Pharmacy Prior Authorization Specialist

Onco360; Village of New Hyde Park (NY); On-site; USD 28,000 - 40,000; 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; and Short

Job summary

Onco360 Pharmacy in New Hyde Park, NY seeks a Pharmacy Prior Authorization Specialist for a full-time role starting at $25.00/hr and up. Remote work may be possible after on-site training.

Scheduling is Mon-Fri, 11:30am–8:00pm EST, with a $5,000 sign-on bonus for hires before December 28, 2026. The role focuses on ensuring patients receive medications requiring pre-authorizations by coordinating with insurance carriers, physicians, and the pharmacy team.

Qualifications

• 1+ year of pharmacy or prior authorization experience.
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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

Prior Authorization

Pharmacy terminology

HIPAA compliance

Communication skills

Organizational skills

Customer service

NCPDP claim rejection resolution

Coordination of benefits

CoverMyMeds

Education

High School Diploma or GED

Job description

Position: Pharmacy Prior Authorization Specialist

Location: New Hyde Park, NY

Job Id:5959

# of Openings:1

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up

Sign-On Bonus: $5,000 for employees starting before December 28, 2026 !

Schedule: M-F, 11:30am to 8:00pm EST.

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

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. 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 valueteamwork, 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
• 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