Anu Kaur, PharmD, RPh

Bridging Clinical Reasoning, Automated Workflows, and Accountable Outcomes.

Pharmacist and technology solutions consultant with 15+ years across retail, hospital, specialty pharmacy, managed care, and healthcare IT, including 7 years working on pharmacy benefit systems.

  • 15+ years in pharmacy and healthcare IT
  • URAC AI advisory committee
  • NCPDP 2026 speaker

How my work connects

  1. Clinical reasoning

    Coverage criteria, formulary rules, and prior authorization policy

  2. Automated workflows

    Requirements, solution designs, and tests so claims adjudicate correctly at go-live

  3. Accountable outcomes

    Decision logic, audit trails, and human review of escalated cases

  • 15+years across retail, hospital, specialty pharmacy, managed care, and healthcare IT
  • 7years working on pharmacy benefit systems
  • URACinaugural Health Care AI Accreditation Advisory Committee
  • CMSIDea Challenge selected participant
See all projects

Recent speaking

All speaking

Conference CE sessionMay 2026, Scottsdale, AZ

Responsible AI in Prior Authorization: From Policy to Interoperable Decisions

An ACPE-accredited CE session on automating prior authorization with clear decision logic, audit trails, bias monitoring, and human review of escalated cases.

NCPDP 2026 Annual Technology & Business Conference

Podcast guestReleased July 27, 2026

CMS, AI, and the Evolution of Prior Authorization

How AI and the proposed rule CMS-0062-P could change electronic prior authorization, and how NCPDP standards support faster, more transparent workflows.

NCPDPunscripted, with host Pooja Babbrah

Listen

Webinar panelistJuly 2026, on demand

Transitioning to Telecommunication Standard Version F6: Guidance, Impacts and Readiness Considerations

Guidance on the impacts of the move to Telecommunication Standard vF6 and what readiness looks like for PBMs, payers, and vendors.

NCPDP, with PBM and vendor panelists from IQVIA and Express Scripts

View on NCPDP

SPACE community

Solutions for Pharmacy, AI, and Clinical Excellence: the LinkedIn group I founded for pharmacists, clinicians, product managers, AI developers, and healthtech leaders.

Connect

Open to connecting with healthcare leaders and teams interested in pharmacy and healthcare technology.