Description Play a key role in the delivery of world-class patient care. Make a significant contribution to an award-winning health system. Leverage your expertise to make a life-changing difference. At UCLA Health, you can do all this and more. In this key role, you willreview Ambulatory Medical Specialty & Heme/Onc infusion ordersfor medical necessity, formulary preferences and if needed coordinate with the prescribing provider to update orders per protocol prior to authorization submission. You will serve as the primary ambulatory pharmacy resource for information regarding infusion payor formularies and denial reasons. You will support authorization coordinators and prescribing providers with complex infusion medication authorization cases.You will maintain and review patient medication profiles, review physician medication orders and patients' insurance benefits. You will interact with healthcare professionals and providers to help decrease authorization turnaround time and improve the patient experience. Schedule:Monday - Friday 8-5pm (Fixed-Hybrid) Hourly Salary Range: $85.87 - $100.58 (Union represented, step-based salary depending on years of experience) Bargaining Unit: HX-UPTE Qualifications We're seeking a dedicated clinical professional with:
Pharm D. degree and current CA Pharmacy license (required) Minimum of 1 year of practice experience in Oncology (required) Prior Infusion Experience (preferred) Prior Medical Benefit Authorization Experience (strongly preferred) Epic experience (preferred) BCOP (preferred) Exceptional communication, interpersonal, organizational and follow-through skills. Knowledge of and ability to perform age specific and disease specific pharmacokinetic calculations.
UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
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Prior Authorization Pharmacist - Ambulatory Infusion