Talent.com
Mercor
Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75Mercor • Wellington, Florida, US
Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75

Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75

Mercor • Wellington, Florida, US
30+ days ago
Salary
$75.00 hourly
Job type
  • Full-time
  • Remote
Job description
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.
Create a job alert for this search

Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75 per hour) • Wellington, Florida, US

Similar jobs

Travel MRI Tech - $2006 / Week

Host HealthcareWellington, FL, US
Full-time

Host Healthcare is seeking an experienced MRI Tech for an exciting Travel Allied job in Wellington, FL.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $2006 / Week.At Host Healthcare, we ar... Show more

 • Promoted

Remote Product Tester – $45/hr + Free Products – Start Now!

OCPAWellington, Florida, us
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

Work From Home Product Tester – $25-$45/hr – No Experience Needed

OCPALoxahatchee Groves, Florida, us
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

Work From Home Professionals - $45 per hour

GL1Royal Palm Beach, Florida
$45.00 hourly
Remote
Part-time +1

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

 • Promoted

Travel Nurse RN - Cardiac Catheterization Lab - $1,937 to $2,153 per week in Palm Beach County, FL

TravelNurseSourcePalm Beach County, FL, US
Full-time

Registered Nurse (RN) | Cardiac Catheterization Lab.Assist physicians with patient management.Instruct and educate patients and families.Collaborate with other disciplines to ensure effective and e... Show more

 • Promoted

Remote Data Entry - Product Support - $45 per hour

GL Inc.Royal Palm Beach, Florida
$45.00 hourly
Remote
Part-time +1

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

 • Promoted

Remote Consumer Insights Participant

GL IncWellington, Florida
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersLoxahatchee, FL
Remote
Full-time

Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more

 • Promoted

Remote Product Tester - $25-45 per hour

Online Consumer Panels AmericaWellington, Florida, US
$25.00 hourly
Remote
Part-time +1

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

 • Promoted

Travel MRI Tech - $1947 / Week

Fusion Medical StaffingWellington, FL, US
Full-time

Fusion Medical Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in Wellington, FL.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $1947 / Week.Facility in Welli... Show more

 • Promoted

Work-From-Home Product Beta Tester - $45 per hour

Great LionThe Acreage, Florida
$45.00 hourly
Remote
Part-time +1

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

 • Promoted

Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

OCPAThe Acreage, Florida, us
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

WFH - Product Assessments - $25-$45 per hour (No Experience)

Online Consumer Panels AmericaRoyal Palm Beach, Florida, US
$25.00 hourly
Remote
Part-time +1

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

 • Promoted

Usage Tester - Work From Home - $45 per hour

GL1Royal Palm Beach, Florida
$45.00 hourly
Remote
Part-time +1

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

 • Promoted

Travel MRI Tech - $2243 / Week

MedPro Healthcare StaffingWellington, FL, US
Full-time

MedPro Healthcare Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in Wellington, FL.Shift: 3x12 hr days Start Date: 09/07/2026 Duration: 13 weeks Pay: $2243 / Week.Joi... Show more

 • Promoted

Remote Consumer Research Participant

GL IncWellington, Florida
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

Consumer Research Associate (Remote)

GL IncThe Acreage, Florida
$15.00 hourly
Remote
Part-time +1

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

 • Promoted

Work From Home - Product Specialist - $45 per hour

GL1Wellington, Florida
$45.00 hourly
Remote
Part-time +1

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

 • Promoted

Remote Work – Product Assessments - $25-$45 per hour (No Experience)

Online Consumer Panels AmericaWellington, Florida, US
$25.00 hourly
Remote
Part-time +1

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

 • Promoted

Work-From-Home Product Advisor - $45 per hour

Great LionThe Acreage, Florida
$45.00 hourly
Remote
Part-time +1

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