Similar Jobs
See allPrior Authorization Specialist
PHIL
US
Prior Authorization
ICD-10
Customer Service
Pharmacy Technician - Prior Authorizations
Shields Health Solutions
US
Pharmacy Technician
Prior Authorization
Insurance
Prior Authorization Specialist
Raventra Health
Prior Authorization
Medical Billing
Clinical Documentation
Prior Authorization Technician - Pharmacy Technician
Shields Health Solutions
US
Pharmacy Technician
Prior Authorization
Insurance
Customer Success Associate
Precision Medicine
US
Customer Service
Communication
Attention To Detail
Responsibilities:
- Own the end-to-end prescription experience for a portfolio of newly onboarded practices and escalated cases, from first submission through final determination.
- Become an expert in navigating prior authorizations across insurance plans, pharmacies, and affordability programs to get prescriptions processed quickly and correctly.
- Operate in a case-management style: investigate the full history of a case, identify where something has stalled, loop in and escalate to the right internal teams, and follow through until it's resolved.
Qualifications:
- Experience in a role that required analytical problem-solving, operational rigor, and real ownership of outcomes.
- Client-facing experience, comfortable on phone and text, with de-escalation skills.
- Some medical or healthcare background is a plus.
Growth Path:
- Strong performers have a defined path to grow into Customer Success roles as the program scales.
- Compensation structure may evolve to include a performance-based component.
Culture:
- Generator Health is an equal opportunity employer that values ownership and operational excellence.
- The role requires quickly learning complex processes and applying knowledge under time pressure.
Generator Health
Generator Health exists to ensure administrative friction never stands in the way of a patient getting the medication they need. The company is a remote-first organization that values ownership and operational rigor, though its size is not specified.