Pharmacist / Prior Authorization Specialist

Orange Tree Systems (OTS) is on the hunt for sharp, ambitious Pharmacists to step into our Prior Authorization Specialist role where your clinical brain meets the cutting edge of U.S. healthcare operations. No dispensing. No counting tablets. Just real impact, real decisions, and a fast lane into America's healthcare tech ecosystem.

This position is well-suited for 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
  
  
  
  

📋 Requirements

• 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
• Bachelor's in PharmD
  
  
  
  

🎓 Preferred Qualifications

• Bachelor’s degree in Pharmacy or Allied Health ,
• 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
  
  
  
  

🌟 Why Join 
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

Benefits

• Accommodation will be provided for candidates outside Lahore
• Market competitive salary
• Performance based increment and bonuses
  
  
  

🚀 Apply Now

Join Orange Tree Systems and become part of a team shaping the future of healthcare operations through technology, collaboration, and global exposure .

Location: Lake City, Lahore
Timings: 6:00 PM - 3:00 AM