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Principal Admitting Worker PAL - Pharmacy Administration - FT Variable Shift

Req ID: 147103
Location: Orange, California
Division: Medical Center
Department: Pharmacy Administration
Position Type: Full Time
Salary Range Minimum: USD $26.67/Hr.
Salary Range Maximum: USD $33.15/Hr.

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 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:
Incumbent is responsible for initiating and submitting all necessary pharmacy order authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and obtains approvals for authorizations. Responds to provider and patient inquiries and resolves any identified authorization issues. Strong attention to detail skills, communication skills, and knowledge of healthcare processes to support utilization management are necessary to facilitate patient access to services

What It Takes to be Successful

Required Qualifications:

Strong organization, problem-solving, and critical thinking skills.

Proficiency with Microsoft Office, especially Excel and Word; experience with authorization management systems a plus.

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Must demonstrate customer service skills appropriate to the job

Minimum 1 year of experience in a managed care, medical office, or prior authorization setting (Medicare, Medi-Cal, commercial insurance experience preferred).

Knowledge of the referral process, benefit interpretation, and health plan eligibility verification.

Experience at working both independently and in a team-oriented, collaborative environment

Excellent written and verbal communication skills in English

Detail-oriented with strong follow-up skills.

Ability to work weekends, holidays, and evenings

Ability to manage multiple tasks, work with frequent interruptions, and meet deadlines.

Ability to maintain a work pace appropriate to the workload

Ability to interpret and understand various insurance plans and make accurate determinations regarding coverage

Ability to establish and maintain effective working relationships across the Health System

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.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California 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, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

To apply, visit https://jobs.uci.edu/careers-home/jobs/147103







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