PA Coordinator I (Prior Authorization)

Location: Tempe, Arizona; on-site at the San Diego Headquarters or another company location. Remote work is available only with management approval based on business requirements.

Salary: $19.11–$30.19 per hour

Company

hirify.global is a privately held pharmacy benefit manager providing pharmaceutical and technology solutions that improve healthcare outcomes, cost, transparency, and choice.

What you will do

• Process, prioritize, and finalize prior authorization requests within client turnaround times and performance requirements.
• Enter authorization data, review formulary alternatives and tried medications, verify requested drug indications, and document determinations.
• Research and resolve processing issues by contacting clients, members, physicians, and pharmacies for missing information.
• Coordinate notifications and outbound calls regarding pending requests, authorization status, and determinations.
• Collaborate with clinical pharmacists, client teams, and contact center staff on authorization inquiries and processing requirements.
• Maintain the confidentiality, privacy, and secure handling of prior authorization and member information.

Requirements

• GED or high school diploma and at least one year of experience, or an equivalent combination of education and experience.
• Intermediate knowledge of Microsoft Word, Excel, Outlook, Windows-based database programs, and the ability to learn new applications.
• Successful completion of a national certification exam or state licensure in any U.S. state.
• Current unrestricted Pharmacy Technician License and/or CPhT certification.
• Ability to interpret instructions, define problems, collect data, establish facts, and draw valid conclusions.
• Must be able to work on-site or obtain management approval for remote work; availability for occasional nights, weekends, holidays, and overtime is required.

Culture & Benefits

• Collaborative, high-performance work environment focused on improving healthcare value.
• Medical, dental, vision, and wellness programs.
• Paid time off and company-paid holidays.
• 401(k) with company match, life and disability insurance, and incentive compensation.
• Tuition reimbursement and employee referral bonus.