Prior Authorization Specialist

Make our legacy your legacy . Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems. Ranked in multiple specialties by U.S. News & World Report, we provide access to innovative treatments and therapies. With more than half of the 259 beds in our teaching hospital devoted to intensive care level services, we are the regional pediatric referral center for Florida's west coast. Physicians and community hospitals count on us to care for critically ill patients and perform complex surgical procedures. 

What Awaits You?

• Career growth and development

• Diverse and collaborative working environment

• Affordable and comprehensive benefits package including Tuition Reimbursement

Position Summary:

Coordinates the prior authorization and/or patient assistance program process for medications to ensure timely and appropriate patient access to prescribed therapies. Collaborates with healthcare providers, insurance companies, and patients to gather necessary documentation and information. Analyzes and reviews prior authorization and/or patient assistance program requests to ensure compliance with insurance guidelines and hospital policies. Engages in continuous process improvement to enhance efficiency and patient satisfaction.

Minimum Qualifications :

• High School diploma/GED or equivalent required.
• Completion of an ASHP/ACPE accredited pharmacy technician training program preferred.
• 2+ years of experience in pharmacy, medical billing, and/or insurance verification required.
• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of education.
• PHRMTECH-R - Registered Pharmacy Technician required.
• PHAR-C – Certified Pharmacy Tech (CPhT) certification required.

Tour our campus:

Hours:

Full-time (40 hours)

Monday – Friday, 8am - 430pm. No Holiday or weekend work requirement.

Location: Johns Hopkins All Children’s Hospital, St. Petersburg, FL

Salary Range: Minimum 17.97/hour - Maximum 28.74/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.