Oncology Prior Authorization Pharmacy Specialist

Florida Cancer Specialists; United States; Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

Tuition reimbursement

401-K match

Pet insurance

Legal insurance

Job summary

Florida Cancer Specialists is seeking a dedicated Prior Authorization Specialist to manage prior Authorizations for oral oncology and supportive medications. You will work with patients, caregivers, and providers to verify prescription status and ensure timely processing.

The role requires active Florida Pharmacy Technician licensure and a National Certification, with preferred PACS certification and hematology/oncology experience.

Qualifications

• Active Registered Florida Pharmacy Technician license required.
• Active National Pharmacy Technician Certification required.
• Prior Authorization Certified Specialist (PACS) certification preferred.
• Minimum three years’ experience in health care or customer service; hematology/oncology experience preferred.

Responsibilities

• Perform prior authorizations and appeals for oral oncology and supportive medications.
• Interact with patients, caregivers, and healthcare providers regarding prescription status.
• Process prior authorization denials; prepare documentation and letters of medical necessity as needed.
• Obtain prior authorizations using Eviti, New Century Health, and Cover My Meds.
• Escalate complex clinical concerns to clinicians for first-call resolution.
• Ensure compliance with privacy, safety and employment regulations; support CQI program.

Skills

Communication skills

Prior authorization

Interpersonal skills

Time management

Collaboration

Education

High school diploma or GED

Active Florida Pharmacy Technician license

Active National Pharmacy Technician Certification

PACS certification preferred

Tools

Eviti

New Century Health

Cover My Meds

Job description

Florida Cancer Specialists is seeking a dedicated Prior Authorization Specialist to manage prior Authorizations for oral oncology and supportive medications. You will work with patients, caregivers, and providers to verify prescription status and ensure timely processing.

The role requires active Florida Pharmacy Technician licensure and a National Certification, with preferred PACS certification and hematology/oncology experience.