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Prior Authorization Jobs in Hawaii (NOW HIRING)

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI · On-site

$17.25 - $21/hr

Process and review all prior authorization (PA)/coverage determination (CD) requests in an accurate and timely manner. * Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for ...

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI

$17.25 - $21/hr

Process and review all prior authorization (PA)/coverage determination (CD) requests in an accurate and timely manner. * Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for ...

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI

$17.25 - $21/hr

Process and review all prior authorization (PA)/coverage determination (CD) requests in an accurate and timely manner. * Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for ...

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI

$17.25 - $21/hr

Process and review all prior authorization (PA)/coverage determination (CD) requests in an accurate and timely manner. * Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for ...

Pharmacy Careers

Formulary Management Pharmacist

Honolulu, HI · On-site

$57.50 - $69.25/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Pharmacy Careers

Formulary Management Pharmacist

Ewa Beach, HI · On-site

$60.25 - $72.50/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Cencora

Specialty Pharmacist Navigator

Honolulu, HI

$147K/yr

Prepare and submit prior authorization paperwork; manage denials. * Triage prescriptions which are limited distribution drugs or out-of-network. * Act as financial advocate for patient where needed ...

Servco

Service Support Specialist

Lihue, HI · On-site

Ensure authorizations are obtained for service contracts and prior authorization * Ensure proper documentation made for each claim * Ensure applicable charges are posted * Timely submit warranty ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Hawaii

Prior Authorization information

See Hawaii salary details

$14

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$33

How much do prior authorization jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for prior authorization in Hawaii is $21.71, according to ZipRecruiter salary data. Most workers in this role earn between $17.98 and $23.99 per hour, depending on experience, location, and employer.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.
More about Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Hawaii?

The most popular types of Prior Authorization jobs in Hawaii are:

What are popular job titles related to Prior Authorization jobs in Hawaii?

For Prior Authorization jobs in Hawaii, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in Hawaii look for?

The top searched job categories for Prior Authorization jobs in Hawaii are:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $45,153 per year, or $21.7 per hour.

Prior Authorization Specialist

Hilo, HI • On-site

Hawai'i Island Community Health Center
See more jobs at Hawai'i Island Community Health Centerexternal

$20.86 - $28.21/hr

Full-time

Re-posted 9 days ago

Job description

Hawai'i Island Community Health CenterPrior Authorization Specialist

???? East or West Hawaiʻi Island | Full-Time

Help patients access the medications they need. Make a difference every day.

Hawaiʻi Island Community Health Center is seeking a compassionate, detail-oriented Prior Authorization Specialist to join our Clinical Pharmacy team. In this vital role, you will work closely with pharmacists, providers, insurance companies, specialty pharmacies, and patients to coordinate medication approvals and ensure timely access to prescribed therapies. 

What You'll Do:

  • Submit and manage medication prior authorizations through insurance portals and electronic health record systems.
  • Coordinate medication access for specialty and high-cost therapies.
  • Collaborate with providers, pharmacists, infusion centers, and pharmacies to resolve coverage and reimbursement issues.
  • Help patients navigate insurance requirements and medication access challenges.
  • Support a patient-centered team committed to improving health outcomes across Hawaiʻi Island. 

What We're Looking For:

✔ Strong organizational and communication skills
✔ Excellent customer service and problem-solving abilities
✔ Computer proficiency and attention to detail
✔ Pharmacy, insurance, or prior authorization experience preferred
✔ High School diploma or GED required
✔ Ability to obtain Hawaiʻi Pharmacy Technician registration within 90 days of hire 

Why Join HICHC? At HICHC, you'll be part of a mission-driven organization dedicated to providing accessible, quality healthcare to our island communities. Join a collaborative team where your work directly impacts patient care and wellbeing. ????

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