Talent.com
Mercor
Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75Mercor • Buckeye, Arizona, 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 • Buckeye, Arizona, US
23 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) • Buckeye, Arizona, US

Similar jobs

Travel Physical Therapist (PT) - $2,197 per week in Buckeye, AZ

AlliedTravelCareersBuckeye, AZ, US
$2,197.00 weekly
Full-time

AlliedTravelCareers is working with Advantis Medical Staffing to find a qualified Physical Therapist (PT) in Buckeye, Arizona, 85326!.Advantis Medical, the #1 rated travel nurse agency, is currentl... Show more

 • Promoted

Remote Online Survey Taker – Earn Up to $25 Per Survey

Earn HausBuckeye, AZ, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

Paid Product Tester

Product Review JobsWITTMANN, AZ, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Amazon Data Entry Clerk (Remote)

TradeJobsWorkforce85322 Arlington, AZ, US
Remote
Full-time

Be part of our success story as a Amazon Data Entry Clerk (Remote) to adapt to shifting priorities and business needs, respond promptly to inquiries and resolve basic issues, and follow safety proc... Show more

 • Promoted

Surrogates Start at $67K-$87K+ | $1,200 Bonus + $11K Pre-Pregnancy Payout

Physician's SurrogacyBuckeye, AZ, US
Full-time +2

Surrogacy Opportunity Starts at $67K-$87K+ with a $1,250 Pre-Screening Bonus.Looking for a high-paying opportunity with real support and no upfront costs?.Become a Surrogate and earn up to.All exp... Show more

 • Promoted

Remote Part-Time Survey Job – No Experience Needed, Up to $25 Each

Earn HausBuckeye, AZ, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

County Meter Reader

Meter ReaderGila Bend, AZ
Full-time

Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used, cleaning of meter boxes, and removal of vegetation impeding access to meters... Show more

 • Promoted

Physical Therapist Asst PRN

Phenom PeopleBuckeye, AZ, United States
Full-time

The Physical Therapist Assistant interacts directly and indirectly with patients in the delivery of physical therapy services which includes, but is not limited to, utilization of therapeutic modal... Show more

 • Promoted

Remote Work From Home - Part Time Data Entry Clerk

ApexFocusGroupBuckeye, Arizona, US
Remote
Full-time +1

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote ... Show more

 • Promoted

Online Survey Taker. Earn up to $25 per survey. - Remote

Earn HausBuckeye, AZ, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

Work From Home

AmazonWittmann, AZ
Remote
Full-time

Job Title: Work From Home Customer Service Representative.As a Work From Home Customer Service Representative at Amazon, you will be the first point of contact for customers seeking assistance.You ... Show more

 • Promoted

Surrogacy Opportunity Starts at $67K-$87K+ with a $1,250 Pre-Screening Bonus

Physician's SurrogacyBuckeye, AZ, US
Full-time +2

Surrogacy Opportunity Starts at $67K-$87K+ with a $1,250 Pre-Screening Bonus.Looking for a high-paying opportunity with real support and no upfront costs?.Become a Surrogate and earn up to.All exp... Show more

 • Promoted

Lead Clinician - Hybrid Remote

Chicanos Por La CausaBuckeye, AZ, United States
Remote
Full-time

Leadership Opportunity! Flexible scheduling for work-life balance, clinical supervision, and productivity bonus incentive availableTake your next step towards leadership.We are searching for a Lead... Show more

 • Promoted

Remote - Part Time Data Entry Clerk

ApexFocusGroupBuckeye, Arizona, US
Remote
Full-time +1

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote ... Show more

 • Promoted

Travel Physical Therapist (PT) - $2,036 per week in Buckeye, AZ

AlliedTravelCareersBuckeye, AZ, US
$2,036.00 weekly
Full-time

AlliedTravelCareers is working with OneStaff Medical to find a qualified Physical Therapist (PT) in Buckeye, Arizona, 85396!.An independently-owned, nationally-recognized and amazingly awesome staf... Show more

 • Promoted

Work From Home

Remote JobsGila Bend, AZ
Remote
Full-time

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work f... Show more

 • Promoted

Part Time Data Entry Clerk - Remote

ApexFocusGroupBuckeye, Arizona, US
Remote
Full-time +1

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote ... Show more

 • Promoted

Become a Surrogate – Give the Miracle of Life & Earn Up to $115,000 from Home!

Giving Tree SurrogacyCircle City, AZ, US
Full-time +1

We are looking for a passionate individual with a sense of responsibility and willingness to help create families to join us as a surrogate.In this role, you will be instrumental in supporting indi... Show more