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Remote Prior Authorization Team Lead Jobs in Springfield, MA

Pharmacy Prior Authorization Specialist

Hartford, CT · On-site +1

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As our company continues to grow, we strive to hire new team members with a passion for making a ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Field Reimbursement Manager - Hartford, CT

Hartford, CT · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we ... payer prior authorization to appeals/denials requirements and forms * Review patient-specific ...

Data & AI Delivery Lead

Hartford, CT · On-site +1

$156K - $234K/yr

Join our team as we help shape the future. As a Data & AI Delivery lead you will lead endtoend ... Hybrid / Or Remote This role can have a Hybrid or Remote work schedule. Candidates who live near ...

Year 5+: Lead a team, create passive income, work on your schedule Most of our managers and team ... prior experience. What we provide * Complete licensing support -- we walk you through every step of ...

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Remote Prior Authorization Team Lead information

See Springfield, MA salary details

$10

$25

$72

How much do remote prior authorization team lead jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote prior authorization team lead in Springfield, MA is $25.64, according to ZipRecruiter salary data. Most workers in this role earn between $15.34 and $23.94 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote prior authorization team lead?

To thrive as a Remote Prior Authorization Team Lead, you need in-depth knowledge of healthcare insurance processes, medical terminology, and prior authorization protocols, typically backed by experience in medical billing or health administration. Familiarity with prior authorization software, electronic health records (EHR) systems, and relevant certifications such as Certified Professional Coder (CPC) or Certified Prior Authorization Specialist (CPAS) is highly valued. Exceptional leadership, problem-solving, and communication skills help motivate remote teams and manage complex case escalations efficiently. These competencies ensure timely approvals, compliance with regulations, and high team performance in a virtual environment.

What are some of the main challenges faced by a remote prior authorization team lead, and how can they be effectively managed?

As a Remote Prior Authorization Team Lead, one of the primary challenges is ensuring consistent communication and collaboration among a geographically dispersed team. Managing varying workloads, keeping team members engaged, and maintaining up-to-date knowledge of payer requirements are also common hurdles. Effective use of project management tools, regular virtual check-ins, and ongoing training can help address these challenges and support both team productivity and compliance. Building a strong remote culture and recognizing achievements further contribute to team cohesion and morale.

What is the difference between Remote Prior Authorization Team Lead vs Remote Prior Authorization Specialist?

AspectRemote Prior Authorization Team LeadRemote Prior Authorization Specialist
CredentialsTypically requires relevant healthcare certifications, experience in prior authorization processes, and leadership skillsUsually requires healthcare-related certifications and knowledge of authorization procedures
Work EnvironmentLeads a team, manages workflows, and oversees authorization requests remotelyHandles authorization requests directly, working independently or within a team remotely
Employer & Industry UsageCommon in healthcare insurance companies, healthcare providers, and third-party administratorsWidely used in health insurance, healthcare providers, and pharmacy benefit management

The Remote Prior Authorization Team Lead oversees and manages authorization teams, focusing on workflow and team performance, while the Remote Prior Authorization Specialist handles individual authorization requests. Both roles require healthcare knowledge and certifications, but the team lead has additional leadership responsibilities. They are both integral to healthcare organizations that process prior authorizations remotely.

What is a remote prior authorization team lead?

A Remote Prior Authorization Team Lead is a healthcare professional who supervises a team responsible for managing prior authorization requests, typically for medications, treatments, or procedures, from a remote location. They ensure that the team efficiently reviews and processes requests in compliance with insurance policies and healthcare regulations. The team lead also provides guidance, training, and support to staff, monitors performance, and troubleshoots any issues that arise during the authorization process. Their goal is to streamline operations, improve turnaround times, and ensure patient care is not delayed due to administrative barriers.

What are popular job titles related to Remote Prior Authorization Team Lead jobs in Springfield, MA?

For Remote Prior Authorization Team Lead jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Team Lead jobs in Springfield, MA look for?

The top searched job categories for Remote Prior Authorization Team Lead jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Remote Prior Authorization Team Lead jobs?

Cities near Springfield, MA with the most Remote Prior Authorization Team Lead job openings:

Infographic showing various Remote Prior Authorization Team Lead job openings in Springfield, MA as of June 2026, with employment types broken down into 3% As Needed, 32% Full Time, 63% Part Time, and 2% Temporary. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $53,336 per year, or $25.6 per hour.

Pharmacy Prior Authorization Specialist

Onco360

Hartford, CT • On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 rated pharmacies


Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up
Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST
Full-Time position working out of the State of Connecticut. This position may work remotely
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.

Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability

What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third-party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.

What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

What Onco360 employees say

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