Dana-Farber Cancer Institute
Brookline, MA, USA
Job Ref:JR-728
Location:10 Brookline Place,
BROOKLINE,
MA 02445
Category:Quality/Risk Management/Patient Safety
Employment Type:Full time
Work Location:Brookline Job Posting Location
Salary/Pay Rate:$83,500.00 - $95,400.00 per year
Overview
Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology, high-cost drug, and off-label drug authorizations. The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims. Located in Boston and the surrounding...