Prior Authorization Pharmacy Specialist I

Florida Cancer Specialists & Research Institute

. Perform prior authorizations and appeals for oral oncology and supportive medications .

Posted 11/10/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorizations and appeals for oncology medications, with strong communication and customer service skills to effectively interact with patients and healthcare providers. Complies with regulatory standards while managing multiple tasks in a fast-paced pharmacy environment.

Highest-signal resume keywords

Prior Authorization ExperienceActive Registered Florida Pharmacy Technician LicenseNational Pharmacy Technician CertificationEffective Communication SkillsHematology/Oncology Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ProcessingClinical Chart ReviewsPrescription ProcessingDocumentation of Medical NecessityQuality Improvement Participation

Soft Skills

Interpersonal SkillsTime ManagementProblem-SolvingCollaboration

Tools & Technologies

Online Authorization SitesFax Communication

Certifications & Qualifications

Active National Pharmacy Technician CertificationPrior Authorization Certified Specialist (PACS) Certification

Industry Keywords

Oncology MedicationsPatient Privacy ComplianceHealthcare RegulationsInsurance Plan Requirements

About the role

Key responsibilities & impact

Perform prior authorizations and appeals for oral oncology and supportive medications
Interact with patients, caregivers, and healthcare providers regarding prescription status inquiries
Assist pharmacy staff and healthcare professionals with prescription processing
Demonstrate effective communication and customer service with internal and external parties
Perform clinical chart reviews using appropriate criteria to complete prior authorizations
Process appeals for prior authorization denials according to insurance plan requirements
Provide documentation and compose letters of medical necessity when appropriate
Obtain approvals through online authorization sites, fax, and phone
Interpret or deviate from standard clinical data procedures when needed
Escalate complex clinical concerns to the appropriate clinician
Comply with accreditation standards, laws, regulations, and company policies
Participate in the pharmacy’s Continuous Quality Improvement program by identifying and reporting quality events
Perform additional tasks supporting the team and FCS

Requirements

What you’ll need

High school diploma or GED required
Active Registered Florida Pharmacy Technician license and state of residence required
Active National Pharmacy Technician Certification required
Prior Authorization Certified Specialist (PACS) certification preferred
Minimum three (3) years’ experience working in a health care or customer service-related field, preferably pharmacy or call center
Pharmacy benefit prior authorization experience preferred
Hematology/oncology experience preferred
Effective verbal and written communication
Strong interpersonal skills
Solid time management and ability to prioritize multiple tasks
Ability to collaborate across management levels, departments, and teams
Ability to negotiate problems and explore solutions with physician population
Compliance with patient privacy, federal and state laws, regulations, and company policies
Successful background screening and drug testing
Ability to meet vaccination requirements, barring an approved exemption

Benefits

Comp & perks

Significant professional opportunities
Career advancement
Training
Competitive wages
Tuition reimbursement
401-K match
Pet insurance
Legal insurance
Influenza vaccination requirement, barring an approved exemption
Background screening and drug testing as conditions of employment