Pharmacist Prior Authorization

1 week ago

Lahore, Punjab, Pakistan DEVSTAX Full time

Job Title:
Pharmacist – Prior Authorization Specialist

Company:
Devstax

Location:
On-site

Shift Timing:
6:00 PM – 3:00 AM (Pakistan Standard Time)

Employment Type:
Full-time

Job Summary:

The
Pharmacist – Prior Authorization Specialist
will be responsible for managing and processing prior authorization requests for prescription medications. The ideal candidate will have prior experience working with U.S. healthcare systems, insurance plans, and pharmacy benefit managers (PBMs). This role requires strong communication skills, attention to detail, and a commitment to delivering accurate, timely service during the night shift.

Key Responsibilities:

  • Review and process
    prior authorization (PA)
    requests for medications in compliance with insurance and regulatory requirements.
  • Communicate with
    healthcare providers
    ,
    insurance companies
    , and
    patients
    to obtain necessary documentation and information.
  • Evaluate clinical information and patient records to ensure requests meet
    medical necessity
    and
    coverage criteria
    .
  • Accurately document all interactions, decisions, and follow-ups in the system.
  • Collaborate with internal teams to resolve PA-related issues efficiently.
  • Maintain knowledge of
    formulary changes
    ,
    drug coverage policies
    , and
    insurance guidelines
    .
  • Ensure compliance with
    HIPAA
    and other relevant healthcare regulations.

Qualifications & Requirements:

  • Bachelor's or Doctor of Pharmacy (Pharm-D)
    degree from an accredited institution.
  • Valid pharmacy license
    (Pakistan license acceptable; U.S. licensure a plus).
  • 2+ years of experience
    in prior authorization, utilization management, or related U.S. healthcare roles.
  • Strong understanding of
    U.S. insurance processes
    ,
    PBMs
    , and
    pharmacy workflows
    .
  • Excellent
    English communication skills
    (both written and verbal).
  • Proficient in
    EHR/EMR systems
    , and general computer literacy (MS Office, Google Workspace).
  • Ability to work independently during
    night shifts (6 PM – 3 AM PST)
    .

Preferred Skills:

  • Experience working in a
    U.S. healthcare BPO
    ,
    PBM
    , or
    telepharmacy
    environment.
  • Familiarity with
    Medicare/Medicaid
    and commercial insurance plans.
  • Detail-oriented with excellent
    problem-solving
    and
    decision-making
    skills.

What We Offer:

  • Competitive salary and performance-based incentives.
  • Opportunity to work with a professional U.S.-based healthcare team.
  • Supportive work environment with growth and learning opportunities.
  • Health and wellness benefits (as applicable).

How to Apply:

Interested candidates may send their
CV/Resume
to with the subject line:

"Pharmacist – Prior Authorization"

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