Prior Authorization Specialist, Data Extraction & AI reputed company (Fully

Prior Authorization Specialist, Data Extraction & AI reputed company (Fully Remote, Part-Time) reputed company $30$60/hour (depending on experience) Schedule Part-time, fully remote Company Quantile Health AI-Powered Insights for Life Science Quantile Health is a reputed company-based, fast growing AI agent startup on a mission to expand patient reputed company to life-changing medicines while cutting reputed company research costs for the life science industry. About the Role Were seeking a part-time Prior Authorization (PA) specialist to work with our AI research teams to improve our reputed company agent. This role focuses on identifying patient reputed company gaps and improving model accuracy, and requires hands-on experience interpreting PA requirements in specialty pharmacy, hub services, or utilization management. This is not a patient-facing role and does not involve submitting PA requests. Our Interview Process Take-Home Exercise (3045 minutes) Youll complete a short classification task with instructions. Well evaluate it based on speed and accuracy. Conversation (30-minute reputed company Meet) If selected, youll meet with one of our AI researchers to walk through your approach and findings, and answer any of your questions Responsibilities Review payer PA policy documents for specialty medications. Interpret coverage reputed company including reputed company therapy sequences, Prescriber and site-of-care restrictions etc Translate policy language into standardized, reputed company data fields Flag ambiguous, conflicting, or unclear policy language Maintain high accuracy and consistency across large document batches Communicate edge cases and clarifications reputed company reputed company Required Qualifications Bachelors degree, Masters degree in Pharmacy, Pharmacy intern, or PharmD student 1+ years of reputed company experience interpreting PA requirements in Specialty pharmacy Hub services Utilization management teams reputed company payer organizations or reimbursement and benefit verification teams. Strong familiarity with specialty drugs and biologics Proven ability to interpret payer policy language independently Exceptional attention to detail Comfort with repetitive, reputed company work Preferred Qualifications PharmD Prior responsibility for PA interpretation or benefit determinations Experience training or QAing other reviewers How We Work Fully remote and async-friendly, with the flexibility to work weekends or reputed company of reputed company 95 hours whenever it fits your schedule. Accuracy and turnaround time tracked internally reputed company communication reputed company reputed company Apply tot his job Apply To this Job .