Pharmacy prior authorization jobs in Inglewood, CaliforniaCreate job alerts

Job Description Account Executive — Specialty Infusion Orange County, CA | Field-Based $100,000–$150,000 Base Salary + Uncapped Commission + Car Allowance About Us Our client is a nationally recognized specialty infusion pharmacy with deep roots in the communities we serve. Locally owned and operated, we combine the reach and resources of a national brand with the personal touch, agility, and culture of a boutique provider. Our mission is simple: deliver exceptional infusion therapy to patients with chronic conditions — and make the experience as seamless as possible for the physicians who trust us with their patients. They have a 97% patient satisfaction rating, an accredited clinical team, and a reputation for doing things the right way. If you're looking for a place where your work matters, your relationships are valued, and your earning potential is real — you've found it. The Opportunity This is not a maintenance role. This is a territory-building opportunity for a driven, clinical-minded sales professional who thrives on building relationships, educating physicians, and making a genuine difference in patients' lives. As an Account Executive covering Orange County — including Irvine, Anaheim, Huntington Beach, Garden Grove, and surrounding areas — you will be the face of our pharmacy to the physician community. You'll grow a referral network across the specialties that depend on chronic IVIG and specialty infusion therapy, and you'll do it with the full support of an organization that actually invests in its people. What You'll Do Own and grow your Orange County territory through proactive physician outreach, relationship building, and education Develop and deepen referral partnerships with neurologists, allergists/immunologists, and rheumatologists Educate physicians and their clinical staff on IVIG and specialty infusion therapies, patient eligibility, and the referral process Work cross-functionally with clinical, reimbursement, and operations teams to ensure seamless patient onboarding Navigate prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter mentality to every week — identify new targets, build a pipeline, and close referrals Track activity and manage your territory using CRM tools — you own your data as much as your relationships What We're Looking For Must-Haves: Current or recent Account Executive / Territory Manager experience at a specialty infusion or specialty pharmacy company IVIG experience — you know the therapy, the patients, and the referral process inside and out Proven focus on chronic conditions: Neurology, Rheumatology, Allergy/Immunology — NOT acute/antibiotic infusion Existing physician relationships in Orange County and/or Southern California (neurologists, rheumatologists, and immunologists especially) Field sales hunter mentality — you build territories, you don't just maintain them Bonus Points If You Have: President's Club wins or quota achievement recognition RN or clinical background — gives you instant credibility in the room Deep familiarity with prior authorization processes and specialty pharmacy workflows Existing relationships with PIDD, CVID, CIDP, MG, NMOSD, Lupus, or inflammatory myopathy patients' physicians Physician Specialties You'll Target Primary (your bread and butter): – Neurology — CIDP, Myasthenia Gravis, MS, NMOSD – Allergy/Immunology — PIDD, CVID (lifetime IVIG patients) – Rheumatology — Lupus, inflammatory myopathies Secondary (nice-to-have bonus relationships): – Hematology/Oncology – Dermatology – Gastroenterology Why This Role? Why Us? Competitive compensation: $100K–$150K base + uncapped commission + car allowance Real autonomy — own your territory and your schedule A culture that respects and rewards your work, not a bureaucratic national chain Clinical support and back-office resources that make you look great in front of physicians A growing network with real upward mobility for top performers The satisfaction of knowing your work directly improves patient lives every single day Ready to Own Orange County? If you're an experienced specialty infusion Account Executive with IVIG expertise and a network of OC physician relationships — we want to hear from you. Apply today and let's build something great together. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status.

Job Description About the Company Advanced therapies represent one of the most significant shifts in modern healthcare, yet health systems face substantial operational, clinical, and financial barriers to adoption. Shields Advanced Therapies was created to solve this challenge, partnering with leading academic medical centers and pharmaceutical companies to build the infrastructure necessary to bring these breakthrough treatments to more patients. The company is led by a seasoned leadership team and is grounded in Shields' longstanding commitment to culture, hospital partnership, and delivering better patient care at the lowest possible cost. Today, Shields Advanced Therapies is anchored by 8 of the Top 20 Academic Medical Centers in the United States and Shields' 40+ year track record of partnering with over 1,000 hospitals across 43 states provides a natural channel for continued expansion. Overview of USC & Shields Advanced Therapies Joint Venture Keck Medicine of USC has partnered with Shields Advanced Therapies to implement and expand clinical support, operations, and technology across all USC programs delivering advanced therapies to patients. By investing in new resourcing, infrastructure, and technologies, this business unit will serve as a horizontal support partner across 50+ disease programs, inpatient and outpatient sites of service, and all participating USC network facilities. In addition to developing a comprehensive program within USC, Shields Advanced Therapies plans to leverage the Joint Venture's infrastructure to deploy a hub and spoke model to extend USC's best-in-class care and advanced therapies service model across the greater Southern California market. Role Overview The Cell & Gene Therapy Benefits Specialist will play a crucial role in managing and coordinating patient financial services, ensuring that patients understand and can access available financial resources from payers, manufacturers, and foundations. This is a full-time, hybrid role based in Los Angeles (4 days/week in office) reporting to the Director, Clinical Operations. Core Responsibilities Benefits Investigation & Verification • Work with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs), and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials., • This involves confirming eligibility and understanding the specifics of various insurance plans, including site-of-care considerations. Prior Authorization Facilitation • Work with patients, Cell & Gene Therapy Clinical Coordinators, clinical staff, payers, and others to secure prior authorizations for each component of the treatment plan as applicable/required. Benefit Enrollment Assistance (if applicable) • Guide patients through the process of enrolling in appropriate benefit programs, such as Medicaid, Medicare, or other financial assistance options. This may involve helping patients complete necessary applications and providing information on program requirements. Patient Financial Counseling • Assist patients in understanding their insurance benefits, out-of-pocket costs, and available financial assistance programs. This includes explaining coverage details and guiding patients through the complexities of healthcare billing, including site-of-care considerations. Collaboration with Departments • Work closely with clinical staff, patient accounting, billing & collections, and other hospital departments (e.g., research) to communicate benefits considerations and serve as point of contact during financial clearance process, ensure accuracy, and enhance patient satisfaction. This collaboration ensures that financial considerations are integrated into patient care planning. Collaboration with Manufacturers • In partnership with the , work with manufacturers to attempt to secure additional financial assistance as applicable/appropriate. Compliance and Documentation • Maintain accurate records of patient interactions, financial agreements, and assistance provided, ensuring compliance with healthcare regulations and privacy laws. This includes documenting all financial counseling sessions and maintaining confidentiality of patient information. Development and Execution of Financial Pathways • Codify and execute benefits investigation and prior authorization pathways tailored to each product covered by advanced therapy programs across Health System Partner's service lines and therapeutic programs., • Where Letters of Agreement or Single Case Agreements are needed to ensure access, partner with Managed Care and Payer Access teams to solidify agreements that get patients to treatment. Programmatic Expansion • Contribute to development of centralized Benefits Specialist function that will augment dedicated teams at our Health System Partners and other future partners. Credentials & Requirements • Ideal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counselling, • Familiarity with healthcare financial systems and the insurance verification process required, • Strong communication and interpersonal skills are crucial for effectively assisting patients, • Attention to detail, organizational abilities, and proficiency with healthcare information systems are also important, • Prior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferred, • Prior exposure with both inpatient & outpatient site-of-care also preferred but not required Compensation Competitive base salary with bonus opportunity tied to outcomes metrics, with comprehensive benefits coverage also offered. Job Posted by ApplicantPro

Job DescriptionDescriptionWe are seeking an experienced Intake Authorization Specialist with expertise in home infusion and a strong knowledge of HCPCS and ICD-10 coding. The successful candidate will play a vital role in our growing business by ensuring accurate and timely authorization of services and verifying patients' insurance coverage. Key Responsibilities • Verify insurance coverage and benefits for patients., • Request authorizations for services as required., • Accurately enter patient profiles and medical documents into the pharmacy system., • Adjudicate pharmacy benefit claims, including Medicare Part D. Skills, Knowledge and Expertise • Required: Prior experience in home infusion., • Preferred: Familiarity with HCPCS and ICD-10 coding., • Experience adjudicating pharmacy benefit claims, particularly Medicare Part D., • Strong attention to detail with the ability to manage multiple tasks efficiently. Benefits • Health, dental, and vision insurance., • Paid time off, vacation, and paid holidays., • Opportunity for remote work based on qualifications., • Competitive salary, negotiable based on experience.

We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with expertise in speciality medication access to evaluate AI tools designed to automate pharmacy benefit management and speciality drug authorisation workflows. Requirements** - 5+ years of experience in pharmacy pri

Job Description Job Purpose: Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services. Job Duties: • Provide "legendary" care to hospital patients by providing a full suite of custom medication management services., • An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support., • Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care., • Handle all medication needs of patients., • Grow the specialty pharmacies patient population by strictly adhering to Shields' programs and processes with enthusiasm and purpose., • Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider., • Review the patients need for financial assistance and secure financial assistance when needed and available., • Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required., • Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups, refill prescription., • Secure prescription renewals., • Communicate directly with patients to assist them in the awareness of their medications, • Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication., • Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids., • Answer, resolve and triage inbound inquiries., • Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up., • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards., • Actively participate in process improvement initiatives., • Protect organization's value by keeping information confidential., • Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations., • Other duties as assigned. Skills: Strong interpersonal communication skills, exceptional phone skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs, adapt to Shields' unique model / tools and able to extract relevant information; strong organizational skills a must. Traits: Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off. Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data. Specialties Experience and knowledge in working in one or more of the following disease states a plus: transplant, hepatitis C, infectious disease (including HIV), diabetes, MS, oncology. Education/Experience: Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Years of Experience: Required 2-3 years, Preferred 3-5 years' experience as a Pharmacy Technician. Education: High School Diploma or GED required. Salary: An employee in this position can expect a salary rate between $55,000 and $70,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy. By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process. Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

Job DescriptionDescriptionWe are currently seeking a highly motivated, full-time, Front Desk to assist our Los Angeles Urgent Care Centers. We are looking for someone fluent in Cantonese or Mandarin. This role will report to the Office Manager and enable us to continue to scale in the healthcare industry. This role requires cross-coverage is across our multiple urgent care locations throughout Los Angeles. Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Work As One Team What You'll Do • Greet people entering the office, answering questions, providing directions and instructions on the check-in procedure., • Manage a multiple-line phone system by addressing caller concerns, routing callers to the appropriate extensions, and leaving messages for the healthcare providers., • Provide basic and accurate information in-person and via telephone/email., • Maintain the reception area, keeping it clean and free of clutter., • Submit treatment authorization requests., • Maintain office security by following safety procedures and controlling access via the reception desk, • Must be detail oriented and possess strong organizational skills in a fast-pace environment, • Good verbal and written communication skills., • Be able to prioritize workload while remaining flexible., • May be required to work overtime to meet tight deadlines, • Highly motivated and able to work with multiple teams simultaneously., • Take telephone messages and provide feedback and answers to patient/physician/pharmacy calls., • Perform other clerical receptionist duties such as filing, photocopying, transcribing and faxing., • Other duties as required. Qualifications • Fluency in Chinese (Mandarin or Cantonese) required., • Prior experience in a medical front desk or healthcare administrative role preferred., • Excellent communication and interpersonal skills., • Strong organizational skills and attention to detail., • Proficiency with scheduling software and basic computer applications., • Ability to multitask effectively in a fast-paced environment., • Compassionate, patient-focused approach. Environmental Job Requirements and Working Conditions • Our organization follows an in-person work structure where the expectation is to work onsite on a daily basis. Cross-coverage is required across all clinic locations. The clinic locations include: 101 Wheeler Ave, Suite B, Arcadia, CA 91006; 18605 E. Gale Ave. #168, City of Industry, CA 91748; 120 W. Hellman Ave Suite 101, Monterey Park, CA 91754; 3564 Santa Anita Ave., Unit A, El Monte, CA 91731., • The clinic hours are Monday-Friday 9:00am-9:00pm, and Saturday-Sunday 9:00am-5:00pm. This is a full-time position and requires 66-80 hours per biweekly pay period, with the expectation to work one weekend per pay period. Weekday shifts are 12 hours and weekend shifts are 8 hours., • The national target pay range for this role is $21 - $24 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Garnet Valley, Pennsylvania, United States; Overland Park, Kansas, United States; United States Remote; Van Nuys, CA At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence. As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference. We're looking for a Patient Access Liaison (PAL) Active who wants their work to mean something someone who brings empathy, precision, and persistence to supporting patients throughout their infusion journey. This role can be on?site in Overland Park, KS or remote, with a standard schedule of 8:30 AM5:00 PM CST. The PAL Active plays a vital role in ensuring patients can continue therapy without disruption. By closely monitoring insurance eligibility and authorization status, this role helps remove barriers to care before they impact treatment. In this role, your work will: • Help patients stay on therapy through proactive eligibility and coverage monitoring, • Provide clarity and reassurance during insurance or benefit changes, • Support care teams by ensuring downstream partners have accurate, timely information Every update, follow?up, and conversation helps protect a patient's access to care. In this role, you will: • Monitor monthly insurance eligibility and authorization status for assigned active patients, • Identify changes in coverage and proactively coordinate with patients, sales teams, physicians, and reimbursement partners to resolve barriers, • Serve as the primary point of contact for patients and referral partners, providing updates on coverage, authorizations, and next steps, • Communicate insurance changes to Reimbursement Specialists to initiate new benefits verification or prior authorizations as needed, • Work closely with data entry, reimbursement, nurse coordination, and pharmacy operations teams to keep cases moving forward, • Document all patient, provider, and field communications accurately in designated systems, • Track referral progress, workload metrics, and case status to ensure timely follow?through, • Support technology?enabled communication and collaborate across teams to meet service goals You may be a great fit if you bring: • 13 years of experience supporting patient referrals, prescription services, or reimbursement in infusion or specialty therapies, • Experience providing high?quality customer service to patients and healthcare providers, • Familiarity with electronic health records or pharmacy patient management systems, • Working knowledge of medical or pharmacy terminology, • Strong organizational skills and comfort managing multiple priorities in a fast?paced environment, • Proficiency with Microsoft Office (Word, Excel, PowerPoint), • A high school diploma or equivalent (Bachelor's degree preferred), • Willingness to travel up to 5% as needed for meetings or training, • Experience supporting prescribers, patients, and field teams in infusion or specialty therapy environments, • General understanding of insurance benefits, payer requirements, and verification processes, • Familiarity with infusion therapy workflows and patient needs At LUX Infusion, we believe care deserves more light more warmth, more clarity, and more connection. Here, you'll find: • Purpose?driven work with direct patient impact, • A patient?first, team?oriented culture, • Close collaboration with clinical, operational, and reimbursement partners, • The opportunity to grow your expertise while supporting meaningful care journeys Come help protect patient access to infusion care and see what's possible when care comes first. Pay Range/Rate $23 - $30 USD

The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment. The Oncology Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for chemotherapy treatments. The Specialist will be instrumental in obtaining written documentation, tracking, and reporting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical staff and pharmacy to ensure a seamless process to the patients receiving chemotherapy treatments. This position will report to the Supervisor of Clinical Authorizations and will assist in the operation of the Norris Clinical Authorization Center. Essential Duties: • Actively obtain written clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff, • Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD coding, • Research payers medical policy requirements for chemotherapy treatment authorizations and understand process for submitting pre-certification/pre- determination requests, • Utilize Excel Macro tracking log to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift., • Follow-up on outstanding authorization requests and on medical documentation requests in a timely manner., • Enroll patients in manufacturer patient assistance programs as needed and follow-up regarding enrollment and/or medication reimbursements, • Communicate with a medical/clinical/pharmacy staff and patients on authorization status/outcome., • Employ compliance checker for Medicare eligible chemotherapy/infusion treatment authorizations and scan/email ABNS to front area reception for signatures as needed., • Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment, • Exhibit sensitivity to the patients at all times concerning privacy and confidentiality while accessing medical records for chemotherapy treatments to process authorizations requests, • Scan all authorizations into Keck care under the respective patient accounts and if applicable, forward authorized orders to pharmacy for dispensing, • Maintain medical policy coverage binder and keep updated with new policies and forms regarding medications FDA indicated usage and authorization requirements., • Document authorization outcome in all financial systems. Performs other duties as assigned. Required Qualifications: • Req High school or equivalent Or equivalent evidence in file., • Req 2 years of experience in a hospital, medical office/doctor's office or working for a health insurer required., • Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills Preferred Qualifications: • Pref Specialized/technical training Vocational Nursing Degree., • Pref Oncology experience is preferred, • Pref Medical prior authorizations or claims experience in a managed care setting highly preferred, • Pref Knowledge of the health insurance industry and claims processing a plus, • Pref Licensed Vocational Nurse - LVN (CA DCA) Required Licenses/Certifications: • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law. • Notice of Non-discrimination, • Employment Equity, • Read USC's Clery Act Annual Security Report, • USC is a smoke-free environment, • Digital Accessibility

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Hours/Location: Must reside in Pacific or Mountain Time Zone. Variable hours to work 8-hours within the hours of 8:30 AM - 6:00 PM Pacific Standard Time Monday - Saturday based on business needs. These efforts collectively promote clinical efficacy, cost-efficiency, and improved patient outcomes. Broad-based and comprehensive knowledge is critical to success in this role. You'll need to be well-versed in medical and pharmacy claims data. You'll enjoy the flexibility to work remotely from anywhere within Pacific or Mountain Standard Time Zones in the U.S. as you take on some tough challenges. • Medication Access: Support access to medications by evaluating benefit options following UM (utilization management) determinations, including coverage denials or redirections. The role involves structured investigations to determine coverage under both medical and pharmacy benefits according to payer guidelines and plan requirements. Key tasks include confirming patient insurance eligibility and evaluating coverage standards across different benefits. This process may require examining prior authorization requirements, formulary placement, site-of-care policies, and potential patient cost implications, • Care Coordination: Work closely with physicians, advanced practice providers, nurses, pharmacists, and other healthcare professionals to promote coordinated care and effective medication management. The position requires proactive communication with other healthcare professional via phone, fax, and other electronic channels, • Cross-Functional Team Collaboration: Collaborate with various cross-functional teams to implement strategic projects that improve care delivery and network operations, ensuring compliance and maintaining high clinical standards. These teams span areas such as pharmacy management, utilization management, payment integrity, claims processing, health economics, finance, and contracting, • Compliance and Regulatory Requirements: Adhere to organizational policies related to affordability programs, patient confidentiality, and medication safety. Follows relevant regulatory guidelines, policies and procedures in reviewing clinical documentation (e.g., SOP's and Job Aids), • Continuous Improvement: Engage in quality improvement activities and process enhancements aimed at increasing the efficiency and impact of affordability program, • Additional Duties:, • Applies a team approach to solve complex problems, • Adapt team priorities to ensure task completion, • Serves as a primary point of contact and provides explanations for members, providers, and internal partners regarding processes, roles and responsibilities within their department, • Prepare medication utilization and prior authorization requests for specialty oncology and non-oncology ambulatory injectable and/or infusion medications as related to member benefits, health plan coverage, site of service, and evidence based clinical guidelines, • Solves moderately complex problems and/or conducts moderately complex analyses and translates concepts into practice, • Provides explanations and information to others on issues, • Identifies incomplete/inconsistent information in medical records and label missing measures/metrics/concerns as well as evaluate documentation of prior authorization, • Coordinates auditing tasks as assigned, • Verifies necessary documentation is included in medical records, • Develops learning objectives based on appropriate analyses (e.g., business analysis, task analysis, audience analysis), • Engages/collaborates with appropriate stakeholders, leaders and SMEs to complete appropriate training content (e.g., products, processes, tools, skills needed), • Performs all other related duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. • High School Diploma/GED (or higher), • Current, clear, and unrestricted Pharmacy Technician licensure in the U.S. state of residence, • 5+ years of pharmacy experience, • 2+ years of managed care, health plan, or PBM experience s, • 2+ years of experience with extensive knowledge of Medicare Part B and Part D, particularly pharmacy record review, claims, billing, and reimbursement rules, • 2+ years of experience with working knowledge of medical terminology, including ICD-9, ICD-10, and CPT codes, • 2+ years of experience with working knowledge of HIPAA Privacy and Security Rules and CMS security requirements, • 2+ years of experience working collaboratively in multidisciplinary teams within a matrixed organization, • 2+ years of experience demonstrating excellent interpersonal skills, including independent communication with healthcare professionals and patients in virtual or telehealth settings, • 2+ years of experience demonstrating strong written communication skills, with a consistent ability to deliver work free from typographical or spelling errors, • 2+ years of experience performing work with minimal supervision in a remote setting, • Intermediate level of proficiency in the Microsoft Office suite, including Outlook, Teams, and Excel, • An associate degree or higher in a health-related field, including healthcare administration, • Active Certified Pharmacy Technician (CPhT) and/or Advanced Certified Pharmacy Technician (CPhT-Adv) certification, • Experience in specialty infusion care delivery, inclusive of home infusion operations, • Intermediate or higher level of proficiency with Epic EHR in ambulatory care settings, • Excellent operation skills demonstrated by a significant record of performance (i.e., meeting or exceeding operational goals) in health care quality and cost management, • Bilingual fluency in English and Spanish *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment. The Oncology Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for chemotherapy treatments. The Specialist will be instrumental in obtaining written documentation, tracking, and reporting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical staff and pharmacy to ensure a seamless process to the patients receiving chemotherapy treatments. This position will report to the Supervisor of Clinical Authorizations and will assist in the operation of the Norris Clinical Authorization Center. Essential Duties: • Actively obtain written clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff, • Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD coding, • Research payers medical policy requirements for chemotherapy treatment authorizations and understand process for submitting pre-certification/pre- determination requests, • Utilize Excel Macro tracking log to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift., • Follow-up on outstanding authorization requests and on medical documentation requests in a timely manner., • Enroll patients in manufacturer patient assistance programs as needed and follow-up regarding enrollment and/or medication reimbursements, • Communicate with a medical/clinical/pharmacy staff and patients on authorization status/outcome., • Employ compliance checker for Medicare eligible chemotherapy/infusion treatment authorizations and scan/email ABNS to front area reception for signatures as needed., • Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment, • Exhibit sensitivity to the patients at all times concerning privacy and confidentiality while accessing medical records for chemotherapy treatments to process authorizations requests, • Scan all authorizations into Keck care under the respective patient accounts and if applicable, forward authorized orders to pharmacy for dispensing, • Maintain medical policy coverage binder and keep updated with new policies and forms regarding medications FDA indicated usage and authorization requirements., • Document authorization outcome in all financial systems. Performs other duties as assigned. Required Qualifications: • Req High school or equivalent Or equivalent evidence in file., • Req 2 years of experience in a hospital, medical office/doctor's office or working for a health insurer required., • Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills Preferred Qualifications: • Pref Specialized/technical training Vocational Nursing Degree., • Pref Oncology experience is preferred, • Pref Medical prior authorizations or claims experience in a managed care setting highly preferred, • Pref Knowledge of the health insurance industry and claims processing a plus, • Pref Licensed Vocational Nurse - LVN (CA DCA) Required Licenses/Certifications: • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law. • Notice of Non-discrimination, • Employment Equity, • Read USC's Clery Act Annual Security Report, • USC is a smoke-free environment, • Digital Accessibility

Territory to Include, but not limited to: Riverside County and San Bernardino County in Los Angeles, CaliforniaRole Overview:For more than 140 years, GSK has pioneered novel research methods and technologies to help protect people from infectious diseases. Our vaccines portfolio of more than 20 marketed vaccines is the broadest in the industry, helping to protect people throughout their lives. We believe prevention, at scale and for impact, is the best health investment for society, patients, and the economy. Vaccine-preventable diseases are a significant burden on society and healthcare systems; approximately $1 trillion in productivity is lost each year due to preventable conditions. This includes the impact from the 330,000 older adults hospitalized globally each year with RSV, approximately 1 in 3 people who will develop shingles in their lifetime and the 3-11% of people infected with seasonal influenza each year. Our portfolio will reach over 1 billion people globally this decade. Each year, about 40% of children globally receive a GSK vaccine and GSK is well-placed to lead in the growing adult immunization market. GSK’s US vaccines business is designed to support the unique needs of the customer base in the given geography. There are multiple customer-facing roles, each with unique customers/call points, but all dependent upon a high degree of collaboration.Position Summary:The Vaccine Account Manager (VAM) is pivotal in owning the B2B customer relationship in the largest and most complex healthcare delivery networks (e.g. Health systems/HSs, State CDC Awardees, major health departments and Federally Qualified Health Systems/FQHCs). The role of the VAM is to serve as the primary liaison with our largest customers and to engage C/D level clinical & non-clinical stakeholders to understand unique customer needs & priorities and to deliver a customized value proposition. The VAM must possess strong customer engagement skills, knowledge of healthcare contracting and customer-specific decision making, and the ability to work across a complex group of internal and external stakeholders. This role requires a strategic professional who can build relationships with complex healthcare organizations, navigate formulary processes, and ensure optimal patient access to vaccines. The VAM leverages and coordinates with field teams to achieve and exceed ambitious sales growth of our vaccine portfolio within integrated delivery networks.Responsibilities:Strategic Account Development and ManagementBuild partnerships with large-organized customers, incl. HSs, Public Awardees & FQHCs and key decision-makers (e.g. Chief Medical Officers, Pharmacy Directors, Infectious Disease Specialists and P&T Committee members)Identify the customer’s objectives/goals and how vaccination efforts can help supportDevelop robust customer-specific and area Business Plans leading to Good Selling Outcomes/GSO (e.g. stakeholder mapping, budget cycles, formulary timelines and business reviews)Navigate complex organizational structures to identify clinical operational and financial influencers to progress on vaccine access/formulary status, policy/protocol, stocking and pull throughWork closely with Public Sector decision makers to advance immunization efforts and address local policy shifts. Represent needs to Field and HQ leadership for timely supportStrategically manage key accounts through comprehensive business review, knowledgeable contract performance discussions, organization of educational programs and attendance at key customer meetings and medical conferencesSales Excellence & Revenue GenerationAchieve or exceed customer-specific targets, incl. volume, IZ rates, market share, annual sales targets for vaccine portfolioDefine and achieve customer-specific objectives and GSOs with KPIs for success.Support the contracting process in partnership with Contracting SpecialistsExecute consultative selling processes to position vaccines as a leading interventionCross-Functional Collaboration“Quarterback” VBU needs and objectives and work with Sales leadership to guide local Sales teams operating within the customer network. Coordinate organizational support to meet customer needs.Support vaccination programs within and across channels including strong referrals to Retail pharmacy setting, Adjudication support and utilization of digital platforms, as appropriate.Partner with internal teams (E.g. Contracting Specialists, OPAS/HSDs, Medical Affairs and Marketing) to compliantly offer relevant resources and present the clinical, economic and operational value of vaccines.Collaborate with Market Access to address coverage, reimbursement, and contracting challenges.Clinical & Scientific ExpertiseDevelop expertise in vaccines, disease states, immunization guidelines, and competitive landscape.Provide evidence-based clinical education to healthcare professionals on vaccine efficacy, safety profiles, and administration protocols.Stay current with CDC guidelines, Medical Society recommendations and Health Quality metrics.Market Intelligence & AnalysisAnalyze key account performance, market trends, competitive activities, and formulary landscape to identify growth opportunities.Provide market feedback to internal stakeholders on positioning and pricing.Administrative & ComplianceMaintain detailed customer interaction and activity records in CRM systems.Complete required training programs, certifications, and compliance modules.Ensure all promotional activities comply with pharmaceutical regulations and company policies.Success Metrics & Key Performance indicators:Annual Sales Target achievement at the customer and territory level.Stakeholder Mapping Completion and Decision-Maker access in assigned accounts.Other metrics to be defined by the organization (e.g. IZ rates, market shares, contract performance).Field and account coverage metrics as defined.Why you?Basic Qualifications:Bachelor’s Degree from an accredited institutionMust possess a combined minimum of 5 years of the following: Pharmaceutical Sales, Pharmaceutical Marketing, Payer and/or Business Development ExperienceMust possess Account Management and/or Vaccine experienceValid driver’s licenseTravel Required: Up to 50% (based on specific district size)Preferred Qualifications:Master's Degree - business, public health, hospital administration or similar field a plusPrevious vaccines sales experienceDeep knowledge of contracting in the healthcare industryExpertise in the vaccines marketplace, GSK and competitive portfolios and customersDeep knowledge of the Health Systems business model, organizational structure, key stakeholder roles and decision-making processes (P&T, formulary, etc.)Experience calling on C/D level within large, complex healthcare delivery networks (e.g. IDNs)Experience with lateral leadership in a highly matrixed organizationKey Skills/Competencies:Advanced business acumen and analytical skills to diagnose opportunitiesStrong communication, presentation (live and remote) & influencing skills to work with large customersAbility to translate strategy to local level business and strategic account plansImpact and influence with other Sales leaders and representatives to mobilize action plans in support of priority customers#LI -GSK#LI-CommercialThe US annual base salary for new hires in this position ranges from $160,500 to $267,500. The US salary ranges take into account a number of factors including work location within the US market, the candidate’s skills, experience, education level and the market rate for the role. In addition, this position offers an annual bonus and eligibility to participate in our share based long term incentive program which is dependent on the level of the role. Available benefits include health care and other insurance benefits (for employee and family), retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave. If salary ranges are not displayed in the job posting for a specific country, the relevant compensation will be discussed during the recruitment process.Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees. Why GSK?Uniting science, technology and talent to get ahead of disease together.GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.People and patients around the world count on the medicines and vaccines we make, so we’re committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.If you require an accommodation or other assistance to apply for a job at GSK, please contact the appropriate Recruitment Staff by emailing us at - usrecruitment.adjustments@gsk.comGSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.Important notice to Employment businesses/ AgenciesGSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, GSK may be required to capture and report expenses GSK incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure GSK’s compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at SummaryLocation: USA - California - Los Angeles; USA - California - Riverside; USA - California - Orange County South; USA - California - Orange County North; USA - California - San Bernardino; USA - California - Orange CountyType: Full time

A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care. Key Responsibilities • Review prior authorization requests for accuracy, appropriateness, and clinical necessity., • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations., • Communicate approval/denial decisions clearly to providers and patients., • Collaborate with physicians, nurses, and medical directors on complex cases., • Document outcomes in compliance with health plan policies and CMS/state regulations., • Support process improvements to streamline workflow and turnaround times. What You'll Bring • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree., • Licensure: Active and unrestricted pharmacist license in the U.S., • Experience: Prior authorization, utilization management, or managed care preferred retail or hospital pharmacists with strong clinical judgment are encouraged to apply., • Skills: Excellent clinical review, documentation, and communication skills. Why This Role? • Flexibility: 100% remote work from home with flexible scheduling options., • Impact: Directly influence patient access to safe and cost-effective medications., • Growth: Build specialized skills in utilization management and managed care., • Rewards: Competitive compensation, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner working with health plans and PBMs across the U.S. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations. Apply Today Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity and enjoy the benefits of working from home while shaping the future of managed care.

A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time. Key Responsibilities • Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients., • Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions., • Support prior authorization and appeals processes when needed., • Educate patients and caregivers on medication regimens and disease state management., • Document case activities and outcomes in compliance with health plan and regulatory standards., • Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes. What You'll Bring • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree., • Licensure: Active and unrestricted pharmacist license in the U.S., • Experience: Case management, MTM, or managed care experience preferred retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply., • Skills: Strong communication, problem-solving, and care coordination skills. Why This Role? • Impact: Make a meaningful difference in patients' lives by ensuring safe and effective medication use., • Growth: Develop expertise in case management and managed care pharmacy., • Flexibility: Many organizations offer hybrid or fully remote work options., • Rewards: Competitive pay, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care. Apply Today Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.

Are you passionate about patient care and looking for a role with strong clinical impact and better work-life balance? We're seeking MTM Pharmacists (Medication Therapy Management) to join our growing team. In this role, you'll use your clinical knowledge to optimize therapy, reduce costs, and improve patient outcomesall while enjoying the flexibility that MTM careers often provide. Key Responsibilities • Conduct comprehensive medication reviews (CMRs) with patients to identify medication-related problems., • Provide targeted medication interventions (TMEs) and follow-up to support adherence and safety., • Collaborate with prescribers, health plans, and care teams to resolve therapy issues., • Document interventions clearly and maintain compliance with MTM program requirements., • Educate patients on safe, effective use of their medications and address barriers to adherence. What You'll Bring • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree., • Licensure: Active and unrestricted pharmacist license in the U.S., • Experience: Retail, hospital, ambulatory care, or prior MTM experience is a plusbut all licensed pharmacists are encouraged to apply, including new grads., • Skills: Strong communication, patient counseling, and ability to work independently. Why This Role? • Flexibility: Many MTM pharmacist positions offer remote or hybrid work., • Impact: Directly improve patient outcomes by reducing adverse events and optimizing medication therapy., • Growth: Build expertise in managed care, ambulatory care, and clinical pharmacy pathways., • Rewards: Competitive pay, benefits, and opportunities to expand into roles like prior authorization, clinical review, or population health. About Us We partner with health plans, PBMs, and healthcare organizations nationwide to deliver high-quality MTM services. Our pharmacists are at the center of patient care, making medications safer, more effective, and more affordable. Apply Today Ready to advance your pharmacy career? Apply now for our MTM Pharmacist opening and help patients achieve better health outcomes.

In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of post-hospital care services, including transfers to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care provided, as well as needlessly duplicated treatment, all while controlling the cost of quality patient care. The Case Manager will leverage their clinical and social work experience to ring an understanding of the clinical process of assessment, planning, implementation, and evaluation to the process of case management. Some of the major duties of a Case Manager include: Documenting patients' case management plans and on-going activities; Identifying patients 'insurance coverage or other sources of payment for services; Identifying and addressing patient risk factors and/or obstacles to care; Identifying patient needs, current services, and available resources, then connecting the patient to services and resources to meet established goals; Communicating the care preferences of patients, serving as their advocate, and verifying that interventions meet the patient's needs and treatment goals; Screening patients and/or population for healthcare needs; Developing a patient-focused case management plan; and Educating the patient/family/caregiver about the case management process and evaluating their understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient status is assigned upon admission and prior to discharge; InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout inpatient level of care. • Clinical Care Coordination, • Able to effectively manage a case load, supporting up to 100 commercial outpatients., • Utilizes the on line work list to manage daily assigned caseload, as assigned by the Lead Ambulatory Care Manager., • Assess physical and biopsychosocial needs of the patient through clinical assessment and utilizing data from multiple sources, as supported by the ambulatory care coordinator., • Analyze and interpret data in collaboration with patient, family, physician, health care team to develop a plan of care, and as supported by the ambulatory care coordinator., • Ensures that a specific plan of care is in place for all patients. As supported by the ambulatory care coordinator, timely completion of all tasks, from the plan of care. Provide coordination of care such as schedule patients' appointments, arrange transportation, etc. as outlined in policy and procedures., • Actively participates in interdisciplinary meetings and team huddles., • Answer phone calls from providers, facilities, or patients, related to the status and processing of requests received from ambulatory care management nurse., • Assesses ongoing discharge planning needs and documents is computer system as changes to the plan occur., • Demonstrates collaborative working relationship with social workers to ensure patient psychosocial needs are met., • Demonstrates collaborative working relationship with care team members, including pharmacy, behavioral health, field team, office staff, and facility staff., • Completes Medicare One Day Stay forms timely., • Completes disposition form for medicare patients timely., • Consultant, • Demonstrates sound clinical knowledge base regarding CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare contracts and benefit systems, and employee health plans., • Serves as a consultant to the health care team to identify financial issues that may affect care., • Participates in the education of health care team members on current healthcare issues impacting best practices industry standards, • Educates physicians and health care team on program referral criteria., • Leadership, • Represents the department in a positive and professional manner., • Assists with orientation of new staff., • Delegates and assists with supervision of Ambulatory Care Management Coordinators., • Makes appropriate referrals to supervisor or Medical Director, communicating accurate clinical information., • Participates in guideline (MCG and/or InterQual) competency testing as requested by department director or Medical Director., • Outcomes Management, • Participates in core measure or HEDIS measure processes in identification of appropriate patients., • Participates in hospital and med group quality improvement processes and helps identifies opportunities to improve care., • Adheres to program policies and procedures., • Patient Advocacy, • Respects patient/family values, beliefs, and preferences., • Responds promptly to patient/family requests., • Supports patient/family with end of life issues, making appropriate referrals into palliative care or hospice care., • Include patient/family in care decisions and developing plans of care., • Patient Education, • Assist health care team with identification of patient/family educational needs for discharge., • Inform patient/family of discharge plans., • Work with Transitions of Care process, to deliver post acute services to address educational needs to ensure a safe discharge plan., • Work with patient/family to learn Self-Management methods for on-going monitoring and treatment of chronic conditions., • Resource Management, • Proposes alternative treatment options to ensure a cost effective and efficient plan of care., • Identifies and creates solutions to remove barriers that may impede optimal patient care., • Complete case management care plans, including tasks and interventions, that effectively prevent ER Visits, Hospital admissions, or Re-admissions., • Maintains awareness of current managed care contract requirements., • Coordinate the management of all in-patient activities/processes, including but not limited to concurrent and retrospective reviews, authorization of appropriate lengths of stay, authorization of appropriate discharge services and equipment, and documentation of all authorized and/or denied in-patient services., • Performs and documents (InterQual &/or MCG) guideline-based assessments: A) upon admission, B) upon a change in level of care, C) every 2 days, and D) upon discharge., • Participates in InterQual and/or MCG competency testing., • Perform telephonic, and if appropriate, on-site initial/concurrent review on identified in-patient members. Direct pertinent clinical information/questions to contracted in-patient Hospitalists, PCPs, Medical Director and/or Director of Health Services., • Collaborate with Medical Director, PCP/Primary Care Team and Director of Health Services on cases of complexity with treatment plans or out of network services., • Completes clinical reviews and plans of care timely and communicates to appropriate care team members., • Able to prioritize clinical reviews, caseloads, census loads, and assignments., • Other duties as requested or assigned. Required Qualifications: • Req Associate's Degree Nursing, • Req 5 years Clinical experience, • Req 2 years Ambulatory case management or utilization review experience within the last three years, • Req Ability to work independently with minimal supervision, exercising judgment and initiative., • Req Ability to manage multiple tasks with effective prioritization., • Req Process oriented., • Req Good computer skills. Preferred Qualifications: • Pref Bachelor's Degree Nursing, • Pref Knowledge of CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems., • Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: • Req Registered Nurse - RN (CA DCA), • Req Basic Life Support (BLS) Healthcare Provider from American Heart Association, • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $53.00 - $8

In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of post-hospital care services, including transfers to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care provided, as well as needlessly duplicated treatment, all while controlling the cost of quality patient care. The Case Manager will leverage their clinical and social work experience to ring an understanding of the clinical process of assessment, planning, implementation, and evaluation to the process of case management. Some of the major duties of a Case Manager include: Documenting patients' case management plans and on-going activities; Identifying patients 'insurance coverage or other sources of payment for services; Identifying and addressing patient risk factors and/or obstacles to care; Identifying patient needs, current services, and available resources, then connecting the patient to services and resources to meet established goals; Communicating the care preferences of patients, serving as their advocate, and verifying that interventions meet the patient's needs and treatment goals; Screening patients and/or population for healthcare needs; Developing a patient-focused case management plan; and Educating the patient/family/caregiver about the case management process and evaluating their understanding of the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient status is assigned upon admission and prior to discharge; InterQual or MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely discharges throughout inpatient level of care. • Clinical Care Coordination, • Able to effectively manage a case load, supporting up to 100 commercial outpatients., • Utilizes the on line work list to manage daily assigned caseload, as assigned by the Lead Ambulatory Care Manager., • Assess physical and biopsychosocial needs of the patient through clinical assessment and utilizing data from multiple sources, as supported by the ambulatory care coordinator., • Analyze and interpret data in collaboration with patient, family, physician, health care team to develop a plan of care, and as supported by the ambulatory care coordinator., • Ensures that a specific plan of care is in place for all patients. As supported by the ambulatory care coordinator, timely completion of all tasks, from the plan of care. Provide coordination of care such as schedule patients' appointments, arrange transportation, etc. as outlined in policy and procedures., • Actively participates in interdisciplinary meetings and team huddles., • Answer phone calls from providers, facilities, or patients, related to the status and processing of requests received from ambulatory care management nurse., • Assess ongoing discharge planning needs and documents is computer system as changes to the plan occur., • Demonstrates collaborative working relationship with social workers to ensure patient psychosocial needs are met., • Demonstrates collaborative working relationship with care team members, including pharmacy, behavioral health, field team, office staff, and facility staff., • Completes Medicare One Day Stay forms timely., • Completes disposition form for medicare patients timely., • Consultant, • Demonstrates sound clinical knowledge base regarding CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare contracts and benefit systems, and employee health plans., • Serves as a consultant to the health care team to identify financial issues that may affect care., • Participates in the education of health care team members on current healthcare issues impacting best practices industry standards., • Educates physicians and health care team on program referral criteria., • Leadership, • Represents the department in a positive and professional manner., • Assists with orientation of new staff., • Delegates and assists with supervision of Ambulatory Care Management Coordinators., • Makes appropriate referrals to supervisor or Medical Director, communicating accurate clinical information., • Participates in guideline (MCG and/or InterQual) competency testing as requested by department director or Medical Director., • Outcomes Management, • Participates in core measure or HEDIS measure processes in identification of appropriate patients., • Participates in hospital and med group quality improvement processes and helps identifies opportunities to improve care., • Adheres to program policies and procedures., • Patient Advocacy, • Respects patient/family values, beliefs, and preferences., • Responds promptly to patient/family requests., • Supports patient/family with end of life issues, making appropriate referrals into palliative care or hospice care., • Include patient/family in care decisions and developing plans of care., • Patient Education, • Assist health care team with identification of patient/family educational needs for discharge., • Inform patient/family of discharge plans., • Work with Transitions of Care process, to deliver post acute services to address educational needs to ensure a safe discharge plan., • Work with patient/family to learn Self-Management methods for on-going monitoring and treatment of chronic conditions., • Resource Management, • Proposes alternative treatment options to ensure a cost effective and efficient plan of care., • Identifies and creates solutions to remove barriers that may impede optimal patient care., • Complete case management care plans, including tasks and interventions, that effectively prevent ER Visits, Hospital admissions, or Re-admissions., • Maintains awareness of current managed care contract requirements., • Coordinate the management of all in-patient activities/processes, including but not limited to concurrent and retrospective reviews, authorization of appropriate lengths of stay, authorization of appropriate discharge services and equipment, and documentation of all authorized and/or denied in-patient services., • Performs and documents (InterQual &/or MCG) guideline-based assessments: A) upon admission, B) upon a change in level of care, C) every 2 days, and D) upon discharge., • Participates in InterQual and/or MCG competency testing., • Perform telephonic, and if appropriate, on-site initial/concurrent review on identified in-patient members. Direct pertinent clinical information/questions to contracted in-patient Hospitalists, PCPs, Medical Director and/or Director of Health Services., • Collaborate with Medical Director, PCP/Primary Care Team and Director of Health Services on cases of complexity with treatment plans or out of network services., • Completes clinical reviews and plans of care timely and communicates to appropriate care team members., • Able to prioritize clinical reviews, caseloads, census loads, and assignments., • Other duties as requested or assigned., • Req Associate's Degree Nursing, • Req 5 years Clinical experience, • Req 2 years Ambulatory case management or utilization review experience within the last three years, • Req Ability to work independently with minimal supervision, exercising judgment and initiative., • Req Ability to manage multiple tasks with effective prioritization., • Req Process oriented., • Req Good computer skills., • Pref Bachelor's Degree Nursing, • Pref Knowledge of CM standards, UM standards, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems., • Pref 2 years Experience in an HMO/IPA/Managed care setting, • Req Registered Nurse - RN (CA DCA), • Req Basic Life Support (BLS) Healthcare Provider from American Heart Association, • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $53

Job Description Clinicare Pharmacy is accepting applications for a Clinical Pharmacist with an ambulatory care/comprehensive disease and medication management focus. This position will be reporting to the Director of Pharmacy, while working in the Advanced Practice Pharmacy Care Center (Clinicare APP) in providing and coordinating pharmaceutical care services and collaborative drug therapy management for patients. Responsibilities will include providing initial and follow up patient consultations and chronic disease and medication therapy management, and proper documentation in accordance with the pharmacy’s policies and procedures and standards of advanced practice pharmacy; ensuring accurate and safe therapy, adherence monitoring, assisting with the health plans formulary and the prior authorization process. The clinical staff pharmacist will also complete tasks as assigned by the Director of Pharmacy and will supervise ancillary staff (technicians, interns) and provide guidance as necessary. The applicant must have a degree from an accredited (ACPE) school of pharmacy and be a registered pharmacist in the state of CA. Minimum Education: PharmD degree from an ACPE accredited School of Pharmacy with 3 years of clinical pharmacy or ambulatory care pharmacy practice within community practice setting with direct patient care services, OR completion of PGY-1 program in community or ambulatory care pharmacy practice from ASHP-accredited Residency Program. Minimum Field of Expertise: Pharmacy/California State License. Preferred Experience: Work experience in a community pharmacy practice with direct patient care/clinical services. In this position, the clinical pharmacist will: • Provide and assure safe and effective medication use, • Attend and successfully complete general and department orientation, in-service programs and the annual key competencies and mandatory update requirements, • Demonstrate a comprehensive clinical pharmacy knowledge base, • Perform interactive, patient-centered, in-person and/or telephonic/video comprehensive medication reviews (CMRs) with patients., • Evaluate medication profiles to determine if changes are warranted to optimize the patient’s drug therapy and minimize the potential for adverse drug reactions., • Use motivational interviewing skills to improve a patient's adherence to medication during telephone calls/telehealth/in-person appointments., • Recommend alternative medications, alternative dosing, or other modifications (including discontinuation of medications) as appropriate., • Review therapy plans with physicians as needed., • Review patient care reports, clinical notes and other medical records as needed for medication action plan development, targeted clinical outreach programs and quality assurance purposes., • Implement medication optimization processes that meet the needs of managed care organizations and their members., • Work in a multidisciplinary team environment to develop and enhance MTM program and various software and EHR systems used to manage the program., • Participate in other non-dispensing activities (i.e. immunizations, clinical programs, population health initiatives, etc)., • Work directly with patients, pharmacists, physicians, and other health care practitioners., • Participate in external and internal interdisciplinary care team meetings and produces MTM related documentation to be shared with appropriate treating providers., • Demonstrate willingness & ability to practice in areas within their scope of practice as necessary (i.e. working in the outpatient pharmacy department and practice patient-centered dispensing), • Implement and maintain established pharmacy and APP department policies, procedures, and objectives as well as improving organization performance program, safety, environmental, and infection control policies, • Coordinate and/or provide comprehensive clinical pharmacy services to patients, • Coordinate ongoing quality assessments and improvements of clinical pharmacy activities in collaboration with physicians and implement necessary action as appropriate, • Effectively communicate verbally and/or in writing clinical pharmacy functions to the interdisciplinary team, • Serve as a drug information resource person to physicians, patients and other health care staff, • Participate actively in educational activities and programs for the interdisciplinary team and in department staff meetings, • Maintain competency and enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops, • Serve as a preceptor to pharmacy residents and students when applicable, • Maintain required applicable licensure, certification and education., • Support Clinicare Pharmacy and Advanced Practice Pharmacy Care Center as necessary with any tasks required to deliver excellent personalized patient care and perform all other duties as assigned.Company DescriptionClinicare Pharmacy is an integrative, multidisciplinary advanced practice pharmacy practice.Clinicare Pharmacy is an integrative, multidisciplinary advanced practice pharmacy practice.

Job Description Position: #770155 Program: Pharmacy Department: Health Services Reports to: Pharmacy Technician Supervisor Shift Differential Premium: $1.75 per hour for hours worked between 6pm-6am Schedule: Monday-Tuesday and Thursday-Friday 9:00am-6:00pm, Saturday 9:30am-6:00pm Status: Non-Exempt, Union Probation: 90 days Benefits: Medical, Dental, Vision, Life, and Long-Term Disability Insurance, Employee Assistance Program, and 403(b) Retirement Plan Center’s Mission: Building a world where LGBT people thrive as healthy, equal, and complete members of society. DEPARTMENT SUMMARY: As the nation’s largest and most experienced provider of LGBT medical and mental health services, we help LGBTQ people lead healthier, happier lives, by keeping their minds and body well. All services are free or low cost. We’re also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community. JOB SUMMARY: The Pharmacy Technician II assists Pharmacists in the performance of pharmacy related duties. Under the direct supervision and control of a pharmacist, the Pharmacy Technician II performs packaging, manipulative, repetitive, or other nondiscretionary tasks within established standards and guidelines. The Pharmacist Technician II may also perform clerical functions. ESSENTIAL FUNCTIONS: • Nondiscretionary Tasks o Remove drug or drugs from stock. o Count, pour, or mix pharmaceuticals. o Place product into container. o Affix label or labels to container. o Package and repackage. o Present prescriptions to pharmacist for review. • Clerical Functions o Collect, enter, and update patient data into pharmacy management system for prescription and billing processing including but not limited to third party payers, delivery preferences, allergies, etc. o Process prescriptions and ensure that third party adjudication process is complete in accordance with Los Angeles LGBT Center procedure. o Interact with patients, external pharmacies, medical providers, other staff members, etc. in a professional, friendly, and courteous manner to optimize customer service in the pharmacy. o Prepares and processes prior authorization, treatment authorization requests and other payment issues. works closely with third party payers, medical providers and clients to resolve issues. o Assists pharmacist in performing audit control functions such as the review of drug usage records. o Prepares prescription orders for mail order or delivery as required. o Receive and store incoming supplies, count stock, and enter data into pharmacy management system according to Center procedure. o Assist with the maintenance of all paperwork and filing as required. o Assist with monthly inventory count as required. o Help maintain clean, orderly, environment in the Pharmacy. o Participate in staff meetings, planning meetings, and other meetings as needed. o Other duties as assigned. JOB QUALIFICATIONS AND EXPERIENCE: • Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people., • A passion for the Center’s work and its mission to make the world a better place for LGBTQ people., • Two to three years’ experience in a high-pressure professional medical environment., • Current California Pharmacy Technician License., • Ability to work some evenings and weekends., • Strong communication, organizational, and interpersonal skills, with a high level of attention to detail., • Proficiency with pharmacy management and other software systems, knowledge of Pioneer Rx preferred., • Ability to work effectively with people of diverse genders, races, ethnicities, ages, and sexual orientations in a multicultural environment., • Bilingual skills a plus (English/Spanish fluency preferred)., • Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment. The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, ancestry, religious creed, national origin, sex, sexual orientation, gender identity, gender expression, medical/physical/mental condition, pregnancy/childbirth and related medical condition, age, marital status, or veteran status. The Center has implemented a policy requiring all staff to be fully vaccinated against COVID-19 as a condition of employment, subject to applicable federal, state, and local laws. For more information, please contact jobs@lalgbtcenter.org

Job Description POSITION SUMMARY: Under the direction of the Licensed Pharmacist, the Pharmacy Technician will assist in the practice of pharmacy. The Pharmacy Technician will support the Pharmacist in preparing and dispensing medication as well as providing excellent customer service to internal and external patients in a clinic’s retail pharmacy location. Essential Duties and Responsibilities: • Dispensing support packaging medications, accurately count, measure package and label medication., • Familiar with State, Federal and regulation and local laws related to dispensing medication., • Entering patient personal data and insurance information., • Communicate with IPA regarding prescription claim or prior authorization status., • Inventory management including placing orders, maintaining sufficient supply,, • receiving, storing, and disposition., • Addresses discrepancies in collaboration with Pharmacists., • Performs nonclinical outreaches to patients and facilitates appropriate documentation if needed., • Develops and maintains good relationships with internal and external customers., • Assist Pharmacists in the coordination of clinical services, including but not limited to vaccinations, screening questionnaires, medical device set-up., • Other duties as assigned Education and Qualifications • High School Diploma or GED Equivalent., • Bilingual in Spanish required., • 1 year experience working as a Pharmacy Technician., • Required to be License as a Pharmacy Technician by CA State Board of Pharmacy., • Basic pharmaceutical calculations such as sufficient quantity and days’ supply., • Insurance plans and claims resolution skills., • Experience with initiating claims & prior authorization to insurance.Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer.T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.

Job Description Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation, we envision a world where inequity and stigma do not separate people from healthcare. "Reimagining Healthcare" is our commitment to affirming the unique experience of every patient. We prioritize our patients’ evolving needs and strive to help each patient feel comfortable, understood, and respected. Why Men's Health Foundation? Men's Health Foundation is seeking compassionate, mission-driven individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk, breaking down barriers to care. We welcome all backgrounds, gender identities, and expressions. We recognize our staff as the heart of our organization and seek to provide a generous and competitive benefits package to support our employee's well-being. We offer the following: • Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire), • 11 Paid Holidays + 1 mental health day, • 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment), • Flexible Spending Account (FSA), • 40 hours of sick pay (following completion of 90th day of employment), • 120 hours of PTO accrued within the 1st year of employment We seek team members who embrace and champion diversity, as our work within the LGBTQ+ community promotes positive sexuality and inclusivity. Candidates should be comfortable with exposure to imagery, events, and materials that reflect our culture of acceptance and expression, ensuring alignment with our values. Overview Participates in all aspects of filling prescriptions, performs clerical work to maintain pharmacy standards and legal requirements within the scope of practice outlined by the Board of Pharmacy. Interacts with patients and provides excellent customer service to coordinate safe and effective medication practices for patients. Essential Functions and Responsibilities • Maintain and update patient profiles and prescription files., • Enter prescriptions into electronic system efficiently and accurately., • Fill prescriptions and coordinate auto refill for applicable patients., • Prepare packages for shipping and delivery., • File prescriptions, paperwork., • Comply with 340B, State Board of Pharmacy, and DEA requirements., • Answer pharmacy phone calls, return calls to patients, maintain voicemail., • Communicate with insurance companies/manufacturers to resolve coverage issues, initiate prior authorization process, activate manufacturer co-pay cards., • Document in appropriate databases., • Run register, coordinate billing, and balance cash at end of day., • Reorder and restock drug and related materials necessary to operate the pharmacy and verify receipt against invoices., • Run and interpret pharmacy reports., • Process returns to inventory as well as to distributor. Return expired drug to reverse distributor., • Attend meetings required for position (i.e., Department meetings, all-staff meetings, multi-disciplinary team meetings), • Maintain a work environment conducive to excellent customer service and act in a professional manner in the workplace., • Light travel as required for training purposes., • Participate in clean-up as appropriate., • Participate in regularly scheduled and ad hoc physical drug inventories as directed., • Works with other departments and organizations as appropriate to promote exceptional integrated patient care., • Handle other pharmacy related duties as appropriate., • Participate in annual OSHA and HIPPA trainings., • Fully uphold all principles of confidentiality and patient care., • Adhere to all professional and ethical behavior standards of the healthcare industry., • Interact in an honest, trustworthy, professional, and respectful manner with patients, employees, visitors and vendors., • Other duties may be assigned, are required. Qualifications, • Healthcare experience or education., • High school diploma or general education (GED)., • Valid Pharmacy Technician license from CA Board of Pharmacy., • Basic operation of a computer workstation, electronic medical record, and pharmacy computer system., • Use of Windows Explorer (electronic file-handling)., • Able to speak Spanish, preferred., • Experience with HIV and sexual health medications., • Specialty experience with 340B program desired.

Job Description Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion. JOB SUMMARY: Provides safe and appropriate pharmacy services to patients in the alternate care setting in accordance with policies and procedures, professional standards, and applicable regulatory and accrediting entities. Coordinates patient services. Assesses appropriateness of therapy, dispenses medications, supplies and medical equipment, documents patient progress toward goals, intervenes as clinically appropriate and provides education regarding appropriate medication administration and use. Additional dimensions may include working with operating budget, revenue responsibility, purchasing responsibility, etc. Ensures company’s goals and objectives are aligned with the organization’s broader mission, vision, and driving strategies. Directly accountable and reports to the Pharmacy Manager or Director of Pharmacy or Operations based on branch leadership. MAJOR DUTIES AND RESPONSIBILITIES: 1. Demonstrates ethical pharmacy practice and ensures compliance with all company policies and procedures, state and federal pharmacy rules and regulations, professional practice standards, and accrediting entities., 2. Assesses patient's suitability for home care and appropriateness of prescribed therapy., 3. Ensures the patient database is complete and compiles the necessary information needed to design a patient-specific pharmacy plan of care with goals for therapy., 4. Recommends and writes patient-appropriate orders., 5. Assures documents that require the prescriber's or pharmacist's signature for billing are generated and obtained., 6. Assesses laboratory results and performs pharmacokinetic dosing., 7. Makes appropriate dosing recommendations and documents., 8. Initiates, creates and updates patient medication profiles., 9. Performs accurate prescription order entry to ensure medications are properly concentrated, without incompatibilities, stable and properly stored., 10. Dispenses medications and related supplies to cost-effectively meet patient needs and assures authorization for services is obtained prior to dispensing., 11. Accurately dispenses, programs, if applicable, and troubleshoots medication administration pumps., 12. Accurately submits electronic claims for medications, as applicable., 13. Documents all communication with physicians, nurses, dietitians, patients and caregivers in the patient's medical record., 14. Documents initial patient or caregiver discussion, education and counseling regarding prescribed therapy, medication use and information, infusion method, and after hours contact information., 15. Thoroughly and objectively documents the patient's course of therapy, compliance with therapy, laboratory results, and progress towards goals of therapy with therapy-appropriate frequency., 16. Ensures all compounding, clean room and anteroom activities adhere to all state and federal regulations, USP <797> standards and company policies and procedures by all pharmacy staff., 17. Ensures required documentation is completed on QA/QC records and compounding documents., 18. Completes company-required orientation and annual competencies and in services., 19. Provides concise, applicable and timely responses to requests for drug information., 20. Accurately maintains calendar for laboratory tests, compounding, delivery, and documentation updates, 21. Obtains and processes patient clinical information to allow for processing refills and supplies at least 24 hours in advance of patient's need., 22. Plans work to ensure cost-effective delivery methods are utilized., 23. Oversees the work of pharmacy support personnel and ensures their job duties are completed in a timely manner., 24. Delegates non-clinical tasks to assigned support personnel., 25. Prepares for and actively participates in patient care conferences including Nutrition Support Rounds., 26. Participates in the on-call process and documents on call activities in the patient medical record, if appropriate, and communicates with relevant personnel., 27. Assists in the training and supervision of pharmacy support personnel, pharmacy interns and pharmacy-profession students., 28. May assume role in of the Pharmacist in Charge or general branch manager during temporary absences and/or vacancies as appropriate., 29. Performs other related duties as directed by supervisor. SKILLS AND ABILITIES: • Excellent verbal and good written communication skills., • Advanced level of multi-tasking and problem-solving skills., • Moderate computer skills including MS Office, Windows Outlook, and Internet., • Moderate level of interpersonal skills to interact effectively and professionally with both internal and external customers., • Moderate mathematical skills to perform pharmaceutical calculations., • General knowledge of modern office procedures, filing, telephone techniques and office equipment. EDUCATION AND/OR EXPERIENCE: 1. Bachelor of Science in Pharmacy (Doctor of Pharmacy or a Master’s of Science degree in Pharmacy desirable) from an accredited college of pharmacy., 2. Currently licensed as a registered pharmacist in state of employment., 3. A minimum of two years recent experience in an acute-care setting or one year recent experience in home infusion therapy, 4. Experience and strong knowledge base in intravenous admixture services and intravenous therapy., 5. Must be capable of assuming responsibility for evaluating and monitoring drug therapy relative to the total needs/problems of the home care patient in collaboration with physicians, nurses and other healthcare professionals., 6. Must be able to work effectively with others to provide safe and effective drug therapy., 7. Must demonstrate ability to problem solve and supervise technical and other support staff., 8. Must be flexible with work schedule., 9. Good organizational and time-management skills., 10. Participation and membership in professional societies and organizations is desirable., 11. Excellent verbal and written communication skills., 12. Dependable in attendance and job performance. What we offer: • Competitive compensation, • Benefits start on your 1st day of employment, • 401k w 4% match – no waiting or vesting period, • PTO / Floating Holidays / Paid Holidays, • Company paid life insurance, short term disability, • Employee Assistance programs to help with mental health / wellness, • Learning & Development Programs, • Perks… includes discounts on travel, cell phone, clothing and more…, • Generous employee referral program To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Cafe Knotted is a beloved dessert cafe from Seoul, founded in 2017 and known for its hand-crafted cream-filled donuts and playful design.The brand quickly grew to over 40 locations throughout Korea, and is now open in Los Angeles at Westfield Century City and in the Arts District.Cafe Knotted offers

At Bub and Grandma’s Pizza, we're passionate about great pizza–specifically the large, thin crust pies of New York, Connecticut, and New Jersey.We offer a warm, friendly experience so we’re looking for enthusiastic and reliable team members to join our front-of-house crew and be th

Luxury Hospitality & Dining Destination | Los Angeles.We are a premier hospitality and dining destination known for delivering exceptional experiences, refined service, and unforgettable moments for our guests.Our team is passionate about hospitality and dedicated to maintaining the highest standard

A pharmacy technician assists pharmacists in dispensing medications, managing inventory, and providing customer service to ensure accurate and efficient pharmacy operations. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Pharmacy Technician program that

Monday, Thursday, Friday, Saturday, Sunday 4:00pm - 12:00am.With more than 25 years in business, The Parking Spot has grown into the largest near-airport parking company in the United States with over 2,000 valued team members spread across over 40 locations nationwide.We are proud to offer an Emplo

Are you interested in working for the world's largest cannabis market with a footprint that covers the entire breadth of the state of California? Are you someone who wants to be part of the growth of a fast-growing industry? At STIIIZY, our mission is clear: to provide the ultimate one stop shop can

Monday, Thursday, Friday, Saturday, Sunday 4:00pm - 12:00am.With more than 25 years in business, The Parking Spot has grown into the largest near-airport parking company in the United States with over 2,000 valued team members spread across over 40 locations nationwide.We are proud to offer an Emplo

Validate orders against licensing, credit status, pricing structure, and promotional eligibility prior to submission. Prioritize incoming orders based on urgency, regional cutoffs, and promotional timelines. Process order changes, cancellations, credits, and return authorizations with proper documen

We are a very busy office and are looking for our next great team member.We are an established, growth-oriented agency with a team of highly motivated individuals.If you are self-motivated, possess an entrepreneurial spirit and have a desire to win and achieve results, please consider joining our te

Insurance Agent (Sales, Customer Service).Requisition Number: INSUR021079.Sign-On Bonus Opportunity of up to $4,000*.Lucrative incentive sales plans, bonuses, and sales contests.No cold calling- we have a high volume of inbound sales leads and walk-in traffic.Comprehensive paid training and licensin