Pharmacy Authorization Representative II - BioPlus Specialty Pharmacy
Elevance HealthLake Mary, FL · full time · Mid
Listed on Elevance Health’s own careers site. You apply with them directly — we never stand between you and the employer.
What this role is
A specialty pharmacy professional who reviews and manages prior authorization requests for patients, ensuring medical necessity documentation is complete and coordinating with physicians and insurers to expedite approvals. This role suits someone with pharmacy reimbursement experience who wants to work hybrid and make a direct impact on patient access to medications.
Our summary, not Elevance Health’s wording. The full posting is on their site.
What they ask for
Required
- High school diploma or GED
- 2+ years processing pharmacy prior authorizations
- 1+ year applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
Nice to have
- Specialty pharmacy experience
- Medical terminology training
- Prior authorization experience
- Critical thinking for oncology regimens and payer criteria interpretation