Pharmacy Coordinator Manager in Orange at Prospect Medical Systems

Date Posted: 8/1/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Experience:
    Not Specified
  • Date Posted:
    8/1/2019
  • Job ID:
    13199

Job Description



Pharmacy Coordinator Manager

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Pharmacy Coordinator Manager has the main responsibility providing oversight in tandem with the Clinical Pharmacy Manager on daily workflows handled by all pharmacy coordinators in prior authorization (utilization management/UM) and non-UM related programs. Develops performance goals for each functional team within the Pharmacy Department and providing guidance on meeting individual goals with monitoring in place. Provides standardized trainings on a regular basis. Creates and maintains policies & procedures and standard operating procedures. Provides monthly/quarterly reports for each functional unit.



Job Responsibilities/Duties

  • Ensures the team: meets internal and health plan compliance guidelines for turn-around-time; adheres to internal job aids when processing referrals; meets production goals; identifies cost savings opportunities; processes pharmacy authorization requests with accuracy per health plan contracts and various federal/state/health plan UM guidelines. 
  • Coordinate with staff pharmacists and other teams of Medical Management (e.g., Case Management, Disease Management) to ensure designated clinical services are provided to members and providers.  Ensure the staff coordinators meet production and efficiency goals for respective areas through ongoing monitoring and training processes.
  • Ensure the coordinators meet production & efficiency goals for targeted STAR/HEDIS measures to be in alignment with department goals.  Monitor workflows and staff performance to identify and implement new strategies to improve current performance.  Track department’s performance by health plan and provide trainings as needed.


Qualifications

Minimum Education: College graduation is required.

Minimum Experience: Prior staff management experience is required. Managed care experience is preferred.

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.



How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm



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