Pharmacist / Prior Authorization Specialist

Overview

Orange Tree Systems (OTS) is on the hunt for sharp, ambitious Pharmacists to step into our Prior Authorization Specialist role where your clinical brain meets the cutting edge of U.S. healthcare operations. No dispensing. No counting tablets. Just real impact, real decisions, and a fast lane into America's healthcare tech ecosystem.

This position is well-suited for pharmacists, PharmD graduates, and PharmD students who are eager to gain exposure to insurance workflows and AI-enabled healthcare operations.

PharmD students are encouraged to apply.

Key Responsibilities

• Review and process prior authorization requests for medical services, procedures, and prescription medications.
• Apply clinical judgment and evidence-based criteria to determine medical necessity.
• Ensure compliance with HIPAA.
• Collaborate with physicians, pharmacists, nurses, and healthcare providers to obtain supporting clinical d...