PAHub & Prior Authorization Specialist

Agadia Systems Inc • Parsippany-Troy Hills, NJ

7d • $80,000 - $100,000 • Hybrid

About The Position

The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption of PAHub. This role bridges the gap between product functionality, customer operations, implementation, account management, training, and support. The ideal candidate possesses deep knowledge of prior authorization workflows and PAHub capabilities and can effectively communicate with both operational users and executive stakeholders. The Specialist will participate in customer meetings, support internal teams, provide product demonstrations, identify optimization opportunities, and assist in the development of customer-facing documentation and training materials. This role plays a critical part in ensuring customers achieve their desired business outcomes while helping internal teams deliver consistent, high-quality customer experience.

Requirements

• 5+ years of experience in healthcare operations, prior authorization, utilization management, PBM, health plan operations, specialty pharmacy, or healthcare technology.
• Hands-on experience with PAHub or a similar prior authorization platform.
• Strong understanding of prior authorization workflows, operations, and regulatory requirements.
• Experience working directly with customers in a consultative or client-facing capacity.
• Excellent presentation, facilitation, and communication skills.
• Ability to explain complex technical concepts to both technical and non-technical audiences.
• Strong analytical and problem-solving abilities.
• Ability to manage multiple priorities in a fast-paced, demanding environment with minimal supervision.
• Maintain the strictest confidentiality in compliance with HIPAA guidelines.
• Highly self-motivated, professional, take-charge attitude with humility and integrity.

Nice To Haves

• Experience supporting SaaS healthcare applications.
• Experience in training, customer success, account management, implementation, and/or consulting.
• Knowledge of CMS, Medicaid, Medicare, and commercial utilization management processes.
• Pharmacy Technician certification, pharmacist, or related healthcare credentials.
• Experience creating documentation, training content, or knowledge management materials.

Responsibilities

• Serve as a PAHub subject matter expert for customers throughout implementation, optimization, training, and ongoing support activities.
• Participate in customer calls, workshops, business reviews, and operational meetings.
• Develop trusted relationships with customer stakeholders by understanding their workflows, goals, challenges, and business requirements.
• Advise customers on industry best practices and optimal use of PAHub functionality.
• Identify opportunities to improve customer efficiency, automation, turnaround times, and overall satisfaction.
• Proactively monitor customer adoption and recommend process improvements and workflow enhancements.
• Conduct PAHub demonstrations for prospective and existing customers.
• Showcase new features, product enhancements, and best practices.
• Deliver customer training sessions tailored to different user roles and operational functions.
• Assist customers in understanding how PAHub functionality supports their business and regulatory requirements.
• Support onboarding activities for new customers and new customer team members.
• Act as a resource for Account Management, Customer Success, Support, Implementation, Product, Training, and Operations teams.
• Participate in internal customer strategy discussions and planning meetings.
• Provide guidance on customer workflows, business requirements, and PAHub capabilities.
• Help internal teams evaluate customer enhancement requests and identify potential solutions.
• Share customer feedback, trends, and opportunities with Product Management and leadership teams.
• Assess customer utilization of PAHub and identify opportunities for improvement.
• Recommend workflow changes, configuration updates, and training opportunities to increase efficiency.
• Help customers leverage existing functionality before pursuing custom development.
• Support feature adoption initiatives and change management efforts.
• Track customer challenges and coordinate with internal teams to ensure timely resolution.
• Partner with the Documentation and Training teams to create, review, and improve customer-facing materials.
• Validate user guides, training materials, release communications, knowledge articles, and implementation documentation for accuracy and usability.
• Assist in developing best practice guides, workflow examples, and process documentation.
• Review customer communications to ensure clear and consistent messaging.
• Gather customer feedback and communicate key themes to Product, Engineering, and Leadership teams.
• Advocate for customer needs while balancing product strategy and operational considerations.
• Assist in prioritizing customer requests by providing business and workflow context.
• Identify recurring customer questions and contribute to continuous improvements in training and documentation.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed