Remote Prior Authorization Operations Consultant

Amicis Global; Alaska; Remote; USD 83,000 - 124,000; Full time

Benefits offered by this job

Remote work

6-month engagement

Job summary

Amicis Global is seeking a Clinical Operations Consultant to drive quality execution of administrative support for Prior Authorization, on a fully remote basis for a 6‑month engagement. You will configure criteria documents and forms daily, link workloads to drug classes, and validate configurations for compliance and operational standards.

You will also lead meetings, develop work instructions, train users, and present system demos to CAS and clinical teams.

Qualifications

• 3+ years of PBM prior authorization experience.
• Experience configuring PA system/workflows.
• Ability to collaborate across teams and document processes.

Responsibilities

• Configure criteria documents and fax forms in the Prior Authorization system daily.
• Link workload to specific drug classes and clients.
• Validate configurations for compliance and operational standards.
• Lead meetings, create and maintain work instructions, training, projects and activities related to PA systems.
• Provide system demos and guide CAS users through implementation.
• Collaborate with internal and external teams to identify opportunities to improve processes and drive efficiencies.

Skills

Prior authorization experience

Project management

Attention to detail

Education

Bachelor's Degree in related field

High School Diploma or equivalent

Tools

MS Excel

MS Word

PowerPoint

CAS or MedHOK systems

Prior Authorization system

Job description

Amicis Global is seeking a Clinical Operations Consultant to drive quality execution of administrative support for Prior Authorization, on a fully remote basis for a 6‑month engagement. You will configure criteria documents and forms daily, link workloads to drug classes, and validate configurations for compliance and operational standards.

You will also lead meetings, develop work instructions, train users, and present system demos to CAS and clinical teams.