Prior Authorization Specialist I

Date Posted: 2025-09-03 Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. A LITTLE BIT ABOUT FCS Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today! RESPONSIBILITIES • Florida Resident Candidates • The Prior Authorization Specialist will be responsible for performing prior authorizations and appeals (as required) for all oral oncology and supportive medications as an extension of the medical practice. • Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures. • Performs other duties and projects as assigned. • Performs all duties in accordance with regulatory requirements and organizational policies and procedures. QUALIFICATIONS • Education: High school education or GED required • Certifications/Licenses: A valid FL Registered Pharmacy Technician (RPT) license preferred. • Previous Experience: Three (3) years’ experience in a healthcare field, retail, hospital or specialty pharmacy experience preferred Experience in completing prior authorization forms preferred Experience in oncology preferred • Core Capabilities: Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. • Must be detailed oriented with the ability to exercise independent judgment. • Interpersonal Effectiveness : Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. • Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters. • • Communication Skills : Good command of the English language. • Second language is an asset but not required. • Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback. • • Customer Service & Organizational Awareness : Strong customer focus. • Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. • • Self-Management : Effectively manages own time, conflicting priorities, self, stress, and professional development. • Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required. • • Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites. • Computer Skills : Proficiency in Microsoft Office Word, Excel, PowerPoint and Outlook required #FCS-RX #LI-DL1 SCREENINGS – Background, drug, and nicotine screens Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized. EEOC Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ( [email protected] ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response. FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status. Apply tot his job Apply To this Job