Blue Health  is seeking a motivated Pharmacist for  Prior Authorization Specialist job role (also known as  Clinical Authorization Coordinator ) to support our prior authorization process. This is a  non-clinical role  designed for healthcare professionals eager to combine medical expertise with cutting-edge technology in a modern, innovation-driven environment modeled on  U.S. healthcare standards . (PharmD students are encouraged to apply) Key Responsibilities: Review and process prior authorization requests for medical services, procedures, and prescriptions. Apply clinical judgment and payer guidelines to assess medical necessity. Ensure compliance with  HIPAA  and payer-specific standards. Collaborate with physicians, pharmacists, and healthcare providers to obtain supporting documentation. Maintain detailed and accurate case records in  EHR/EMR systems . Assist in managing denials and appeals when required. Use  AI-powered tools  to streamline workflows and enhance decision-making efficiency. Requirements: Strong knowledge of medical terminology and insurance payer guidelines. Prior experience in  utilization management ,  authorization , or  clinical review  is highly preferred. Excellent communication, organization, and analytical skills with great attention to detail. Preferred Qualifications: Bachelor’s degree in  Nursing, Pharmacy, Allied Health , or an equivalent clinical discipline. Preferred:  MBBS, DPT, or PharmD. Ability to work independently in a  fast-paced, tech-enabled  environment. Familiarity with  EHR/EMR systems  and healthcare insurance workflows. Why Join Blue Health? 🧠  Access to cutting-edge AI tools  that boost learning, efficiency, and communication. 🗣️ Working here naturally improves your  accent and communication skills , helping you excel in international healthcare language exams. 🤝  Professional connections & internship opportunities  within the U.S. healthcare system. 💡 A culture that  rewards innovation, encourages creativity , and recognizes individual contributions. 👥  No-boss culture:  flat, collaborative structure focused on mentorship and personal growth. 🇺🇸 Experience a  U.S.-style healthcare work environment  blending operations, learning, and innovation. Apply now  to join a team shaping the future of healthcare operations through innovation, collaboration, and global exposure.