Pharmacy Prior Authorization Specialist
MetroPlus
MetroPlus Health in New York is seeking a Prior Authorization Review Technician to input, review, and notify on prior authorization requests within the pharmacy workflow. You will handle overrides in the adjudication system, respond to member inquiries, and support quality improvement initiatives. The role requires an Associate's degree and 3 years as Pharmacy Technician, with strong Microsoft Word/Excel skills and PTCB or ExCPT certification. This is a hybrid role with standard daytime shifts. #J-18808-Ljbffr MetroPlus
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Pharmacy Prior Authorization Specialist in New York, NY vacancy
- WellDyne is seeking a Prior Authorization Tech II to initiate clinical PA requests by phone or email, create and fax cases, and document all... ...via telephone with prescriber staff and work closely with pharmacies, providers, and members to resolve issues. In this role you...Suggested
- ...Metro Integrative Pharmacy in New York City is looking for Homeopaths, Naturopaths, Nutritionists, and other Wellness Practitioners to join our team. We aim to redefine the pharmacy experience by combining traditional pharmacy services with holistic solutions. This role...SuggestedFlexible hours
Metro Integrative Pharmacy
New York, NY3 days ago - ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...SuggestedPart timeRemote work
Boston Medical Center
New York, NY4 days ago - ...Location: Remote/Hybrid with 10% travel nationwide The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal... ...management, PBM, health plan operations, specialty pharmacy, or healthcare technology. Hands-on experience with PAHub...SuggestedLocal areaRemote work
RXinsider
New York, NY4 days ago $80 per hour
...OpportunityWe are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows, documentation review,...SuggestedHourly payPart timeFor contractorsWork at officeRemote workFlexible hours24-MAG LLC
New York, NY4 days ago- Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
$14k
Influencer Partnerships Specialist (Contract) Remote | Part-Time Contract (20 hrs/week) | U.S., Canada, Mexico & Latin America About Springboard... ...) and Allied Health training (Certified Medical Assistant, Pharmacy Technician, Sterile Technician) — all focused on helping...Contract workPart timeRemote work- MedImpact Healthcare Systems, Inc. is hiring for a Prior Authorization Operations role to process PA requests, validate information, and ensure timely, accurate determinations following clinical guidelines and client requirements. The position emphasizes collaboration with...
- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
- About the Role We’re hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically verifies...
- Date Posted: 2026-07-23 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and...Private practiceRemote work
- ...clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities...Remote jobPrivate practiceWork at officeImmediate start
- Overview Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: Benefits Competitive salary Health insurance Opportunity for advancement Paid time off Profit sharing Health benefits and...
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
$21.38 - $44.4 per hour
...$21.38-$44.40/hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting from their assigned payor... ...School Diploma or General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical billing environment...$55k - $60k
...package, and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations,... ...various health plans. This role reports to the Manager, Prior Authorization within the Reimbursement Operations Department...Full timeContract workRemote work- ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...commonly used in pain management Navigate pharmacy benefit portals and step-therapy...Contract workRemote work
$25 - $27 per hour
Harlem Cardiology on Madison Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation...Hourly payFull time- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in...Remote jobWork from home
$18 - $32 per hour
Intake Specialist This position is National Remote. You'll enjoy the flexibility to telecommute... ...for obtaining the patient's benefits, prior authorizations and/or predeterminations, as well as... ...intake of home infusion or specialty pharmacy services Familiarity with...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift work- ...their Mission:For more than five decades, New York Cancer & Blood Specialists has been a prominent presence in the field of oncology within... ...services such as in-house laboratory facilities, an in-house pharmacy, radiology services, access to nutritionists, pathology...Temporary workPrivate practiceLocal areaFlexible hours
- A U.S.-based healthcare service is seeking a Pre-Authorization & Referral Coordinator to manage insurance verifications, prior authorizations, and referrals for a fast-paced medical office. The ideal candidate should have over 2 years of experience in a U.S. medical setting...Remote jobFull timeFor contractorsWork at office
$20 - $28.8 per hour
...the direction of the Supervisor, Referrals, the Referrals Specialist serves as a primary interface between patients, providers,... ...Epic and insurance portals. Verify eligibility and obtain prior authorizations/pre-certifications as needed. Route/fax medical documentation...Remote jobFull timeWork at office- Requisition TitlePharmacy Associate- Specialty Requisition ID2025-14532 # of Openings1 Job LocationsUS-NY-Syracuse Posted Date8/14/2025 CategoryPharmacy Location : LocationUS-NY-Syracuse Requisition Post Information* : External Company NameKPH Healthcare Services Location...Full time
$21 - $24 per hour
...intake, care coordination, enrollment activities, and service authorization workflows. This hybrid, non-patient-facing position works closely... .../personal care vendors regarding member services. Enter prior approvals and service authorizations into CareConnect based on...Hourly payFull timeWork experience placementAtria Consulting
New York, NY2 days ago$145k - $180k
...Make:We are looking for an experienced PolyPath Market Risk Specialist with strong technical and business knowledge to support pricing... ...experience, training, military service, or education.Work Authorization & Sponsorship:Applicants must be legally authorized to work in...Hourly payFull timeContract workWork experience placementShift work$89.59k - $197.46k
...own future.KPMG is currently seeking a Senior Associate, Credit Specialist to join our Audit practice.Responsibilities:Execute the day-to-... ...factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications and market...Local area$90k - $140k
...London, Tokyo and Singapore, which manages Fixed Income portfolios for a broad range of clients. The RoleThe Fixed Income Portfolio Specialist will be responsible for servicing existing clients and driving commercialization of the institutional Global Multi-sector...Temporary workWork at officeWorldwide- Cardiac CT Technologist - Coronary CTA Specialist Houston, United States | Posted on 03/03/2026 It’s notjust treatment; it’s care thoughtfully... ...well beyond discharge. With modern patient rooms, an in-house pharmacy, and hands-onexecutive leadership, our hospital is dedicated...
- ...Job Description Job Description LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access to medications, diagnostic imaging, and specialty care by managing...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pharmacy Prior Authorization Specialist. Be the first to apply!
Related searches
- pharmacy specialist New York, NY
- pharmacy internship New York, NY
- pharmacy delivery New York, NY
- pharmacy driver New York, NY
- pharmacy claims New York, NY
- pharmacy benefits New York, NY
- cvs pharmacy part time New York, NY
- family pharmacy New York, NY
- pharmacy support New York, NY
- pharmacy call center representative New York, NY