Authorization Coordinator I, Clinical Pharmacy Management (Clinical Enterprise)

DaVita Kidney Care

9d • $21 - $28 • Remote

About The Position

The Clinical Pharmacy Management team is growing and looking to hire an Authorization Coordinator I role. This role will work remotely and will work a 7:30-4:00 pm PST schedule. 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.”

Requirements

• High School Diploma Required - Associates Preferred
• Current Registered Pharmacy Technician OR currently working as a Patient Care Technician in a Dialysis setting Preferred
• 2 years of experience working in a pharmacy or other healthcare field 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

Nice To Haves

• Associates Preferred
• Current Registered Pharmacy Technician OR currently working as a Patient Care Technician in a Dialysis setting Preferred
• Previous experience working in prior authorization - Preferred

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: Maintain ongoing 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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED