Authorization Coordinator II, Clinical Pharmacy Management

DaVita Kidney Care

1d • $25 - $32 • Onsite

About The Position

The Certified Pharmacy Technician position reviews and processes formulary exception requests through the determination process based on clinical criteria/guidelines. The Clinical Pharmacy Management Team is an integral part of the Clinical Enterprise Department, whose charter is to “create the future of healthcare, by innovating clinical practice design, improving quality of care, service, and life.”

Requirements

• High school diploma or equivalent REQUIRED
• Intermediate computer skills and proficiency in MS Word, Excel, and PowerPoint required; advanced skills and proficiency in MS Outlook REQUIRED

Nice To Haves

• Associate’s or Bachelor’s degree in related field PREFERRED

Responsibilities

• Perform complete, accurate and consistent reviews of formulary exception medication or product requests; including review of appropriate labs and supporting documentation against pharmacy clinical criteria/guideline, which also involves referral/escalation of requests, when appropriate, to clinical experts with appropriate recommendations.
• Utilize appropriate approval and denial language on approval and denial messages and provide alternatives based on clinical guidelines.
• Accurate ordering of products and medications on behalf of dialysis facilities
• Maintain on-going communication with facility teammates, resolve technical processing issues, and escalate all outstanding issues including drafting written responses, correspondence, emails, and spreadsheets as required
• Ensure that current and accurate communication with facility teammates occurs in a clear, timely and concise manner
• Facilitate effective operational workflow as a Certified Pharmacy Technician
• Monitoring patient information and records to ensure that all documentation is created and maintained accurately and in accordance with HIPAA regulations
• Answering phone calls from facility teammates, doctors, and external vendors with professionalism and courtesy
• Triaging calls appropriately and providing problem resolutions where applicable
• Ensuring metrics and service standards are met for optimum customer experience
• Evaluating helpdesk processes and procedures, and suggesting methods to improve operations, efficiency and service
• Handling confidential information with sound judgment as a Certified Pharmacy Technician
• Being knowledgeable and providing consistent communication of DaVita’s standardized policies and procedures for the Formulary Exception process
• Attend team meetings, phone conferences and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Consistent, Regular, punctual attendance is an essential responsibility of this position
• May request assistance from Coordinator II/III as needed with advanced or complex circumstances
• Effectively and proactively communicate with Coordinator II/III
• Assist with special projects as assigned by Clinical Operations management or its partners
• Other duties and responsibilities as assigned for the Certified Pharmacy Technician

Benefits

• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, Headspace®, backup child and elder care, maternity/paternity leave

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees