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Medication Access Specialist - Remote | Upto $75/hr

$75 per hour

Mercor

New York, NY
  • Remote job

Job Description

Job Description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Pharmacy Prior Authorization & Specialty-Medication Access Specialist
Type: Contract
Compensation: $75/hour
Location: Remote

Role Responsibilities

  • Process and manage prior authorisation requests for speciality medications, biologics, and high-cost pharmaceuticals across commercial, Medicare Part D , and Medicaid payers.
  • Review clinical documentation and pharmacy benefit criteria to determine medical necessity for speciality drug authorisations.
  • Evaluate AI-generated pharmacy prior authorisation recommendations for accuracy, completeness, and payer compliance.
  • Coordinate with prescribers, speciality pharmacies, and payers to obtain timely medication authorisations.
  • Manage appeals for denied pharmacy authorisations, including peer-to-peer requests and exception processes.
  • Annotate AI outputs and provide structured feedback to support AI training datasets .

Qualifications

Must-Have

  • 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 across commercial and government payers.
  • Experience with speciality pharmacy platforms and pharmacy benefit management ( PBM ) systems.
  • Familiarity with Medicare Part D coverage determination and exception processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate clinical documentation and AI-generated outputs.

Preferred

  • Certified Pharmacy Technician (CPhT) or Certified Prior Authorisation Professional (CPAP) credential.
  • Experience with hub services and patient assistance programs for speciality medications.
  • Background in speciality pharmacy, infusion services, or oncology/rheumatology drug access.
  • Familiarity with AI tools and comfort evaluating AI-generated pharmacy content.
  • Experience with manufacturer copay assistance and patient access programs.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Vacancy posted 8 days ago
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