Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Cleveland (OH); On-site; USD 26,139 - 37,229; Full time

Benefits offered by this job

401k with match

Paid Time Off

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Oncology Pharmacy in Cleveland, OH is seeking a Pharmacy Prior Authorization Specialist to manage prior authorizations for medications. The role is pivotal in ensuring patients receive their necessary prescriptions.

Preferred candidates will have at least 1 year of pharmacy experience and a Pharmacy Technician License. This full-time position offers a starting salary of $23.00/hr and a sign-on bonus of $5,000. The position may allow remote work and provides comprehensive benefits including 401k and paid time off.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Pharmacy Technician License/Registration with Board of Pharmacy.
• Knowledge of pharmacy terminology and insurance claims.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Ensure HIPAA compliance while handling sensitive patient information.
• Maintain accurate documentation of authorization details.

Skills

Communication skills

Organizational skills

Customer service skills

Attention to detail

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

Position: Pharmacy Prior Authorization Specialist

Location: Cleveland, OH

Job Id: 5272

# 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 - 6:00 pm EST

Full-Time position working out of the State of Ohio. 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

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.