Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Burlington (VT); Hybrid; USD 46,000 - 58,000; Full time

Benefits offered by this job

401k with a match

Paid Time Off

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance

Job summary

Onco360 Oncology Pharmacy is looking for a full-time Pharmacy Prior Authorization Specialist in Burlington, VT. Starting at $23.00/hr, the role involves managing prior authorization requests and collaborating with healthcare providers to ensure patient access to medications. The position offers a $5,000 sign-on bonus for those starting early, alongside benefits like 401k matching, paid time off, and tuition reimbursement.

Ideal candidates will have a high school diploma or GED, along with relevant pharmacy experience. Join us to make a meaningful impact on patients' lives.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Knowledge of pharmacy insurance claims and Medicare/Medicaid.
• Detail-oriented and self-motivated.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Ensure HIPAA compliance while handling sensitive patient information.
• Collaborate with physicians, pharmacists, and other departments.

Skills

Strong communication

Organizational skills

Customer service

Knowledge of pharmacy terminology

Ability to adapt to changing priorities

Education

High School Diploma or GED

Pharmacy Technician License/Registration

Tools

CoverMyMeds

Job description

Position: Pharmacy Prior Authorization Specialist

Location: Burlington, VT

Job Id: 5274

# of Openings: 1

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy

Full-Time | Starting at $23.00/hr and up

Shift times currently available: 9:00am-5:30pm EST or 9:30-6:00pm EST

Full-Time position working out of the State of Vermont. This position may work remotely.

Sign-On Bonus: $5,000 for employees starting before July 31, 2026.

As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.

Why Join Us?

• A career with purpose: Help patients access life‑saving medications.
• Supportive culture: We value teamwork, respect, integrity, and passion.
• Growth opportunities: We invest in your professional and personal development.

Company Benefits

• 401k with a match
• Paid Time Off and Paid Holidays
• Tuition Reimbursement
• Quarterly Incentive Bonus
• Referral Incentive Program
• Company Paid Life Insurance; and Short/Long‑Term Disability

What You’ll Do

The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre‑authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims, and conducting necessary third‑party authorization requests.

How You’ll Do This

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance while handling sensitive patient information.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

What You Bring

Required:

• High School Diploma or GED
• 1+ years of pharmacy or prior authorization experience
• Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)
• Strong communication, organizational, and customer service skills
• Self‑motivated, organized, detail‑oriented, and adaptable to changing priorities
• Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

Preferred:

• 3+ years of experience in pharmacy or prior authorizations
• Specialty pharmacy experience

Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.