PA Specialist: Fast-Track Clinical Access & Compliance

Pinnacle Health Solutions; Fresno (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

Pinnacle Health Solutions in California is seeking a Prior Authorization Specialist to support the clinical pharmacy team by initiating, processing, and tracking PA requests to ensure timely access to therapy. You will gather and verify documentation, communicate with prescribers and payers, and maintain accurate records in pharmacy systems and payer portals, while adhering to HIPAA and internal workflows.

This role emphasizes attention to detail, independent thinking, and the ability to

Qualifications

• Requires active California Board of Pharmacy Technician license.
• Experience handling prior authorizations preferred.
• Ability to maintain HIPAA-compliant documentation.
• Strong attention to detail and organizational skills.

Responsibilities

• Initiate and process PA requests per payer requirements.
• Gather and submit clinical/administrative documentation.
• Enter PA status in pharmacy systems and track turnaround times.
• Review denials and assemble appeal materials.
• Communicate PA status with prescribers, payers, and internal teams.
• Maintain compliant records and assist with reporting.
• Support training and process improvements.

Skills

Attention to detail

HIPAA compliance

Documentation

Communication with prescribers/payers

Education

California Board of Pharmacy Technician license

Tools

Microsoft Excel

Pharmacy systems

Payer portals

Job description

Pinnacle Health Solutions in California is seeking a Prior Authorization Specialist to support the clinical pharmacy team by initiating, processing, and tracking PA requests to ensure timely access to therapy. You will gather and verify documentation, communicate with prescribers and payers, and maintain accurate records in pharmacy systems and payer portals, while adhering to HIPAA and internal workflows.

This role emphasizes attention to detail, independent thinking, and the ability to