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Prior Authorization Jobs in Oregon (NOW HIRING)

The US Oncology Network

Insurance Reviewer

Eugene, OR

$22 - $32/hr

Minimum three (3) years of prior authorization experience required. Revenue cycle experience preferred. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be ...

UMR

Specialty Pharmacy Liaison | , Oregon

Portland, OR · On-site

$17.98 - $32.12/hr

Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient ...

UMR

Specialty Pharmacy Liaison | , Oregon

Oregon City, OR · On-site

$17.98 - $32.12/hr

Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Oregon

Prior Authorization information

See Oregon salary details

$14

$22

$34

How much do prior authorization jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for prior authorization in Oregon is $22.09, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $24.38 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 Oregon?

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

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

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

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Cities in Oregon with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $45,949 per year, or $22.1 per hour.

Associate Director, Patient Access and Reimbursement

Mirum Pharmaceuticals

OR • On-site, Remote

Full-time

Posted 10 days ago

Job description

POSITION SUMMARY 

The Associate Director, Patient Access and Reimbursement will work with major cross-functional teams at the customer level and provide customized support for the reimbursement and market access experience for Mirum FDA approved products.  These products currently include LIVMARLI, CHOLBAM, CTEXLI, and any future FDA approved products or indications. Patient services and access to Mirum products are offered to customers exclusively through the Mirum Access Plus (MAP) program.  This individual is responsible for providing internal and external customers access and reimbursement education to support timely patient access to Mirum products.  This individual will work closely with the sales, market access, MAP, medical and marketing functions on reimbursement-related issues. This individual will provide patient specific, insurance policy education to help HCP accounts with the prior authorization and appeals processes. Requires strong cross functional leadership and collaboration to solve complex challenges in cases and master use of the internal CRM System.

***This candidate should live in the Midwest.***

JOB FUNCTIONS/RESPONSIBILITIES

  • Partnering with Mirum stakeholders on overall account and territory strategy to maximize internal/external functional customer knowledge on payor policy and MAP processes.
  • Acting as a subject matter expert on the reimbursement/access landscape relevant to Mirum therapies for the treatment of cholestatic liver disease. This includes payer policies, prior authorization requirements, denials, appeals, peer to peer, and other education required to navigate access for indicated patients.
  • Analyzing and sharing insights on the reimbursement/access experience for Mirum therapies.
  • Proactively providing targeted education to HCP office staff on Mirum Access Plus and the access process to supplement knowledge gaps.
  • Providing RAMs and HCP offices with patient specific, payer policy education to support the prior authorizations and appeals process for MAP consented, on label patients
  • Collaborating with MAP supervisor and HCP accounts on individual case management needs related to HCP education on reimbursement issues.
  • Offering operational solutions and/or identify opportunities to enhance HCP's access experience by trouble shooting HCP account access issues and collecting HCP account feedback
  • Conducting access related business reviews with higher volume HCP accounts to keep them informed of account specific as well as national trends
  • Attending weekly regional team meetings and keeping regional teams informed of access trends with patient enrollment forms and RAS activities with key accounts
  • Supporting the continuing improvement and education of MAP Patient Navigators by providing feedback in call calibration sessions and designing/conducting training to support any knowledge gaps
  • Developing compliant and customer-centric reimbursement educational materials
  • Requires strong cross functional leadership and collaboration to solve complex challenges in cases.
  • Mastery of data utilized in cases to ensure accurate flow of information.
  • Complying with all laws, regulations, and policies that govern the conduct of Mirum activities.
  • Other duties and projects as assigned.

QUALIFICATIONS

Education/Experience:

  • Bachelor's degree in business, science or related field
  • 8 years of pharmaceutical or biotech experience
  • 4 or more years of experience with specialty products in the orphan or rare disease space required
  • 3 years of experience in the following functions is strongly preferred: field reimbursement, patient access and support, payer account management, market access strategy and operations within the pharmaceutical or biotech industry
  • Strong understanding of payer landscape, payer accounts, and market access experience required
  • Ability to travel up to 50% of time

KNOWLEDGE, SKILLS, AND ABILITIES

  • Strongly embodying Mirum core values: care, be real, get it done, and have fun, seriously
  • Ability to anticipate and resolve problems effectively
  • Clear, accurate, and concise written and oral communication skills
  • High demonstratable proficiency in Excel and PowerPoint
  • Effectively organize and prioritize various activities
  • Demonstrated flexibility in working with people, processes, and systems in a complex environment
  • Ability to multi-task and be responsive to internal and external customers, even while on business travel
  • Influences without authority and successfully collaborates cross-functionally
  • Result and goal oriented, committed to contribute to the overall success of Mirum

#LI-REMOTE

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