Prior Authorization Specialist - Pharmacy, Oral Oncology

Description

Professional - Clinical

Req # : 31887

Summary

Maine Health Oral Oncolytic Team is seeking a Prior Authorization Specialist to join their team. This opportunity allows the Prior Authorization Specialist to join a highly collaborative, patient-centered, fun group. We thrive at our ambulatory oncology practices because of the people and our shared dedication to provide our patients with compassionate care. It is unique to find a position where your team members collaborate and support each other to maximize functionality across multiple disciplines. We pride ourselves in creating the healthiest work environment possible and, as a result, we are able to achieve our ultimate goal of optimizing both patient care and the patient experience.

Day-to-day duties include partnering with Oral Oncology Pharmacists , Oral Oncolytic Nurse Navigators, and the multidisciplinary Oncology Care Team on prior authorization related tasks : initiating prior authorizations, following-up on status, prior authorization renewals, etc. The selected candidate must be available to train on site in Southern Maine. Once onboarded, this will be a hybrid position. For this position, we are specifically seeking candidates who have prior pharmacy and / or healthcare experience. The Prior Authorization Specialist role verifies medication-related insurance eligibility, benefits, verification, prior authorization and researches medication denials to ensure payments are processed on a timely basis.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

• Education : High school diploma or GED preferred.
• License / Certifications : N / A
• Experience : Experience as a medical assistant, pharmacy technician, or prior authorization work in healthcare or related environment required.
• Additional Skills / Requirements Required : N / A
• Additional Skills / Requirements Preferred : Medical Terminology. Knowledge of Medical Insurance and concept of referrals / pre-authorizations.

Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

If you have questions about this role, please contact Todd R. Nevins at todd.nevins@mainehealth.org