Pharmacy Prior-Authorization Specialist (Hybrid)

Elevance Health; St. Louis (MO); Hybrid; USD 38,000 - 60,000; Full time

Benefits offered by this job

merit increases

paid holidays

Paid Time Off

incentive bonus programs (unless cared

medical

dental

vision

short-term disability benefits

long-term disability benefits

401(k)+match

stock purchase plan

life insurance

wellness programs

financial education resources

Job summary

Elevance Health's BioPlus Specialty Pharmacy is seeking an Authorization Representative I to manage drug re-authorizations and submit forms to insurance plans. The role combines in-office collaboration 1-2 days weekly with flexible hybrid work, and requires strong attention to detail.

You will maintain logs, follow up on approvals, and support patients and providers through the authorization process, contributing to efficient prior authorization workflows.

Qualifications

• HS diploma or GED required or equivalent.
• Certified Pharmacy Technician certification is highly desirable.
• Experience with specialty pharmacy and prior authorizations preferred.
• Medical terminology training is a plus.

Responsibilities

• Enters re-authorizations into the portal with accurate details.
• Submits re-authorization forms to insurance plans.
• Maintains a log of all submitted re-authorizations.
• Follows up with insurers and physicians to verify status.

Skills

Certified Pharmacy Technician

Specialty pharmacy experience

Medical terminology

Prior Authorizations/ Appeals

Education

HS diploma or GED

Job description

Elevance Health's BioPlus Specialty Pharmacy is seeking an Authorization Representative I to manage drug re-authorizations and submit forms to insurance plans. The role combines in-office collaboration 1-2 days weekly with flexible hybrid work, and requires strong attention to detail.

You will maintain logs, follow up on approvals, and support patients and providers through the authorization process, contributing to efficient prior authorization workflows.