601 Hawaii St, El Segundo, California, 90245-4814, United States of America
The Clinical Pharmacy Management team is growing and looking to hire an Authorization Coordinator I role. This role will work remote and the ideal candidate will live in the PST or MST timezone.
The Authorization Coordinator I reviews and processes formulary exception requests through the determination process based on clinical criteria/guidelines. The Clinical Pharmacy Management Team is an integral part of the Clinical Enterprise Department, whose charter is to "create the future of healthcare, by innovating clinical practice design, improving quality of care, service, and life."
Roles and Responsibilities:
- Facilitate effective operational workflow while performing complete, accurate and consistent reviews of all formulary exception medication or product requests; including review of appropriate labs and supporting documentation against pharmacy clinical criteria/ guideline, which involves referral/escalation of requests, when appropriate, to clinical experts with appropriate recommendations. Utilize appropriate approval and denial language on approval and denial messages and provide alternatives based on clinical guidelines.
- Communication with facilities:
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- Maintain on-going communication with facility teammates, resolve technical processing issues, and escalate all outstanding issues including drafting written responses, correspondence, emails, and spreadsheets as needed.
- Ensure that current and accurate communication with facility teammates occurs in a clear, timely and concise manner.
- Assist with special projects as assigned by Clinical Operations management or its partners
- High School Diploma Required - Associates Preferred
- Current Registered Pharmacy Technician Required
- 2 years of experience working in a pharmacy or other healthcare setting Required
- Excellent MS Office skills, including Word, Excel, PowerPoint and Excel Required
- Previous experience working in prior authorization - Preferred
- Ability to travel 10% as needed
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Applications are accepted on an ongoing basis.
Salary/ Wage Range
$18.50 - $30.00 / hour
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.