Pharmacy Authorization Specialist

6 hours ago


Santa Monica, California, United States UCLA Health Full time
Job Summary

We are seeking a highly skilled Pharmacy Authorization Specialist to join our team at UCLA Health. As a key member of our Hematology/Oncology team, you will play a critical role in improving patient access to treatment and adherence to medically necessary pharmaceuticals.

Key Responsibilities
  • Manage patient insurance benefits and utilize established patient assistance programs to facilitate authorization for medications related to patient care.
  • Act as a liaison between medical staff, insurance providers, and patients to coordinate authorization for medications.
  • Verify insurance benefits for requested medications and obtain appropriate authorizations.
  • Work closely with Hem/Onc Financial Counselors, Hem/Onc Patient Assistance/Co-Pay team, and community clinic managers to ensure seamless coordination of care.
Requirements
  • Pharmacy Technician License in the State of California in good standing.
  • Ability to interpret medical information required to perform prior authorizations, patient assistance, and second-level appeals.
  • Advanced technical computer skills, including proficiency in CareConnect, Microsoft Office Applications, and UCLA billing codes.
  • Knowledge of pharmaceutical generic and trade names, medical terminology, and decimal, fractions, percentages, and metric and apothecary system units.
  • Excellent written and oral communication skills, with the ability to work independently and as part of a team.
Preferred Qualifications
  • Bachelor's degree.
  • 2 years of oncology-related experience.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for improving patient care, we encourage you to apply for this exciting opportunity.



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