Clinical Pharmacy Prior-Authorization Specialist
Listed on 2026-10-07
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Healthcare
Healthcare Compliance, Healthcare Administration, Medical Billing and Coding, Medical Records
The PAL Clinical Specialist at UCI Health supports the efficient operation of the prior authorization and utilization management functions, focusing on appeals and exercising clinical judgment in submissions. You will process urgent, routine, pre-service, and retrospective authorization requests with accuracy and timeliness, ensuring compliance with clinical protocols and payer guidelines.
The role requires reviewing documentation, entering data for claims adjudication, and frequent
This posting is for the Clinical Pharmacy Prior-Authorization Specialist role at UCI Health, based in Orange, CA, United States.
Join us at UCI Health as our next Clinical Pharmacy Prior-Authorization Specialist in Orange, CA, United States.
We are currently recruiting a Clinical Pharmacy Prior-Authorization Specialist for our team in Orange, CA, United States.
This is a genuine opportunity to take on the Clinical Pharmacy Prior-Authorization Specialist role at UCI Health.
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