waypointjobs

Onco360

Pharmacy Prior Authorization Specialist

village of new hyde park, NY

Check who can apply and the requirements below before continuing.

About this opportunity

Onco360 lists this Pharmacy Prior Authorization Specialist opportunity in village of new hyde park, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Position: Pharmacy Prior Authorization Specialist

Location: New Hyde Park, NY

Job Id: 5646

# of Openings: 1

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy New Hyde Park, NY | Full-Time | Starting at $25.00/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 and rare disease patients.

Onco360 Pharmacy is seeking aPharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Why Join Us?

A career with purpose: Help patients access life-saving medications.

Supportive culture: We valueteamwork, respect, integrity, and passion .

Growth opportunities: We invest in your professional and personal development.

Company Benefits

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance; and Short/Long-Term Disability

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:

3+ years of experience in pharmacy or prior authorizations

Specialty pharmacy experience

#Company Values: Teamwork, Respect, Integrity, Passion

#J-18808-Ljbffr

Who can apply

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