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Internship Prior Authorization Jobs in California

Client Support Representative

San Francisco, CA · On-site

$19.50 - $25.50/hr

You play a critical role in insurance verification and prior authorization follow-up while ... Assistant, Healthcare Internship, or recent college graduate experience are beneficial.

New

Patient Access Representative

San Francisco, CA · On-site

$20.25 - $26/hr

You play a critical role in insurance verification and prior authorization follow-up while ... Assistant, Healthcare Internship, or recent college graduate experience are beneficial.

New

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Internship Prior Authorization information

What is the difference between Internship Prior Authorization vs Pharmacy Technician?

AspectInternship Prior AuthorizationPharmacy Technician
Required CredentialsTypically none or internship-specificCertification or registration often required
Work EnvironmentHealthcare facilities, pharmacies, or clinicsRetail or hospital pharmacies
Employer & Industry UsageHealthcare providers, insurance companiesPharmacies, healthcare settings
Common Search & Comparison IntentUnderstanding authorization process for internshipsRoles and responsibilities of pharmacy technicians

Internship Prior Authorization involves obtaining approval for internship programs in healthcare, often focusing on eligibility and compliance. Pharmacy Technicians assist pharmacists in dispensing medications and managing pharmacy operations. While both roles are within healthcare, they serve different functions—one is an administrative process, the other a technical support role.

What are the most commonly searched types of Prior Authorization jobs in California?

The most popular types of Prior Authorization jobs in California are:

What are popular job titles related to Internship Prior Authorization jobs in California?

For Internship Prior Authorization jobs in California, the most frequently searched job titles are:

What job categories do people searching Internship Prior Authorization jobs in California look for?

The top searched job categories for Internship Prior Authorization jobs in California are:

What cities in California are hiring for Internship Prior Authorization jobs?

Cities in California with the most Internship Prior Authorization job openings:

$142K - $170K/yr

Full-time

Re-posted 21 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Provides pharmacotherapy expertise in support of the Pharmacy and Therapeutics (P&T) Committee, and drug formulary, prior authorization, drug utilization review, and physician education programs.

Prior Authorization Process: Perform clinical review of PAs/MRFs.

Pharmacy Review Committee: Prepare for bimonthly or monthly meetings (new drug reviews for CA and Medi-Cal formularies, drug class reviews for CA).

Clinical Pharmacy Program - CPOP, MTM-LTC, Pharmacy Case Review, CMS Star Rating Clinical Initiatives.

HPSM/UOP and HPSM/USC Managed Care Internship: Perform intern teaching/preceptor duties.

Give support for the development and maintenance of an internal Health Plan Drug Formulary for all product lines.

Provide pharmacist support for the drug prior authorization program and review drug treatment authorizations.

Provide clinical pharmacist expertise to the HPSM Clinical Pharmacy Program in the following clinical initiatives and intervention programs such as:

Clinical Pharmacy Outreach Program (CPOP)

MTM Program for Long Term Care Patients

Pharmacy Case Review of High Utilizers, Narcotic Utilizers, Adverse Drug Interaction Reports, Poor Medication Adherence Reports

Clinical Initiatives Related to CMS Part D Plan Star Rating

Help with pharmacy claims adjudication, benefit and formulary problems.

Act as preceptor for pharmacy interns.

Day to Day Duties:


Prior Authorization Process: Perform clinical review of PAs/MRFs.

Pharmacy Appeals Process: perform clinical review of appeals and redetermination requests.

Help with pharmacy claims adjudication, benefit and formulary problems generated from external and internal inquiries.

Act as preceptor for pharmacy interns.

This person must:


Communicate effectively, verbally and in writing.

Proficiently use computers and related software applications.

Provide effective customer service.

Demonstrate sound math, analytical, and problem solving skills.

Qualifications

License and Certificates:


Licensure as a Pharmacist in the State of California.


Education and Experience:


PharmD from an ACPE accredited college of pharmacy program is preferred.

Equivalent to two years of work in a clinical pharmacy.

Managed care and drug information center experience is a plus.


Knowledge of:


Therapeutic drug utilization.

Medicare Part D and Medi-Cal.

Additional Information


Are you an experienced Clinical Pharmacist  looking for a new opportunity with a prestigious healthcare company as an Clinical Pharmacist? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

To be considered please apply to this job post! 


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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