Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Scottsdale (AZ); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

401k match

Paid Time Off

Tuition reimbursement

Quarterly incentive bonus

Volunteer day

Referral program

Life insurance & disability

Job summary

Onco360 Pharmacy in Scottsdale, AZ is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team. This full-time role supports patients by obtaining required insurance pre-authorizations and addressing rejected claims.

Remote work may be possible after on-site training. Starting pay is $23.00 per hour with a $5,000 sign-on bonus for qualifying hires.

Ideal candidates have 1+ year pharmacy or prior authorization experience, HIPAA knowledge, and strong communication skills.

Qualifications

• High School Diploma or GED required.
• 1+ year of pharmacy or prior authorization experience.
• Registration with Board of Pharmacy (as required by state).
• Strong communication, organizational, and customer service skills.
• Self-motivated, organized, detail-oriented, and adaptable to changing priorities.
• Knowledge of pharmacy terminology, Medicare, Medicaid, and commercial insurance, and NCPDP claim rejection resolution.

Responsibilities

• 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.

Skills

Pharmacy knowledge

Communication

Organization

Customer service

Attention to detail

Adaptability

NCPDP claim rejection resolution

CoverMyMeds

Education

High School Diploma or GED

PTCB Certification

Associate degree

Tools

CoverMyMeds

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy

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

Sign-On Bonus: $5,000 for employees starting before October 31, 2026 !

Join a mission-driven team making a difference in the lives of cancer patients.

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

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


• 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