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Clinical Authorization Specialist at Dana-Farber Cancer Institute - ApplyBlast

Clinical Authorization Specialist

Dana-Farber Cancer Institute

1 month ago

3.9 on Glassdoor

Boston, Massachusetts, United States

Onsite

Full Time

Medior

0 applicants

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About this role

The Clinical Authorization Specialist manages prior authorization and appeals processes for molecular pathology, high-cost drugs, and off-label treatments at Dana-Farber Cancer Institute. Serving as a liaison between the institute and health plans, the role involves resolving complex medical necessity cases, coordinating with physicians, and advocating for patients. The position requires clinical expertise to navigate payer regulations and ensure timely coverage approvals.

Responsibilities

Manage prior authorization and appeals processes for complex clinical cases
Coordinate with physicians and health plans to resolve coverage denials
Review and monitor drug authorization work queues to identify treatment plans

Skills

Qualifications

Bachelor's degreeBSNRegistered Nurse license

About Dana-Farber Cancer Institute

dana-farber.org

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

1947

View Profile

Dana‑Farber Cancer Institute, based in Boston, MA, is a world‑leading cancer center specializing in adult and pediatric cancer treatment and research. Its physician‑scientists deliver multidisciplinary patient care and develop many of the most advanced therapies, including targeted treatments and clinical trials. Dana‑Farber combines cutting‑edge laboratory research with translational programs, prevention and survivorship services, and education to improve outcomes. Patients and clinicians turn to Dana‑Farber for its expertise, comprehensive care teams, and strong research pipeline.