Are you passionate about helping people? 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?
As a Oncology Clinical Prior Authorization Pharmacist Specialist in our Tower Hematology/Oncology at Cedars-Sinai Medical Center, you 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.
You 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
* You will p rovide clinical evaluation and review of complex and high cost outpatient drug therapies and EHR documentation
* Evaluate payer-specific clinical requirements
* You will p rovide ongoing review, interpretation, and communication of payor drug contract changes
* You will p rovide clinical denials data analysis to prevent future occurrences and identify trends
* You will review & p rovide clinical denials and appeals support
You 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.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research... and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.