Pharmacists / PharmD Students - Orange Tree Systems
Taraki
Date: 16 hours ago
City: Lahore
Contract type: Full time
Orange Tree Systems (OTS) is hiring Pharmacists for the Prior Authorization Specialist role to support U.S. healthcare prior authorization and utilization management processes. This is a non-clinical, operations-focused role ideal for healthcare professionals who want to apply their clinical knowledge in a technology-driven, U.S.-style healthcare environment.
This position is well-suited for licensed pharmacists, PharmD graduates, and PharmD students who are eager to gain exposure to insurance workflows and AI-enabled healthcare operations.
PharmD students are encouraged to apply.
Key Responsibilities
Orange Tree Systems (OTS)?
This position is well-suited for licensed pharmacists, PharmD graduates, and PharmD students who are eager to gain exposure to insurance workflows and AI-enabled healthcare operations.
PharmD students are encouraged to apply.
Key Responsibilities
- Review and process prior authorization requests for medical services, procedures, and prescription medications
- Apply clinical judgment, evidence-based criteria to determine medical necessity
- Ensure compliance with HIPAA.
- Collaborate with physicians, pharmacists, nurses, and healthcare providers to obtain supporting clinical documentation
- Maintain accurate and detailed case records within EHR/EMR systems
- Assist with authorization denials appeals as required
- Utilize AI-powered tools to streamline workflows and improve efficiency and decision-making
- Strong understanding of medical terminology and clinical documentation.
- Prior experience in prior authorization, utilization management, clinical review, or medical insurance workflows is highly preferred.
- Excellent communication, organizational, and analytical skills
- High attention to detail and ability to manage multiple cases efficiently
- Bachelors degree in Pharmacy, MBBS, Allied Health, or an equivalent clinical discipline
- Preferred qualifications: PharmD, MBBS, DPT, MLT
- Ability to work independently in a fast-paced, technology-enabled environment
- Familiarity with EHR/EMR systems and U.S. healthcare insurance workflows
Orange Tree Systems (OTS)?
- Access to cutting-edge AI healthcare tools that enhance learning, productivity, and communication
- Improve professional English, medical communication, and accent, supporting international healthcare exams
- Build professional connections and internship pathways within the U.S. healthcare system
- Innovation-driven culture that values creativity, ownership, and impact
- No-boss culture with a flat, collaborative structure focused on mentorship and growth
- Hands-on experience in a U.S.-style healthcare operations environment blending learning and innovation
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Key Account Manager - Food Services
National Foods Limited,
Lahore
16 hours ago
At National Foods Limited, we are on a journey of growth and on building our most valuable assets which include our brands, financial strength, global presence, and our unbridled commitment to becoming a truly sustainable and a renowned company in the world.Job PurposeTo lead the sales function for an assigned geographical zone by coordinating all sales activities, achieving zonal key...
Senior ASP.Net Developer
AgileTech Studio,
Lahore
2 days ago
Department: DevelopmentAddress: LahoreJob DescriptionAgileTech Studio seeking a talented .NET Developer to contribute to our innovative projects and help us deliver high-quality software solutions. As a .NET Developer, you will be responsible for designing, developing, and maintaining. NET-based applications and systems. You will work closely with a skilled team of developers to deliver solutions that meet our clients' needs. Responsibilities: Design,...
Group Accountant
Dubizzle Labs,
Lahore
2 days ago
A great opportunity for a Group Accountant to join an exciting and interesting international business that will empower and develop an individual that is up for a challenge. As a Group Accountant, you will help the month end process and all general accounting activities for the designated Holding companies. You will get involved with the accounting of various of the...
