"PAL Pharmacy Supervisor - Pharmacy Administration - FT Day Shift"

PAL Pharmacy Supervisor - Pharmacy Administration - FT Day Shift

Req ID: 123000
Location: Orange, California
Division: Medical Center
Department: Pharmacy Administration
Position Type: Full Time
Salary Range Minimum: USD $149,700.00/Yr.
Salary Range Maximum: USD $297,700.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:

The Patient Assistant Liaison (PAL) Supervisor is responsible for providing direct supervision to pharmacists and certified, licensed, and skilled technical employees in outpatient Pharmacy responsible for securing timely and accurate authorizations, addressing retro-authorizations, resolving requests for Information (RFIs), and supporting charge capture activities. The role requires a balance of operational oversight, staff development, quality assurance, and process improvement, with the ultimate goal of ensuring smooth coverages of pharmacy orders and exceptional service to patients, providers, and payers. Functions as an advisor to the department and Pharmacy leadership. Analyzes and resolves problems, interprets and implements policies, e.g., operational, management, HR, resource management in defined areas, and demonstrates solid subject matter knowledge, e.g., regulatory, operational and clinical. The Supervisor ensures that work queues are managed efficiently, deadlines are met, and processes align with organizational policies, payer requirements in compliance with departmental goals and objectives, accreditation expectations, and all State and Federal Laws. Responsible for ensuring the optimal reimbursement for high-cost specialty medications prescribed in various UCI Health centers, clinics and cancer centers. The role is required to have an active license in good standing in the state of California.

What It Takes to be Successful

Required Qualifications:

• Team player with a positive attitude.
• Proficiency with Microsoft Office (Excel, Word, Outlook) and authorization management systems.
• Pharm D degree from an ACPE certified school of pharmacy is required.
• Must have current knowledge of drug references, Joint Commission, ACHC, URAC, and other regulatory standards.
• Must demonstrate customer service skills appropriate to the job
• Minimum of three (3) years as a licensed pharmacist and a minimum of three years of professional clinical pharmacy experience at a specialty pharmacy or; a combination of training, education, and experience that provides the required knowledge and skills as required above is required.
• Minimum of 1 year supervisory experience in a healthcare setting or experience as an authorization lead with demonstrated leadership responsibilities.
• Knowledge of payer requirements, billing terminology, and claims processes.
• Good understanding of limited distribution restrictions, REMS program requirements, cold chain distribution and storage and medication delivery systems and management.
• Good problem solver with strong clinical skills necessary to both educate and supervise technical and other support staff.
• Excellent written and verbal communication skills in English, interpersonal skills, and sound work ethic
• Excellent organizational and time-management skills
• Dependable in attendance and job performance.
• Current BLS or ACLS upon hire
• Active registered pharmacist license in good standing with the CA Board of Pharmacy
• Ability to prioritize tasks in a fast-paced environment and meet strict deadlines.
• Ability to maintain a work pace appropriate to the workload
• Ability to collaborate and work well in a cross-functional team environment; including the ability to manage projects and deadlines, and to set and meet goals and priorities for self and others with minimal supervision.
• 2+ years in a medical billing, prior authorization, or revenue cycle role.

Preferred Qualifications:

• Strong clinical background in specialty pharmacy focused disease states preferred.
• Participation and membership in professional societies and organizations is desirable
• Medication Therapy Management Experience
• Licensed in other states
• Knowledge of URAC and ACHC standards
• Knowledge of UC human resources policies (for UC roles) or equivalent HR supervisory practices.
• Immunization Certification
• Familiarity with revenue cycle management, charge capture, and denial prevention strategies.
• Experience with laboratory billing software (e.g., Telcor, Xifin, Quadax).
• Experience in a large academic medical center or multi-specialty practice setting.
• Certified Specialty Pharmacy
• Advanced Practice degree completion of an ASHP Ambulatory/Specialty residency, Specialty Pharmacy Certification and/or equivalent experience are preferred.
• Ability to operate EPIC Willow Ambulatory (WAM) computer system to process and verify prescriptions

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.