Pharmacist Prior Authorization Specialist Orange Tree Systems
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Job Location:
Monthly Salary:
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
Our client Orange Tree Systems (OTS) is looking for a Pharmacist in Lahore.
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
Apply Now
Join Orange Tree Systems and become part of a team shaping the future of healthcare operations through technology collaboration and global exposure.
Key Skills
- LTC Pharmacy
- Hospital Experience
- Pharmacy Software
- Continuous Improvement
- Go
- Infusion Experience
- Pharmacy Residency
- Training & Development
- Order Entry
- Epic
- Clinical Pharmacy Experience
- Compounding Medications
