Remote Pharmacy Prior-Auth & Specialty Med Access QA

AuraOne, Inc.; United States; Remote; USD 85,000 - 121,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Operational review

Policy adherence

Workflow judgment

Stakeholder communication

PA operations

Job description

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