Pharmaceuticals, Healthcare, Pharmacy

Pharmacy Prior Authorization Specialist

Buffalo, NYHybridFull TimeEntry-level (exp-based)$23–$23 /hrPosted 2 months ago

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Required skills

High School Diploma
GED
pharmacy
prior authorization
Board of Pharmacy registration
communication skills
customer service skills
self-motivated
detail-oriented
adaptable

Nice to have

PTCB
specialty pharmacy

Role summary

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in Buffalo, NY. This full-time role focuses on ensuring patients can access necessary medications by managing prior authorization requests and appeals with insurance carriers. Responsibilities include collaborating with healthcare professionals, maintaining HIPAA compliance, documenting authorization details, and proactively managing renewals. The ideal candidate has 1+ years of pharmacy or prior authorization experience, knowledge of pharmacy insurance, and strong communication and organizational skills. A sign-on bonus is available. Remote work is possible after initial on-site training.

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Buffalo, NY | 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 Buffalo, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. 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

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.

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.

Pharmacy Prior Authorization Specialist

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Required skills

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