PAL Pharmacy Supervisor - Pharmacy Administration - FT Day Shift

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.

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.

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.

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.