Pharmacist - Prior Authorization Specialist

1 week ago


Hummelstown, Pennsylvania, United States PennState Health Full time
Job Summary

PennState Health is seeking a highly skilled Outpatient Pharmacist to join our team in a dynamic and challenging role. As a key member of our pharmacy team, you will be responsible for ensuring that patients receive timely and cost-effective access to specialty medications.

Key Responsibilities
  • Research and obtain authorizations for specialty medications, ensuring compliance with regulatory requirements and insurance policies.
  • Collaborate with prescribers, patients, and insurance providers to resolve issues related to medication access and coverage.
  • Analyze lab and clinical data to inform medication decisions and optimize patient outcomes.
  • Develop and maintain strong relationships with insurance providers and third-party payers to ensure seamless access to medications.
  • Stay up-to-date with the latest developments in pharmacy practice, including new medications, therapies, and regulatory changes.
Requirements
  • High School Diploma or equivalent required.
  • Two (2) years of experience in prior authorizations in a pharmacy or clinical setting required.
  • Strong analytical and problem-solving skills, with the ability to work in a fast-paced environment.
  • Excellent communication and interpersonal skills, with the ability to work effectively with patients, prescribers, and insurance providers.
  • Ability to multitask and prioritize multiple projects and deadlines.
Preferred Qualifications
  • Pharmacy technician or pharmacy billing experience with insurers and third-party payers preferred.
About PennState Health

PennState Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. Our mission is to improve health through patient care, research, education, and community outreach. We are committed to advancing healthcare through innovation, collaboration, teamwork, and a passionate commitment to those we serve.

Benefits
  • Holiday Pay
  • Continuing Education
  • 401k retirement plan
  • Pet insurance
  • Wellness and fitness programs
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
  • Life insurance
  • Discount program

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