Sign upLog in
See more jobs

Pharmacy Prior Authorization Specialist

Onco360
  • Waltham, Massachusetts
    Today

    Job Description

    Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
    Waltham, MA |  Full-Time |  Starting at $23.00/hr and up
     
    Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
     
    Join a mission-driven team making a difference in the lives of cancer and rare disease patients.
     
    Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
     
     Why Join Us?
    • A career with purpose: Help patients access life-saving medications.
    • Supportive culture: We value teamwork, respect, integrity, and passion.
    • Growth opportunities: We invest in your professional and personal development.
     
    Company Benefits
    • Medical; Dental; Vision
    • 401k with a match
    • Paid Time Off and Paid Holidays
    • Tuition Reimbursement
    • Quarterly Incentive Bonus
    • Paid Volunteer Day
    • Referral Incentive Program
    • Company Paid Life Insurance; and Short/Long-Term Disability
    What You’ll Do
    The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
     
    How You’ll Do This
    • Manage prior authorization requests and appeals with insurance carriers.
    • Collaborate with physicians, pharmacists, and other departments.
    • Ensure HIPAA compliance while handling sensitive patient information.
    • Maintain accurate documentation of authorization details.
    • Proactively monitor and renew expiring authorizations.
     What You Bring
    Required:
    • High School Diploma or GED
    • 1+ years of pharmacy or prior authorization experience
    • Registration with Board of Pharmacy (as required by state law)
    • Strong communication, organizational, and customer service skills
    • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
    • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
    Preferred:
    • Associate degree or Certified Pharmacy Technician (PTCB)
    • 3+ years of experience in pharmacy or prior authorizations
    • Specialty pharmacy experience
    Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

    Numbers & Facts

    LocationWaltham, Massachusetts
    Websitehttps://onco360.com/about/careers/join-our-team/

    Skills

    • Billingunmatched
    • Cancerunmatched
    • Certified Pharmacy Technician (CPhT)unmatched
    • Communication Skillsunmatched
    • Customer Support/Serviceunmatched
    • Detail Orientedunmatched
    • Diseaseunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • High School Diplomaunmatched
    • Incentive Programsunmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Life Insuranceunmatched
    • Maintain Complianceunmatched
    • Medicaidunmatched
    • Medical Recordsunmatched
    • Medicareunmatched
    • Medicationsunmatched
    • Organizational Skillsunmatched
    • Pharmacyunmatched
    • Prescription Drugsunmatched
    • State Laws and Regulationsunmatched
    • Team Playerunmatched
    • Work From Homeunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder