Pharmacy Prior Authorization Senior Representative

The Pharmacy Prior Authorization Senior Representative is responsible for obtaining initial and renewal authorizations for Specialty Pharmacy and/or Specialty Infusion services. This role involves collaborating with clinicians to support medical documentation, managing quality reviews, and communicating with patients and prescribers regarding insurance denials and appeals. The position requires proficiency in verifying plan eligibility, processing test claims, and utilizing various communication channels to ensure timely task completion.