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Onco360 Oncology Pharmacy Verified
Pharmaceuticals, Healthcare, Pharmacy

Pharmacy Prior Authorization Specialist

RemoteRemoteFull TimeEntry-level (exp-based)$23–$23 /hrPosted 1 month ago

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Required skills

  • Pharmacy
  • Prior Authorization
  • Onco360 Pharmacy
  • New Mexico
  • High School Diploma
  • GED
  • Board of Pharmacy Registration
  • Communication skills
  • Customer service skills
  • Self-motivated

Nice to have

  • PTCB
  • Specialty pharmacy

Role summary

Onco360 Pharmacy is seeking a full-time Pharmacy Prior Authorization Specialist in Albuquerque, NM, to help cancer patients access life-saving medications. This role involves managing prior authorization requests and appeals, collaborating with healthcare professionals, ensuring HIPAA compliance, and maintaining accurate documentation. The position offers a supportive culture, growth opportunities, and benefits including medical, dental, vision, 401k, and tuition reimbursement. Remote work is available for those licensed in New Mexico. A $5,000 sign-on bonus is offered for employees starting before October 31, 2026.

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Albuquerque, NM | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before October 31, 2026! Join a mission-driven team making a difference in the lives of cancer patients. Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in the State of New Mexico. This is a full-time position. Remote work if licensed in State of New Mexico.
 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.
Ready to apply?
You'll be redirected to Onco360 Oncology Pharmacy's application page.

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