Judi Health
Senior Manager, Prior Authorization Systems Pharmacist
$155K–$180K
Charlotte, North Carolina, United States +5 · Manager · Full-time · Posted Sep 28, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 5+ years in prior authorization or utilization management, including at least 2 years in a leadership or supervisory role.
- Education
- PharmD or BPharm required.
About the job
Leads a team developing, configuring, and maintaining pharmacy prior authorization criteria and systems, while ensuring clinical accuracy, compliance, and efficient member and provider communications.
What you'll do
- Lead and develop a team responsible for PA criteria, system configuration, and letter templates.
- Oversee clinical criteria and decision trees, and ensure timely implementation of formulary updates, drug reviews, and regulatory changes.
- Improve PA workflows and communications, monitor quality and compliance, and advise stakeholders on PA criteria and system capabilities.
What they ask for
- Active, unrestricted pharmacist license; PharmD or BPharm required.
- Strong understanding of clinical criteria development, formulary management, and benefit design.
- Excellent communication, writing, and organizational skills.
- Proficiency in Microsoft Office Suite, especially Excel.
Nice to have
- Experience with PA system configuration and letter template mapping.
- Experience with PA platforms and data visualization tools.
Pay
$155,000 — $180,000 USD (base salary); $155,000 — $180,000 USD (base salary); $155,000 — $180,000 USD (base salary)
Tools
Microsoft Office Suite, Excel
Model-written summary · the original posting is authoritative