Authorization Specialist

Pharmacy/Authorization Specialist

📍 San Diego, CA (Remote – Local Candidates Only)

⏰ Monday–Friday | 8:00 AM – 5:00 PM

We’re hiring a Pharmacy/Authorization Specialist to support medication access and authorization workflows for a mission‑driven, nonprofit healthcare organization recognized as one of the Nation’s Top 100 Places to Work. This role is ideal for someone who enjoys problem‑solving, working on the phone, and helping patients navigate insurance and pharmacy processes.

This position is remote, but candidates must be within driving distance of San Diego and able to come onsite if internet or connectivity issues arise. Candidates must also have their own equipment and reliable, high‑speed internet.

In this role, you’ll play a key part in ensuring patients receive timely access to their medications by working closely with insurance plans, pharmacies, and internal care teams.

• Coordinate with insurance companies, pharmacy benefit managers (PBMs), and specialty pharmacies to resolve coverage issues
• Initiate, submit, track, and follow up on pharmacy prior authorizations to prevent treatment delays
• Monitor authorization status and proactively address missing information or payer requirements
• Document authorization outcomes, approvals, denials, and appeals in the electronic medical record (EMR)
• Assist with medication appeals by gathering clinical documentation and completing required payer forms
• Educate patients on authorization status, coverage limitations, copays, and available assistance programs
• Maintain up‑to‑date knowledge of payer policies, formularies, and authorization requirements
• Support scheduling, referral processing, phone coverage, billing inquiries, and medication history reconciliation

Required Qualifications

• High school diploma or equivalent
• Active CPhT (Certified Pharmacy Technician) certification
• Active CHT (Certified Hemodialysis Technician) certification
• Knowledge of Medicare, Medicaid, and commercial pharmacy plans
• Comfort working on the phone and managing payer or pharmacy outreach
• Strong organizational skills and attention to detail

Preferred (Nice to Have)

• Prior experience with pharmacy prior authorizations
• Experience handling medication appeals
• Background in pharmacy services, medical billing, or insurance authorizations

• Full‑time: 8‑hour shifts, Monday through Friday
• Remote role, local to San Diego
• Must be able to report onsite if technical or Wi‑Fi issues occur
• Must have own equipment and strong, reliable internet connection

This is a Contract position based out of San Diego, CA.

The pay range for this position is $27.00 - $35.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in San Diego,CA.

This position is anticipated to close on May 1, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.