future of healthcare and AI integration.

Qualifications

• 5+ years of experience in pharmacy prior authorisation, speciality medication access, or pharmacy benefit management.
• Deep knowledge of speciality drug formularies, step therapy protocols, and payer PA criteria across commercial and government payers.
• Exceptional written and verbal English communication skills.

Responsibilities

• Process prior authorisation requests for speciality medications.
• Review clinical documentation and pharmacy benefit criteria.
• Evaluate AI-generated pharmacy prior authorisation recommendations.

Skills

Pharmacy prior authorisation experience

Knowledge of speciality drug formularies

Verbal and written communication skills

Attention to detail

Education

5+ years of experience in pharmacy management

Tools

Pharmacy benefit management systems

Speciality pharmacy platforms

Job description

Obsidian is seeking Medication and Pharmacy Prior Authorisation specialists to enhance AI in pharmacy benefit management. You will utilize your expertise to evaluate AI tools that streamline authorisation requests, impacting patient medication access.

The ideal candidate will have over 5 years of experience in pharmacy prior authorisation, comprehensive knowledge of drug formularies, and exceptional communication skills. Join us to shape the future of healthcare and AI integration.