Please note this is a technician level position, not at pharmacist level.
As the Drug Utilization Specialist, you will be responsible for efficiently reviewing and verifying that appropriate drug prior authorizations are obtained by clinic staff in a way that best serves patients and prescribers in an outpatient hospital setting. Duties and responsibilities include coordinating with prescribers, clinical pharmacy team members, and payers to ensure appropriate reimbursement and drug utilization. This member is expected to work effectively and constructively with all health care team members.
Pharmacy is a 24-hour, seven days a week operation with a decentralized distribution model with PYXIS profile. Sharp Memorial Hospital's Pharmacy offers an excellent clinical program which allows for a very "hands on" approach for our Pharmacists. Our program includes Pharmacokinetics, Antibiotic Surveillance, Nutritional Support, Anti-coagulation, Renal Target and Pain Management. We offer certification in all these areas.
Sharp Memorial Hospital — the first hospital in San Diego with all private patient rooms — is dedicated to providing the highest-quality, patient-centered care and consists of 368 beds. Designed to promote comfort and healing with the use of natural light and soothing colors, the hospital offers the latest medical technology and is home to San Diego’s largest, most modern Emergency and Trauma Center.
Sharp Memorial is known for outstanding programs in cardiac and vascular care, cancer treatment, orthopedic and neurological services, rehabilitation, robotic surgery and lti-organ transplantation, and has been recognized as a MAGNET®-designated hospital for nursing excellence and is also designated as a Person-Centered Hospital by Planetree, an organization committed to personalizing, humanizing, and demystifying the hospital experience for patients and their families.
This position is located in Serra Mesa, San Diego County
8 hours day variable shift, weekends as needed.
Required Skills and Qualifications
High school diploma/equivalent
Three (3) years’ experience in specialty pharmacy, home infusion or other prior authorization process setting OR 3 years’ experience with managed care, PBM, Medicare Part D, Medicaid, or commercial health insurance
Computer skills required with an intermediate to advanced proficiency Microsoft Office (Word, PowerPoint, Excel, Teams, etc.)
Ability to effectively communicate with patients and health care team members
Preferred Skills and Qualifications
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Keywords: pharmacy technician jobs in San Diego, PBM, Medicare Part D, prior authorization