Job Description

Job Title: Clinical Coordinator / Pharmacy Technician

Location: Glendale, California (Onsite Position — Not Remote)

Summary:
Our company is seeking a detail-oriented and organized Clinical Coordinator / Pharmacy Technician to support our clinical team in ensuring efficient and compliant authorization processes. This individual will play a key role in facilitating medical reviews, coordinating case documentation, and collaborating with physicians, pharmacists, and healthcare providers to optimize patient care.

Important Note:
This is not a remote position. The Clinical Coordinator / Pharmacy Technician will work onsite in our Glendale, California office.

Essential Duties and Responsibilities:

Process and track prior authorization requests, ensuring timely review and resolution.
Review submitted clinical documentation for completeness and accuracy.
Coordinate with medical directors, pharmacists, and nurses to facilitate case reviews.
Communicate authorization decisions to providers and members.
Maintain compliance with health plan guidelines, regulatory requirements, and internal policies.
Enter and update case information in Care Management databases and EMR systems.
Assist in auditing and reporting Care Management activities for performance improvement.
Provide support for appeals and peer-to-peer review processes.
Calculate billable units to ensure accurate medication billing.
Conduct monthly audits of review data to identify and correct discrepancies.
Triage review cases to the appropriate medical panelists or pharmacists for efficient decision-making.

Education and Experience Requirements:

Minimum of 2 years of healthcare-related coordination experience.
High school diploma or equivalent required.
Valid Pharmacy Technician license required.
Proof of COVID-19 vaccination required.
Oncology experience preferred.
Proven ability to work independently and manage assignments through completion.
Strong analytical ability for data gathering, report generation, and issue resolution.
Excellent verbal and written communication skills.

Skills and Requirements:

Highly organized with outstanding attention to detail.
Excellent interpersonal and teamwork skills.
Proficiency in Microsoft Excel, Word, and related software.
Ability to maintain confidentiality when handling patient medical information.

Other Key Features of the Role:

Work in a professional office environment with clinical and administrative staff.
Be part of a growing healthcare organization dedicated to patient care excellence.
This position requires daily in-person attendance at our Glendale office.

Physical Requirements:

Ability to perform essential job functions safely and successfully in accordance with ADA, FMLA, and applicable federal, state, and local standards.
Regular and punctual attendance required.
Must be able to talk, listen, and speak clearly on the telephone.

Company Description

OPN partners with physicians and aligns their practices with health insurance organizations and other healthcare payors to deliver industry-leading oncology care while managing costs efficiently. OPN has a demonstrated track record in assisting payors to reduce the increasing costs of medical oncology through a value-based methodology.

OPN Healthcare is committed to creating a diverse environment and is proud to be an equal opportunity employer.

OPN supports a healthy work life balance and provides a comprehensive benefits package.

Company Description

Oncology Physicians Network offers a unique platform of oncology care services leading the industry in value-based clinical and financial outcomes. OPN currently serves 1.7 million health plan beneficiaries in 3 states. OPN is aggressively expanding its large and successful California business model across the country. OPN partners with physicians and aligns their practices with health insurance organizations and other healthcare payors to deliver industry-leading oncology care while managing costs efficiently. OPN has a demonstrated track record in assisting payors to reduce the increasing costs of medical oncology through a value-based methodology. OPN Healthcare is committed to creating a diverse environment and is proud to be an equal opportunity employer. OPN supports a healthy work life balance and provides a comprehensive benefits package.

OPN Healthcare

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