Full employer posting
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 will review Ambulatory Medical Specialty & Heme/Onc infusion orders for adequate medical necessity documentation, payor formulary adherence, UCLA formulary adherence 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.
Hourly Rate: $115.04
Variable hours based on departmental needs. You are required to have the ability to travel to multiple work sites within UCLA Health. 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.
About the role
In this key role, you will review Ambulatory Medical Specialty & Heme/Onc infusion orders for adequate medical necessity documentation, payor formulary adherence, UCLA formulary adherence and if needed coordinate with the prescribing provider to update orders per protocol prior to authorization submission.