Job Information
Cedars-Sinai Pharmacy Technician - Prior Authorization - Pasadena - Hybrid in Pasadena, California
Job Description
The Prior Authorization Pharmacy Technician at our Cedars-Sinai Oncology Pasadena location will assist in supporting the Cedars-Sinai Medical Network pharmacists in the daily operations of the Pharmacy Department. The Pharmacy Support Specialist's primary role is to assist the pharmacists, physicians and other providers in processing of prescription orders, prior authorizations, distribution and inventory management of clinic-administered medications, and obtaining and compiling clinical information. All duties are performed under the direct supervision of a pharmacist.
Days/Hours: Monday - Friday, day shift - hybrid role - 625 S Fair Oaks Ave - Pasadena, Ca.
3 days onsite/2 days remote
What's this role all about?
Prior Authorizations - Support Medical Network pharmacists and physicians by processing and submitting prior authorizations in CS-Link for review by health plans as well as ensuring the outcome status is documented in the patient’s chart for transparency among healthcare team.
Prior Authorizations - Follow up on open prior authorizations with the health plan to ensure the prior authorizations are resolved/completed in a timely manner.
Verify eligibility and benefits under medical benefit for the medication requested as well as and follow-up on submitted prior authorization/pre-certification requests with the health plan ensuring timely turn-around time
Identify the supplier of the medication (contracted specialty pharmacy, office stock, or Medication Purchasing, etc) depending on the health plan, site of administration and using department-approved resources.
Communicate and document authorization status and source of medication to the prescribing physician/clinic staff via CS-link and/or email.
Maintain and update health plan contact lists and health plan guidelines
Qualifications
Education:
- High School Diploma or GED
License:
- California Pharmacy Technician is required
What else are we looking for?
1 year of prior authorizations and utilization management: Experience at a healthplan or with processing medication prior authorization
Oncology/ chemotherapy prior authorization experience is strongly preferred
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.