Pharmacist

3 days ago


Lahore, Punjab, Pakistan b1b0b51b-077e-4b56-92f6-2d323749f0c9 Full time 500,000 - 1,500,000 per year

Blue Health
is seeking a motivated
Prior Authorization Specialist
(also known as
Clinical Authorization Coordinator
) with a
medical or allied health science background
to support our prior authorization process. This is a
non-clinical role
designed for healthcare professionals eager to combine medical expertise with cutting-edge technology in a modern, innovation-driven environment modeled on
U.S. healthcare standards
.

(Medical students are encouraged to apply)

Key Responsibilities:

  • Review and process prior authorization requests for medical services, procedures, and prescriptions.
  • Apply clinical judgment and payer guidelines to assess medical necessity.
  • Ensure compliance with
    HIPAA
    and payer-specific standards.
  • Collaborate with physicians, pharmacists, and healthcare providers to obtain supporting documentation.
  • Maintain detailed and accurate case records in
    EHR/EMR systems
    .
  • Assist in managing denials and appeals when required.
  • Use
    AI-powered tools
    to streamline workflows and enhance decision-making efficiency.

Requirements:

  • Educational background in
    Nursing, Pharmacy, or Allied Health Sciences
    (RN, LPN, BSN, PharmD, CPhT, or equivalent).
  • Strong knowledge of medical terminology and insurance payer guidelines.
  • Prior experience in
    utilization management
    ,
    authorization
    , or
    clinical review
    is highly preferred.
  • Excellent communication, organization, and analytical skills with great attention to detail.

Preferred Qualifications:

  • Bachelor's degree in
    Nursing, Pharmacy, Allied Health
    , or an equivalent clinical discipline.
  • Preferred:
    MBBS, DPT, or PharmD.
  • Ability to work independently in a
    fast-paced, tech-enabled
    environment.
  • Familiarity with
    EHR/EMR systems
    and healthcare insurance workflows.

Why Join Blue Health?

  • Access to cutting-edge AI tools
    that boost learning, efficiency, and communication.
  • Working here naturally improves your
    accent and communication skills
    , helping you excel in international healthcare language exams.
  • Professional connections & internship opportunities
    within the U.S. healthcare system.
  • A culture that
    rewards innovation, encourages creativity
    , and recognizes individual contributions.
  • No-boss culture:
    flat, collaborative structure focused on mentorship and personal growth.
  • Experience a
    U.S.-style healthcare work environment
    blending operations, learning, and innovation.

Apply now
to join a team shaping the future of healthcare operations through innovation, collaboration, and global exposure.


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