Prior Authorization Specialist, Data Extraction & AI reputed company (Fully Remote, Part-Time)

About the position 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. We’re 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. 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 Requirements • 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 reputed company-to-haves • PharmD • Prior responsibility for PA interpretation or benefit determinations • Experience training or QA’ing other reviewers Apply tot his job Apply To this Job