Remote Prior Authorization Systems Specialist

Judi Health; United States; Hybrid; USD 75,000 - 80,000; Full time

Benefits offered by this job

Comprehensive health coverage

401(k) plan with company match

Paid time off

Job summary

Judi Health is seeking a Prior Authorization Specialist responsible for maintaining and validating prior authorization criteria, with the ability to work remotely or in a hybrid setup from locations such as New York, Charlotte, or Denver.

Candidates should have at least 4 years of pharmacy technician experience and a strong understanding of prior authorization workflows. Benefits include comprehensive health coverage and a robust retirement plan.

Qualifications

• 4+ years of pharmacy technician experience in a PBM, health plan, or clinical environment.
• Demonstrated experience with prior authorization systems or clinical rule configuration.
• High attention to detail with a focus on data accuracy.

Responsibilities

• Maintain and validate prior authorization criteria within the PA system.
• Document clinical rationale for utilization management criteria.
• Collaborate cross-functionally to support system improvements.

Skills

Pharmacy technician experience

Prior authorization systems

Attention to detail

Microsoft Excel

Education

Bachelor’s degree or equivalent

Job description

Judi Health is seeking a Prior Authorization Specialist responsible for maintaining and validating prior authorization criteria, with the ability to work remotely or in a hybrid setup from locations such as New York, Charlotte, or Denver.

Candidates should have at least 4 years of pharmacy technician experience and a strong understanding of prior authorization workflows. Benefits include comprehensive health coverage and a robust retirement plan.