Remote Pharmacy Prior Authorization Specialist (NM)

Socket.dev; Albuquerque (NM); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Sign-On Bonus: $5,000 for NM licensed

Medical; Dental; Vision

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Life Insurance; Disability

Job summary

Onco360 Pharmacy in Albuquerque, NM is seeking a Pharmacy Prior Authorization Specialist for a full-time role starting at $23.00/hr with a $5,000 sign-on bonus for joining before 30 September 2026. Remote work is available if licensed in New Mexico.

The position involves ensuring patients receive needed medications by obtaining required authorizations, addressing rejected claims, and coordinating with carriers and care teams to maintain timely access.

Qualifications

• High School Diploma or GED required.
• 1+ years of pharmacy or prior authorization experience.
• Board of Pharmacy registration as required by state law.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance while handling patient information.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Skills

Communication skills

Organizational skills

Customer service

Education

High School Diploma or GED

State Board Pharmacy registration (as required)

Tools

CoverMyMeds

Job description

Onco360 Pharmacy in Albuquerque, NM is seeking a Pharmacy Prior Authorization Specialist for a full-time role starting at $23.00/hr with a $5,000 sign-on bonus for joining before 30 September 2026. Remote work is available if licensed in New Mexico.

The position involves ensuring patients receive needed medications by obtaining required authorizations, addressing rejected claims, and coordinating with carriers and care teams to maintain timely access.