Pharmacy Prior Authorization & Specialty-Medication Access Specialist

AuraOne, Inc.; United States; À distance; USD 85 000 - 121 000; Plein temps

Résumé du poste

AuraOne, Inc. is seeking a remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist contractor to evaluate AI outputs across authentic workday workflows.

You will grade tone, policy adherence, and stakeholder fit, and you will flag operational risk on a structured rubric. As a remote US-eligible contractor, you will document the right next steps so the modeling team can train on it and adjudicate disputed treatments using firm guidance, ensuring consistent quality across

Qualifications

• Direct working experience in pharmacy prior authorization specialty medication access operations on real teams.
• Ability to apply multi-page rubrics consistently across long batches.
• Clear written reasoning naming the policy or workflow being applied.

Responsabilités

• Review AI outputs against current pharmacy prior authorization specialty medication access workflows and firm policy.
• Grade tone, escalation logic, and stakeholder fit on a structured rubric.
• Flag operational risk, missed escalations, and policy-adherence gaps with severity tags.
• Capture the right next step so the modeling team can train on it.
• Adjudicate disputed treatments against published playbooks or firm guidance.
• Maintain reviewer-quality scores in inter-rater calibration cycles.

Connaissances

Operational review

Policy adherence

Workflow judgment

Stakeholder communication

PA operations

Description du poste

Pharmacy Prior Authorization & Specialty-Medication Access Specialist is a remote review track for evaluating AI outputs across pharmacy prior authorization specialty medication access specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next step so the modeling team can train on it.

Why this role matters

Pharmacy Prior Authorization Specialty Medication Access specialist operations AI has to fit into an actual day at work. AuraOne uses experienced operators to grade outputs the way a senior peer would — checking workflow, policy, and the unwritten rules that decide whether a task actually gets done.

Responsibilities

• Review AI outputs against current pharmacy prior authorization specialty medication access specialist operations workflows, playbooks, and firm policy for Pharmacy Prior Authorization & Specialty-Medication Access Specialist assignments.
• Grade tone, escalation logic, and stakeholder fit on a structured rubric.
• Flag operational risk, missed escalations, and policy-adherence gaps with severity tags.
• Capture the right next step so the modeling team can train on it.
• Adjudicate disputed treatments against published playbooks or firm guidance.
• Maintain reviewer-quality scores in inter-rater calibration cycles.

Qualifications

• Direct working experience in pharmacy prior authorization specialty medication access specialist operations on real teams for Pharmacy Prior Authorization & Specialty-Medication Access Specialist work.
• Comfort applying multi-page rubrics consistently across long batches.
• Clear written reasoning that names the policy or workflow being applied.
• Strong attention to detail and the ability to flag when a prompt itself is the problem.
• Reliable async availability for at least 10 hours per week.

Example tasks

• Grade a model's response to a real pharmacy prior authorization specialty medication access specialist operations ticket and rate workflow, tone, and escalation.
• Flag a missed escalation with the right severity tag and corrected next step.
• Adjudicate a disputed playbook call between two reviewers using firm guidance.
• Audit a 25-row batch for rubric consistency and report drift to the program lead.

Nice to have

• Prior experience training, calibrating, or QA-ing operations teams.
• Familiarity with AI-assisted workflow tooling and its failure modes.
• Bilingual experience for cross-region operations.

Skills

• Operational review
• Policy adherence
• Workflow judgment
• Stakeholder communication
• Pharmacy Prior Authorization Specialty Medication Access specialist operations

Work model

Remote — US-eligible. Remote · Independent specialist contractor. Employment type: CONTRACTOR. Applicants must be authorized to work from US.

Compensation

$75 / hr