Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Pittsburgh (Allegheny County); Hybrid; USD 26,139 - 37,229; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Oncology Pharmacy is hiring a Pharmacy Prior Authorization Specialist in Pittsburgh, PA. This full-time role involves managing insurance pre-authorizations and ensuring patients receive necessary medications.

The ideal candidate holds a High School Diploma, has pharmacy experience, and strong communication skills. A $5,000 sign-on bonus is offered for employees starting before July 31, 2026.

Join a supportive team while helping patients access life-saving treatments.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Pharmacy Technician License/Registration as required by state law.
• Knowledge of pharmacy terminology and insurance claims.

Responsibilities

• Ensure patients receive medications that require pre-authorizations from insurance.
• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.

Skills

Strong communication skills

Organizational skills

Customer service skills

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

Position: Pharmacy Prior Authorization Specialist

Location: Pittsburgh, PA

Job Id: 5273

# 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 Pennsylvania. 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 Qualifications

• 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.