Logo for ICONMA

Pharmacy Specialist Level 1

ICONMA

Role overview

Qualifications

  • National Pharmacy Certification preferred
  • Requires minimum of two (2) years experience in third party prescription program claim adjudication
  • Requires minimum of two (2) years experience as a Pharmacy Technician
  • Requires prior customer service/service quality initiative experience

Responsibilities

  • Process prior authorizations received via prior authorization help line and fax application by reviewing the documents, evaluating for accuracy and completeness of the medical necessity forms for specific drugs based on provided criteria
  • Directly interact with members physician office staff, pharmacies and internal stakeholders for eligibility, coverage determination claims issues
  • Conduct intervention with physician pharmacy office staff to facilitate formulary compliance and generic dispensing
  • Provide recommendations to increase efficiency, accuracy and productivity in the department

Key facts

Hard skills

Prior Authorization Adjudication Clinical Pharmacy

Other skills

  • Customer Service
  • Communication
  • Social Skills
  • Problem Solving

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

Website LinkedIn See all jobs

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Our Client, a Health Insurance company, is looking for a Pharmacy Specialist Level 1 for their Remote location.
 
Responsibilities:
  • Process prior authorizations received via prior authorization help line and fax application by reviewing the documents, evaluating for accuracy and completeness of the medical necessity forms for specific drugs based on provided criteria. Submit for clinical review and determination.
  • Directly interact with members physician office staff, pharmacies and internal stake holders for eligibility, coverage determination claims issues.
  • Conduct intervention with physician & pharmacy office staff to facilitate formulary compliance and generic dispensing.
  • Provide recommendations to increase efficiency, accuracy and productivity in the department.
  • Process ad hoc request for information or reports from stakeholders.
  • Participate in client member and employee training to ensure practical understanding of pharmacy services programs and operations.
  • Assist in the day to day business functions of the pharmacy department.
  • Provide support to various clinical programs within the pharmacy department.
 
Requirements:
  • National Pharmacy Certification preferred.
  • Requires minimum of two (2) years experience in third party prescription program claim adjudication.
  • Requires minimum of two (2) years experience as a Pharmacy Technician.
  • Requires prior customer service/service quality initiative experience.
  • National Pharmacy Technician Certification preferred
 
Why Should You Apply?  
 

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Pharmacist Related jobs

New Jersey (USA)Pharmacist

Other jobs at ICONMA

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.