Medication Prior Authorization Specialist

Medication Prior Authorization Specialist

Full-Time 

Philadelphia, PA 

$21-$22 hourly

Benefits: 

- Medical, Dental & Life Insurance 

- Flexible Paid Time Off 

- 401K with match 

- Tuition Reimbursement 

- Room for growth and development!

 - Potential to Work from Home up to Two Days per Week (based on business needs and after successful training) 

Who we are:

For over 55 years, Delaware Valley Community Health has been driven by our mission to serve the underserved population of Greater Philadelphia. We feel there is no greater cause than helping those in need, and we welcome all who share in our beliefs to consider joining us. At DVCH, there’s a lot of humanity in our workplace. We support each other in a friendly, dynamic, and diverse environment and treat each other like family. The work is often challenging, but it’s always rewarding. We are committed to giving our people every opportunity to succeed. We believe that investing in our employees is the right thing to do by providing quality benefits and continuous learning opportunities to enhance the professional and personal lives of our team members. If you are eager to realize your true potential while helping those in need, we invite you to explore a career with purpose and join our family at Delaware Valley Community Health.

What you will do:

The Pre-Authorization Assistant manages and submits medication prior authorizations across all clinical sites to ensure timely approvals and support patient access. The role includes dispensing medications, collecting co-pays, coordinating referral scheduling, and arranging billable pharmacist visits. This position works closely with pharmacy and care coordination teams to streamline workflows and reduce administrative burden. It also supports claim adjudication, interacts with secondary payers, and helps develop system-wide policies for medication access and authorization processes. This role supports key goals in community health, quality, financial performance, and provider well-being.

COVID-19

DVCH is committed to providing a safe and healthy work environment for our employees, patients, and visitors. In effort to achieve this goal, DVCH requires all employees, regardless of position, to be vaccinated for COVID-19. If an employee is unable receive the vaccine for medical or religious reasons, a vaccine exemption form must be completed and submitted to the Employee Health Department. Medical exemptions will be reviewed and approved in coordination with the Chief Medical Officer and religious exemptions will be reviewed and approved in coordination with the Chief Human Resources Officer.

DVCH is an EOE/Veterans/Disabled/LGBTQ+ employer. For more information about DVCH and its services, visit us online at?www.dvch.org

Not quite what you're looking for? Check us out at https://dvch.org/careers/ for more opportunities and a comprehensive list our of benefits!

Requirements

POSITION PURPOSE:  The Pre-Authorization Assistant is responsible for streamlining the medication prior authorization (PA) process across all sites, ensuring timely and accurate authorization to improve patient care, provider well-being, and optimize revenue opportunities including increased 340B capture. The role supports strategic goals in Community, Finance, Quality, and People by improving the efficiency of interdisciplinary workflows and enhancing the patient experience.