[Hiring] Specialty Medication Prior Authorization Consultant @24-MAG
Role Description We are sharing a specialised part-time consulting opportunity for United States-based pharmacy and healthcare access professionals experienced in:
- Pharmacy prior authorization
- Specialty medication access
- Payer coverage criteria
- Step therapy requirements
- Medicare Part D coverage determinations
- Pharmacy benefit management
- Patient access workflows
This role supports current and upcoming remote consulting opportunities focused on:
- AI-assisted pharmacy prior authorization evaluation
- Specialty medication access review
- Payer criteria assessment
- High-quality project execution
Selected professionals will apply pharmacy access expertise to:
- Evaluate AI-generated prior authorization recommendations
- Review clinical documentation support
- Identify payer compliance issues
- Provide structured feedback based on detailed project criteria
Qualifications
- 5+ years of experience in pharmacy prior authorization, specialty medication access, pharmacy benefit management, medication access operations, or related healthcare access workflows
- Deep knowledge of specialty drug formularies, step therapy protocols, payer prior authorization criteria, and coverage requirements across commercial and government payers
- Experience with specialty pharmacy platforms, pharmacy benefit management systems, and medication access workflows
- Familiarity with Medicare Part D coverage determination and exception processes
- Strong ability to review clinical documentation and determine whether payer authorization requirements are met
- Exceptional written and verbal English communication skills
- High attention to detail and ability to evaluate clinical documentation, payer criteria, and AI-generated pharmacy outputs
- Ability to work independently in a remote, project-based environment
Requirements
- Professional background in pharmacy prior authorization, specialty pharmacy, pharmacy benefit management, medication access, patient access, infusion services, hub services, or payer authorization workflows
- Experience in specialty pharmacy, health systems, provider groups, payer environments, PBM operations, oncology access, rheumatology access, or high-cost medication workflows
- Practical experience with pharmacy authorization platforms, PBM systems, payer portals, clinical documentation review, and medication access processes
- Formal education or training in pharmacy, healthcare administration, health information management, nursing, life sciences, or a related healthcare field may be relevant depending on project scope
Benefits
- Apply pharmacy prior authorization and specialty medication access expertise to structured remote healthcare project work
- Contribute to high-quality AI-assisted pharmacy benefit and medication access evaluation
- Use payer criteria knowledge, documentation review skills, and specialty drug workflow experience in a focused review environment
- Work on flexible assignments aligned with pharmacy access, prior authorization, specialty medication, and payer workflow expertise
- Remote structure with competitive hourly compensation
Contract Details
- Independent contractor role
- Fully remote with flexible scheduling
- United States-based professionals are required for this opportunity
- Part-time project-based commitment depending on availability, onboarding status, and project needs
- Competitive rates of up to $55 per hour depending on pharmacy access experience, prior authorization expertise, specialty medication background, and project scope
- Weekly payments via Stripe or Wise
- Projects may be extended, shortened, or adjusted depending on scope and performance
- Work will not involve access to confidential or proprietary information from any employer, client, or institution