Pharmacy Prior Authorization Specialist - Remote (Post-Training)

Onco360 Oncology Pharmacy; Houston (TX); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k match

Paid Time Off

Job summary

Onco360 Oncology Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist for a full-time role. The position starts at $23.00/hr with a $5,000 sign-on bonus for employees joining before 12/28/2026, and remote work is possible after initial on-site training.

Local candidates preferred as the role involves on-site training and close collaboration with physicians and pharmacy teams to ensure timely pre-authorizations for patient medications.

Qualifications

• High School Diploma or GED is required.
• 1+ years of pharmacy or prior authorization experience.
• Registration with Board of Pharmacy as required by state law.
• Knowledge of Medicare, Medicaid, and commercial insurance; familiarity with CoverMyMeds.
• Strong communication, organizational, and customer service skills.
• Self-motivated, organized, detail-oriented, and adaptable to changing priorities.

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

Communication skills

Organizational skills

Customer service

HIPAA compliance

Pharmacy terminology

Insurance claims knowledge

NCPDP knowledge

Coordination of benefits

NDC billing

Education

High School Diploma or GED

Associate degree or Certified Pharmacy Technician (PTCB)

Tools

CoverMyMeds

Job description

Onco360 Oncology Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist for a full-time role. The position starts at $23.00/hr with a $5,000 sign-on bonus for employees joining before 12/28/2026, and remote work is possible after initial on-site training.

Local candidates preferred as the role involves on-site training and close collaboration with physicians and pharmacy teams to ensure timely pre-authorizations for patient medications.