Senior Pharmacy PA Specialist — Speciality Access & AI PBM

Mercor in San Francisco, CA is seeking experienced Medication and Pharmacy Prior Authorisation specialists to evaluate AI tools for automating pharmacy benefit management and speciality drug authorisation workflows. You will apply deep knowledge of formularies, step therapy, and payer criteria to improve patient access to therapies.

Responsibilities include processing prior authorisations for high-cost medications across commercial, Medicare Part D, and Medicaid, reviewing documentation for