UCI Health is seeking a PAL Clinical Specialist to support prior authorization and utilization management with emphasis on appeals and clinical judgment. The role processes urgent, routine, pre-service, and retrospective authorizations, ensuring compliance with clinical protocols and payer guidelines.
The position requires frequent communication with internal teams, providers, and health plans, accurate data entry, and timely determinations to deliver high-quality patient care and operational
#J-18808-LjbffrClinical Pharmacy Prior-Authorization Specialist in orange at Unknown Company
This position is listed as full time and onsite.