Senior Pharmacy Authorization Specialist

Senior Pharmacy Authorization Specialist

Location: New Hyde Park, NY

Hours: Monday–Friday

Why Join Us?

At New York Cancer & Blood Specialists (NYCBS), we create an environment where dedicated professionals can thrive. Our team of expert oncologists, hematologists, and compassionate staff work across numerous locations with one shared mission: conquering cancer close to home. Through cutting-edge treatments, innovative research, and a patient-centered philosophy, we are redefining what’s possible in the fight against cancer and blood disorders. Join our growing organization and help us bring healing, hope, and advanced care to the communities we proudly serve.

In this role, you will:

• Manage and process prior authorizations for oncology medications and other specialty drugs
• Initiate and follow up on appeals with insurance providers when necessary
• Maintain a thorough understanding of various insurance plans, including Medicare Part D, Medicare Advantage, Commercial Insurances, Medicaid, and Managed Medicaid
• Collaborate with healthcare providers, pharmacy, and insurance companies to resolve
• authorization issues promptly
• Monitor and track authorization statuses, ensuring timely approvals and updates
• Educate patients on insurance policies and coverage specifics
• Ensure compliance with all relevant regulations, policies, and procedures
• Filling in for Day to Day Pharmacy Technician duties as necessary, will be cross trained to assist in Pharmacy Operations
• Attention to detail and ability to manage multiple tasks simultaneously
• Excellent interpersonal skills for interacting with patients, healthcare providers, and insurance representatives
• Strong analytical skills to interpret insurance policies and resolve coverage issues
• Proficiency in documentation and maintaining accurate records
  
  

We require:

• Bachelor's degree preferred
• Minimum of 3 years of experience in a specialty pharmacy or related healthcare setting,
• specifically dealing with oncology or other specialty medications
• Proven expertise in initiating and managing appeals with insurance companies
• In-depth knowledge of Medicare Part D, Medicare Advantage plans, commercial insurance,
• Medicaid, and Managed Medicaid
• Strong organizational, communication, and problem-solving skills
• Familiarity with electronic health records (EHR) and prior authorization systems is preferred
• Certification as a Pharmacy Technician (CPhT) required
  
  

What We Offer:

Salary: Starting at $32/hr, based on experience.

Benefits: Tuition reimbursement, Health Insurance on day 1, Dental, Vision, Life Insurance, Short- and Long-term disability, 401k Plan, generous PTO, 8 paid holidays (2 floating), and more.

Join us at NYCBS, where we are making strides in healthcare through innovative and compassionate care.

Visit our website at: Nycancer.com

Follow us on Facebook: NYCBS on Facebook

*New York Cancer and Blood Specialists is an Equal Opportunity Employer.*

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