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Lead Appeals Pharmacist – Prior Authorization Ops

Job in Arvada, Jefferson County, Colorado, 80004, USA
Listing for: Transformcap
Full Time position
Listed on 2026-08-25
Job specializations:
  • Healthcare
  • Management
Salary/Wage Range or Industry Benchmark: 118000 - 147000 USD Yearly USD 118000.00 147000.00 YEAR
Job Description & How to Apply Below

Judi Health is seeking a Senior Appeals Pharmacist to lead prior authorization and appeals operations across Commercial, Medicare, and Medicaid lines. You will supervise pharmacists, shape PA workflows, and ensure high-quality, compliant review processes.

Responsibilities include training staff, resolving escalated issues, and collaborating with Medicare leadership to optimize staffing. Strong PBM knowledge and leadership are essential.

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