Prior Authorization Specialist - Blue Health Informatics

This job is with Blue Health Informatics. Blue Health builds healthcare technology and select complementary products that make a real difference. We move fast, learn continuously, and care deeply about the people who use our products and the teammates who build them.

Role Overview

Blue Health is seeking a motivated Pharmacist for Prior Authorization Specialist job role (also known as Clinical Authorization Coordinator) to support our prior authorization process. This is a non-clinical role designed for healthcare professionals eager to combine medical expertise with cutting-edge technology in a modern, innovation-driven environment modeled on U.S. healthcare standards. (PharmD students are encouraged to apply).

Key Responsibilities

• Review and process prior authorization requests for medical services, procedures, and prescriptions.
• Apply clinical judgment and payer guidelines to assess medical necessity.
• Ensure compliance with...