Cedars-Sinai Medical Center is an 886-bed acute, quaternary teaching care hospital located in the heart of Los Angeles, California. We have grown to become one of the leading medical centers in the world...through inspired leadership; centers of excellence; cutting edge evidence-based practice; distinguished physicians; groundbreaking research and advanced technology.
Do you work well in a large team environment where critical thinking is essential?
The Oncology Clinical Prior Authorization Pharmacist Specialist in our Tower Hematology/Oncology will be responsible for supporting clinical evaluation and prior authorization, preventing denials, providing patient advocacy and assistance, and evaluating payer (insurance) drug criteria usage guidelines. Specialists will be dedicated to support either oncology or medicine patients-see Qualifications below for specific requirements.
Pharmacists are crucial partners in the care team of every patient at Cedars-Sinai. Our patients have many different needs, from pain management after surgery, to coordinating 35 different drugs to prevent organ rejection after transplantation, to just getting the right prescription after a routine check-up. In every case, we are committed to ensuring the safest, most effective medication is given every time. Our pharmacists are key members of the expert team of physicians, nurses and other healthcare professionals who make Cedars-Sinai known around the world. The Pharmacy Department consists of more than 380 staff members providing industry-leading, evidence-based medicine.
The pharmacist will collaborate with physicians, nurses, admissions staff, finance and contracting to provide care for outpatients receiving infusion and injection therapies to manage complex diseases. Patient populations include solid and hematologic transplants, irritable bowel disease, neurology, cancer and orphan diseases. Specialist positions in oncology and non-oncology
· Provide clinical evaluation and review of complex and high cost outpatient drug therapies and EHR documentation
· Evaluate payer-specific clinical requirements
· Provide ongoing review, interpretation, and communication of payor drug contract changes
· Provide clinical denials data analysis to prevent future occurrences and identify trends
· Provide clinical denials and appeals support
The pharmacist will also be responsible for staffing coverage approximately 2 days/month, in their respective area of expertise
Why work here?
Beyond outstanding benefits, competitive salaries and health and dental insurance We take pride in hiring the best, most passionate employees. Our talented staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards in quality and innovation in patient care, research, teaching and community service. Today, Cedars-Sinai is widely known for its national leadership in transforming healthcare for the benefit of patients.Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S. with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Clinical programs range from primary care for preventing, diagnosing and treating common conditions to specialized treatments for rare, complex and advanced illnesses. In addition, Cedars-Sinai serves the community through its Medical Network, which includes the highly rated Cedars-Sinai Medical Group and Cedars-Sinai Health Associates. Cedars-Sinai has consistently been named one of America’s Best Hospitals by U.S. News & World Report, has received the National Research Corporation’s Consumer Choice Award 18 years in a row for providing the highest quality medical care in Los Angeles, and has the longest running Magnet desig...nation for nursing excellence in California. Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely. Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.