Licensed Practical Nurse

Managed Staffing, Inc.; United States; On-site; USD 52,000 - 68,000; Full time

Job summary

Managed Staffing, Inc. is seeking an experienced Prior Authorization Specialist to review and process complex prior authorization requests in PBM, MDO, or clinical settings.

The role requires the ability to navigate multiple systems and ensure timely, accurate documentation, with prior appeals experience preferred.

Qualifications

• Minimum 2+ years of recent prior authorization experience in a PBM, MDO, or clinical setting
• Prior appeals experience is preferred
• PBM, specialty pharmacy, payer, or medical office (MDO) experience

Responsibilities

• Review and process complex prior authorization and appeals requests using clinical criteria and supporting documentation
• Navigate multiple systems, tools, and communication platforms simultaneously with speed and accuracy

Job description

• Minimum 2+ years of recent prior authorization experience in a PBM, MDO, or clinical setting
• Prior appeals experience is preferred
• PBM, specialty pharmacy, payer, or medical office (MDO) experience

• Review and process complex prior authorization and appeals requests using clinical criteria and supporting documentation
• Navigate multiple systems, tools, and communication platforms simultaneously with speed and accuracy