Pharmacy Prior Authorization & Specialty-Medication Access Specialist

About the Role

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with expertise in speciality medication access to evaluate AI tools designed to automate pharmacy benefit management and speciality drug authorisation workflows. Your deep knowledge of drug formularies, step therapy, and payer PA criteria will directly shape AI systems that improve patient access to critical therapies. Process and manage prior authorisation

What You'll Do

• Process and manage prior authorisation requests for speciality medications, biologics, and high-cost pharmaceuticals across commercial, Medicare Part D, and Medicaid payers.
• Review clinical documentation and pharmacy benefit criteria to determine medical necessity for speciality drug authorisations.
• Evaluate AI-generated pharmacy prior authorisation recommendations for accuracy, completeness, and payer compliance.
• Coordinate with prescribers, speciality pharmacies, and payers to obtain timely medication authorisations.

You're a Good Fit If You

• Relevant professional experience in this field.
• Strong written communication skills.
• Available for the stated weekly commitment.

Role Highlights

Pay & Payout

Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.

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