Senior Medication Access & Prior Authorization Specialist

Obsidian; San Francisco (CA); Remote; USD 85,000 - 115,000; Full time

Job summary

Obsidian is seeking experienced Medication and Pharmacy Prior Authorisation specialists to improve next-gen AI systems. Ideal candidates will have a background in speciality medication access and pharmacy benefit management.

Responsibilities include managing authorisation requests, reviewing clinical documentation, and ensuring compliance with payer guidelines. Enjoy the opportunity to work in San Francisco while contributing to advancements in healthcare AI.

Qualifications

• 5+ years of experience in pharmacy prior authorisation, speciality medication access, or pharmacy benefit management.
• Deep knowledge of speciality drug formularies, step therapy protocols, and payer PA criteria.
• Experience with speciality pharmacy platforms and pharmacy benefit management (PBM) systems.

Responsibilities

• Process and manage prior authorisation requests for speciality medications.
• Review clinical documentation and pharmacy benefit criteria.
• Evaluate AI-generated pharmacy prior authorisation recommendations.

Skills

Pharmacy prior authorisation

Speciality medication access

Pharmacy benefit management

Attention to detail

English communication

Education

Certified Pharmacy Technician (CPhT)

Certified Prior Authorisation Professional (CPAP)

Job description

Obsidian is seeking experienced Medication and Pharmacy Prior Authorisation specialists to improve next-gen AI systems. Ideal candidates will have a background in speciality medication access and pharmacy benefit management.

Responsibilities include managing authorisation requests, reviewing clinical documentation, and ensuring compliance with payer guidelines. Enjoy the opportunity to work in San Francisco while contributing to advancements in healthcare AI.