Remote Prior Authorization Specialist – Obesity Care

OpenKrill; United States; On-site; USD 30,000 - 47,000; Full time

Job summary

Vida is seeking a proactive Clinical Assistant to manage and execute end-to-end prescribing and prior authorization operations for anti-obesity therapies in a remote US-based role. You will navigate PBM criteria, resolve complex member escalations, support Vida Medical Providers, and maintain HIPAA-compliant communications while meeting team SLAs and training peers as needed.

This 3-month seasonal position offers opportunities for extension based on performance and business needs and requires

Qualifications

• 3+ years of experience focused on prior authorizations or PBM navigation in medical clinics, specialty pharmacy, health plans, or telehealth.
• Proven ability to lead projects or workflow improvements and mentor colleagues.
• Deep knowledge of PA submission criteria and PBM formulary workflows.
• Excellent written and verbal communication; able to resolve cross-department escalations diplomatically.

Responsibilities

• Prepare, review, and submit accurate PA requests to PBMs and health plans for anti-obesity medications.
• Autonomously manage complex exception processes and formulary overrides.
• Act as escalation point to research and resolve complex coverage inquiries from Medical Providers, Member Services, QA, and Client Success teams.

Skills

Prior authorization navigation

PBM knowledge

Leadership/mentoring

Communication skills

EHR tools

Team coordination

Education

Certified Medical Assistant

Tools

EHR systems

CoverMyMeds

Google Suite

Slack

Job description

Vida is seeking a proactive Clinical Assistant to manage and execute end-to-end prescribing and prior authorization operations for anti-obesity therapies in a remote US-based role. You will navigate PBM criteria, resolve complex member escalations, support Vida Medical Providers, and maintain HIPAA-compliant communications while meeting team SLAs and training peers as needed.

This 3-month seasonal position offers opportunities for extension based on performance and business needs and requires