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Prior Authorization Specialist, Data Extraction & AI Quality - Remote

Posted 4 days ago
All others
Part Time
USA
$30 - $60/hour

Overview

The Prior Authorization Specialist will work with AI research teams to improve patient access and model accuracy, focusing on interpreting PA requirements in specialty pharmacy and hub services.

In Short

  • Part-time position focusing on Prior Authorization.
  • Fully remote work environment.
  • Rate of $30–$60/hour based on experience.
  • Not a patient-facing role.
  • Responsibilities include reviewing payer PA policy documents.
  • Translating policy language into structured data.
  • Maintaining accuracy across large document batches.
  • Communicating via Slack.
  • Requires a Bachelor’s or Master’s in Pharmacy or related field.
  • 1+ years of experience in interpreting PA requirements.

Requirements

  • Bachelor's degree, Master's degree in Pharmacy, or PharmD student.
  • 1+ years of experience in specialty pharmacy or related fields.
  • Strong familiarity with specialty drugs.
  • Ability to interpret payer policy language.
  • Exceptional attention to detail.
  • Comfort with repetitive, structured work.

Benefits

  • Fully remote and async-friendly work environment.
  • Flexible schedule, including weekends and off-hours.
  • Internal tracking of accuracy and turnaround time.
  • All communication via Slack.

Q.H

Quantile Health

Quantile Health is a rapidly growing AI agent startup based in New York, dedicated to enhancing patient access to transformative medicines while reducing commercial research costs in the life science sector. The company leverages advanced AI technology to provide insights that improve healthcare delivery and streamline processes within the industry.

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