Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Show more
Maverick Currencies is a proprietary trading firm that has been funding and developing traders since 1997.We provide capital, structured training, and ongoing mentorship — so you trade our mo... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Want to be your own boss? With the Spark Driver™ app, you can make some extra cash by shopping and delivering for customers of Walmart and other local businesses.Available in more than 3,650 cities... Show more
Hello! I'm Kayla and I'm in Flagstaff looking for a nanny for my two kids.I work from home but need help caring for an infant and toddler during business hours M-F.We’re flexible with times... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more
We are looking for an organized and customer-focused.This role combines client communication, online research, reservation coordination, and follow-up.The ideal candidate enjoys helping people plan... Show more
About the role We are hiring expert Evaluators in **Investor materials / fundraising / pitchbook** to review and assess AI-generated work products (documents, spreadsheets, and slide decks) for acc... Show more
Mercor is conducting a paid research study in collaboration with a leading AI research lab focused on improving healthcare delivery and clinical support systems.We are actively seeking clinicians w... Show more
Overview** We are hiring **Event / Hospitality** professionals with experience in event planning, hospitality management, or related service industries.In this role, you will review, assess, and pr... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a variety o... Show more
Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more
At Estia Health, we’re more than just a workplace: we’re a community dedicated to enriching lives and making a difference.If you’re passionate about aged care and want to be part of something meani... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with expertise in speciality medication access to evaluate AI tools designed to automate pharmacy benefit management and speciality drug authorisation workflows. Your deep knowledge of drug formularies, step therapy, and payer PA criteria will directly shape AI systems that improve patient access to critical therapies. **Responsibilities** - Process and manage prior authorisation requests for speciality medications, biologics, and high-cost pharmaceuticals across commercial, Medicare Part D, and Medicaid payers. - Review clinical documentation and pharmacy benefit criteria to determine medical necessity for speciality drug authorisations. - Evaluate AI-generated pharmacy prior authorisation recommendations for accuracy, completeness, and payer compliance. - Coordinate with prescribers, speciality pharmacies, and payers to obtain timely medication authorisations. - Manage appeals for denied pharmacy authorisations, including peer-to-peer requests and exception processes. - Navigate payer formularies, step therapy requirements, and speciality drug coverage policies. - Track authorisation status, approval rates, and denial trends to identify process improvement opportunities. - Ensure compliance with payer-specific pharmacy benefit requirements and CMS Part D guidelines. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in pharmacy prior authorisation, speciality medication access, or pharmacy benefit management. - Deep knowledge of speciality drug formularies, step therapy protocols, and payer PA criteria across commercial and government payers. - Experience with speciality pharmacy platforms and pharmacy benefit management (PBM) systems. - Familiarity with Medicare Part D coverage determination and exception processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to evaluate clinical documentation and AI-generated outputs. **Preferred Qualifications** - Certified Pharmacy Technician (CPhT) or Certified Prior Authorisation Professional (CPAP) credential. - Experience with hub services and patient assistance programs for speciality medications. - Background in speciality pharmacy, infusion services, or oncology/rheumatology drug access. - Familiarity with AI tools and comfort evaluating AI-generated pharmacy content. - Experience with manufacturer copay assistance and patient access programs. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in healthcare revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
