• Demonstrate strong knowledge of clinical protocols, operational procedures, and systems used to support day-to-day prior authorization (PA), appeals, and related workflows, while serving as the key liaison within the PA team to ensure seamless implementation of process changes, system enhancements, and regulatory initiatives. • Support operational and regulatory requirements and initiatives by coordinating cross-departmental implementation to ensure accurate and compliant PA, appeal, and related processes across the organization. • Lead and/or contribute to preparations for compliance audits, accreditation documentation, government audits, and state audits to maintain organizational standards and regulatory compliance. • Coordinate with stakeholders to ensure new processes, procedures, regulations, and initiatives are clearly communicated, documented, and implemented in a timely and accurate manner across all affected teams. • Interact, coordinate, and communicate with all levels of management including but not limited to providers, stakeholders, and vendors to ensure effective and compliant use of systems and processes, provide project updates, and ensure coordination of activities. • Support internal audits of PA and appeal case review by reviewing authorization accuracy, validating adherence to clinical policies, and supporting continuous quality improvement initiatives. • Other duties as assigned to support the overall goals and objectives of the Pharmacy Operations Team.