Pharmacy Prior Authorization Specialist

Onco360; Pittsburgh (Allegheny County); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical; Dental; Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Company Paid Life Insurance

Job summary

JobRx, Inc. is seeking a Pharmacy Prior Authorization Specialist in Pittsburgh, PA. This full-time position, starting at $23.00/hr, involves managing prior authorization requests and acting as a liaison between patients, providers, and insurance companies.

Candidates should possess at least a high school diploma, relevant pharmacy experience, and strong organizational skills. Join us to make a difference in the lives of cancer patients while enjoying significant benefits, including a sign-on bonus and development opportunities.

Qualifications

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

Responsibilities

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

Skills

Strong communication skills

Organizational skills

Customer service skills

Knowledge of pharmacy terminology

Knowledge of insurance claims

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

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.

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

• Medical; Dental; Vision
• 401k with a match
• Paid Time Off and Paid Holidays
• Tuition Reimbursement
• Quarterly Incentive Bonus
• Paid Volunteer Day
• 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:

• Associate degree or Certified Pharmacy Technician (PTCB)
• 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.