Remote Pharmacy Prior Authorization Specialist

Univera HealthСare in; Buffalo (NY); On-site; USD 29,000 - 46,000; Full time

Job summary

Univera Healthcare is seeking a Pharmacy Prior Authorization Technician to support the Pharmacy Benefits team in managing prior authorization workflows and clinical criteria. Under supervision, you will review medical documentation, determine approvals, and assist with data entry and reporting to support member care.

The role emphasizes collaboration with pharmacists and physicians, adherence to guidelines, and the ability to handle on-call responsibilities as part of a rotation.

Qualifications

• High school diploma; associates degree preferred.
• Pharmacy Technician certification (CPhT) or related healthcare training preferred.
• Strong communication and professional interpersonal skills.
• Proficient with Microsoft Office suite and data entry.
• Ability to work in a regulated, compliance-focused environment.

Responsibilities

• Review medical exception requests based on pharmacist-created algorithms.
• Assess documentation to determine prior authorization approvals.
• Enter data and generate reports for prior authorization processes.
• Communicate with physicians and pharmacists regarding initiatives and questions.

Skills

Communication

Professionalism

Problem solving

Customer service

Time management

Education

High school diploma

CPhT preferred

Tools

Microsoft Office

Job description

Univera Healthcare is seeking a Pharmacy Prior Authorization Technician to support the Pharmacy Benefits team in managing prior authorization workflows and clinical criteria. Under supervision, you will review medical documentation, determine approvals, and assist with data entry and reporting to support member care.

The role emphasizes collaboration with pharmacists and physicians, adherence to guidelines, and the ability to handle on-call responsibilities as part of a rotation.