Pharmacists PharmD Students Orange Tree Systems

Lahore - Pakistan

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Orange Tree Systems (OTS) is hiring Pharmacists for the Prior Authorization Specialist role to support U.S. healthcare prior authorization and utilization management processes. This is a non-clinical operations-focused role ideal for healthcare professionals who want to apply their clinical knowledge in a technology-driven U.S.-style healthcare environment.

This position is well-suited for licensed pharmacists PharmD graduates and PharmD students who are eager to gain exposure to insurance workflows and AI-enabled healthcare operations.

PharmD students are encouraged to apply.

Key Responsibilities

Review and process prior authorization requests for medical services procedures and prescription medications
Apply clinical judgment evidence-based criteria to determine medical necessity
Ensure compliance with HIPAA.
Collaborate with physicians pharmacists nurses and healthcare providers to obtain supporting clinical documentation
Maintain accurate and detailed case records within EHR/EMR systems
Assist with authorization denials appeals as required
Utilize AI-powered tools to streamline workflows and improve efficiency and decision-making

Requirements

Strong understanding of medical terminology and clinical documentation.
Prior experience in prior authorization utilization management clinical review or medical insurance workflows is highly preferred.
Excellent communication organizational and analytical skills
High attention to detail and ability to manage multiple cases efficiently

Preferred Qualifications:

Bachelors degree in Pharmacy MBBS Allied Health or an equivalent clinical discipline
Preferred qualifications: PharmD MBBS DPT MLT
Ability to work independently in a fast-paced technology-enabled environment
Familiarity with EHR/EMR systems and U.S. healthcare insurance workflows

Why Join:

Orange Tree Systems (OTS)

Access to cutting-edge AI healthcare tools that enhance learning productivity and communication
Improve professional English medical communication and accent supporting international healthcare exams
Build professional connections and internship pathways within the U.S. healthcare system
Innovation-driven culture that values creativity ownership and impact
No-boss culture with a flat collaborative structure focused on mentorship and growth
Hands-on experience in a U.S.-style healthcare operations environment blending learning and innovation

Join Orange Tree Systems and become part of a team shaping the future of healthcare operations through technology collaboration and global exposure.

Orange Tree Systems (OTS) is hiring Pharmacists for the Prior Authorization Specialist role to support U.S. healthcare prior authorization and utilization management processes. This is a non-clinical operations-focused role ideal for healthcare professionals who want to apply their clinical knowledg...