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Prior Authorization Specialist - CPhT

$24.5 - $30.6 per hour

HealthCare Support

HealthCare Support is seeking a Prior Authorization Specialist - CPhT to join a growing PBM organization in Orlando, FL. In this highly collaborative role, you’ll serve as a trusted clinical advisor to clients, helping develop pharmacy benefit and clinical strategies that improve outcomes, manage drug spend, and deliver measurable value. Schedule Monday–Friday, 8:30 AM–5:00 PM Compensation $24.50/hour - $30.60/hour Benefits Medical, dental, and vision insurance Multiple medical plan options, including HSA-eligible plans Benefits effective the 1st of the month following hire 401(k) company match: 50% of the first 4% contributed 100% immediate vesting Paid Time Off Tuition reimbursement Short-term and long-term disability Basic Life & AD&D insurance at 2x salary FSA and HSA options Daily Responsibilities Provide efficient administrative and operational support to adjudication, prior authorization, and clinical review teams. Accurately process claim overrides and case documentation in accordance with standard operating procedures (SOPs) Proactively monitor case queues to ensure timely follow-up and resolution Required Qualifications High school diploma required Certified Pharmacy Technician (CPhT) required 5 years of pharmacy experience 2 years in claims adjudication 2 years in prior authorization processes 2 years of experience in a PBM OR health plan Strong customer service orientation and commitment to delivering concierge-level service Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #J-18808-Ljbffr HealthCare Support

Vacancy posted 3 days ago
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