Top 20 Authorization systems pharmacist Jobs in Kannapolis, Nc

Prior Authorization Systems Pharmacist
Judi Health —Charlotte, NC
- $128,000 - $150,000 a year
- Full-time
- Microsoft Word
- System design
- 3 years
- Wellness program
- Health savings account
Quick Apply
Care Manager - LP (Rowan County, NC)
Vaya Health —North Carolina
- $62,993.84 - $75,000.00 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
Care Manager (Alamance County, NC)
Vaya Health —North Carolina
- $54,007.07 - $70,209.18 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Prior Authorization Systems Technician
Judi Health —Charlotte, NC
- $75,000 - $80,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Mid-level
- Bachelor's degree
- Wellness program
- Health savings account
Quick Apply
Pharmacy Tech
Sam's Club —Mooresville, NC
- $18.50 - $26.50 an hour
- High school
- Merchandising
- HIPAA
- Paid jury duty
- Disability insurance
Epic Certified Willow Inpatient Analyst 5340180
Accenture —Charlotte, NC
- $52 - $56 an hour
- Full-time
- Remote
- System design
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Clinical Pharmacist - Part Time
Option Care Health —Charlotte, NC
- $44.24 - $73.73 an hour
- Part-time
- Microsoft Word
- Driver's License
- Supervising experience
- Continuing education credits
- Flexible spending account
4d
Inventory Specialist
Walgreens —China Grove, NC
- $17 - $20 an hour
- Weekends as needed
- Merchandising
- English
- Mid-level
14d
Certified Pharmacy Technician II Atrium Health OneHealth NoDa/South Park FT
Atrium Health —Charlotte, NC
- $22.90 - $34.35 an hour
- Full-time
- Float pool
- Computer literacy
- Mid-level
- Paid parental leave
- Disability insurance
11d
Clinical Pharmacist - Part Time
Option Care Enterprises, Inc. —Charlotte, NC
- $44.24 - $73.73 an hour
- Part-time
- Microsoft Word
- Driver's License
- Supervising experience
- Continuing education credits
- Flexible spending account
Quick Apply
5d
Pharmacy Technician (CPhT)
Stanley Specialty Pharmacy —Charlotte, NC
- $20.00 - $22.50 an hour
- Full-time
- Computer literacy
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Therapy Care Specialist - Specialty Infusion Pharmacy Technician
Soleo Health Inc —Charlotte, NC
- Urgently hiring
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
10d
Pediatric Infusion Clinic Pharmacist Levine Children's FT
Atrium Health —Charlotte, NC
- $54.90 - $82.35 an hour
- Full-time
- Customer service
- Outpatient experience
- Bachelor's degree
- Paid parental leave
- Disability insurance
Registered Nurse (RN) - Atrium Health Levine Children's Pediatric Rheumatology Clinic
Atrium Health —Charlotte, NC
- $35.50 - $53.25 an hour
- Full-time
- Nursing
- Patient monitoring
- RN License
- Paid parental leave
- Disability insurance
9d

Other jobs to consider

Find your next job by exploring related positions.

Analyst - Warehouse EWM
Eli Lilly —Concord, NC
This individual will be responsible for supporting operations by troubleshooting issues and providing resolutions, driving continuous improvement of warehouse…
$58,500 - $137,500 a year
Systems Engineer
Medical Manufacturing Technologies LLC —Charlotte, NC
Reporting to the Infrastructure Manager, you'll own the day-to-day health of our on-premise and Azure-based systems, provide advanced technical support across…
$92,600 - $120,000 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Health Care Facilities Field Surveyor - Entry (Multiple Vacancies)
State of Ohio - Health —Columbus, OH
Certification, licensure, or registration commensurate with assigned discipline (i.e., registered nurse, or licensed dietician, or licensed social worker, or…
$32.69 an hour
11d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for authorization systems pharmacist in kannapolis, nc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorization systems pharmacist jobs near kannapolis, nc

Prior Authorization Systems Pharmacist

Judi Health
Charlotte, NC

Quick Apply

Job Details

Full-time
$128,000 - $150,000 a year

Benefits

Wellness program
Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Microsoft Word
Registered Pharmacist (RPh)
Vendor relationship building
Spreadsheets
Licensed Pharmacist (State-Specific)
Health insurance knowledge
Licensed Pharmacist
Presentation creation
Technical troubleshooting support
Systems analysis
Technical Proficiency
Excel data analysis

Full Job Description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Position Summary:

Responsible for the design, configuration, and quality assurance of prior authorization (PA) criteria, including decision trees, authorization parameters, and member/provider communications within the PA system. Ensures clinical intent is accurately translated into compliant, efficient system logic through structured QA/QC and validation processes. Collaborates with internal teams and external clients to support delegated PA services and drive system optimization.

Position Responsibilities:

Build decision trees and question sets from PA criteria for prior authorization review
Perform comprehensive quality control (QC) review of decision trees, questionnaires, and authorization logic to ensure alignment with clinical intent, regulatory requirements, and business rules
Conduct quality assurance (QA) validation of configured criteria and decision paths, including scenario-based testing to confirm expected outcomes across approval and denial pathways
Ensure PA questionnaires are configured with the appropriate authorization parameters for approval
Collaborate with external clients for delegated clinical PA systems services
Manage setup, contracting, and relationships with prior authorization external vendors
Works with Director, Utilization Management on other responsibilities, projects, and initiatives as needed
Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Mapping of prior authorization member and prescriber letter templates in the prior authorization system
Perform QC and QA review of member and prescriber letter templates to ensure accuracy, completeness, regulatory compliance, and alignment with configured decision logic
Validate that denial rationales, approval language, and conditional messaging accurately reflect clinical criteria and system outputs
Creation and maintenance of Commercial and Government denial verbiage templates to remain up to date with criteria changes and as needed to improve reviewer efficiency
Ensure denial rationale language is clinically sound, regulatory compliant, and consistently applied across all lines of business through structured QA review processes
Develops and maintains policies and procedures for creation and maintenance of clinical criteria questions and letter templates
Establish and maintain QA/QC standards, documentation, and audit processes for decision trees, criteria configurations, and letter templates
Identify PA reporting needs and collaborating with appropriate stakeholders to develop reports
Respond to requests for clinical criteria from members and prescribers
Attend formulary meetings and presentations as needed to stay abreast of all pertinent new information and changes
Collaborate with external clients for delegated clinical PA systems services
Manage setup, contracting, and relationships with prior authorization external vendors
Works with Director, Utilization Management on other responsibilities, projects, and initiatives as needed
Responsible for adherence to the Judi Health Code of Conduct including reporting of noncompliance

Minimum Qualifications:

Active, unrestricted, pharmacist license required
3+ years health plan or PBM pharmacy experience required
Strong clinical background and presentation skills required
Proficiency in Microsoft Excel and Word; ability to work with structured data and perform basic analysis (e.g., validation, comparisons, tracking updates)
Experience supporting system testing (UAT, regression, or configuration validation)
High attention to detail with a focus on data accuracy and configuration quality
Ability to troubleshoot system or workflow issues and communicate clearly with technical and non-technical stakeholders

Preferred Qualifications:

Client facing experience preferred
Experience managing utilization management (UM) criteria preferred

Depending on the changing needs of the business, you may be required to work rotating weekends and/ or participate in an on-call schedule in the future.

This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and location of the job.

Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Benefits

Judi Health provides all full-time and part-time benefit-eligible employees with the ability to elect medical and pharmacy coverage, dental insurance, vision insurance, accidental injury insurance, critical illness insurance, hospital indemnity insurance, and flexible spending accounts. Full-time employees also have access to a health savings account, voluntary life insurance, and voluntary accidental death and dismemberment insurance for themselves and their eligible dependents.

Judi Health provides full-time employees with the following benefits at no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program. Full-time employees are also eligible for a 401(k) plan with company match after one year of full-time employment.

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
Judi®, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

Quick Apply

Refine Your Search

authorization systems pharmacist jobs in kannapolis, nc

Prior Authorization Systems Pharmacist

Care Manager - LP (Rowan County, NC)

Care Manager (Alamance County, NC)

Prior Authorization Systems Technician

Pharmacy Tech

Epic Certified Willow Inpatient Analyst 5340180

Clinical Pharmacist - Part Time

Inventory Specialist

Certified Pharmacy Technician II Atrium Health OneHealth NoDa/South Park FT

Clinical Pharmacist - Part Time

Pharmacy Technician (CPhT)

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

Pediatric Infusion Clinic Pharmacist Levine Children's FT

Registered Nurse (RN) - Atrium Health Levine Children's Pediatric Rheumatology Clinic

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for authorization systems pharmacist in kannapolis, nc

Explore jobs in more locations

About Judi Health

Job Seeker Tools

Employer Tools

Browse

Stay Connected