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Pharmacy Prior Authorization Specialist

Onco360

  • Waltham, Massachusetts
  • 30 days ago
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    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

    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 August 31, 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/

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