Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why we are #1 in California and nine years in a row on the "Best Hospitals" Honor Roll.
The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center 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.
Days/Hours: Monday – Friday, remote
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 is expected to come onsite one day a month.
Why work here?
Beyond outstanding employee benefits (including health, vision, dental and life and insurance) we take pride in hiring the best employees. Our accomplished and compassionate staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
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Qualifications
Educational Requirements:
- Pharm.D. or equivalent degree from an accredited school of pharmacy.
License/Certification Requirements:
- Current pharmacist licensure in the State of California.
- BLS certification as outlined in the Pharmacist Responsibilities in Cardiopulmonary Resuscitation(C.P.R.) and Code Blue Procedure: Pharmacy Policy and Procedure
Experience/Qualifications:
- Oncology clinical pharmacy experience – min 2 years preferred or PGY2 in oncology (For oncology based – Clinical Prior Authorization Pharmacist Specialist Position)
- Pharmacy benefit management or managed care experience desired
- Strong project management and data analytical skills. Demonstrates innovative approaches to problem solving
- Excellent verbal and written communication skills
- Demonstrates customer service focus and excellent interpersonal skills
- Ability to organize work effectively, determine priorities, work well independently as well as in a team environment.
Req ID : 5618
Working Title : Pharmacist - Oncology Clinical Prior Authorization - Remote
Department : Pharmacy Training
Business Entity : Cedars-Sinai Medical Center
Job Category : Compliance / Quality
Job Specialty : Patient Safety
Overtime Status : EXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $70.81 - $113.30
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision (PDF) (opens in new window)
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All (opens in new window).
Cedars-Sinai is an Equal Employment Opportunity 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. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement (PDF) (opens in new window)
