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Prior Authorization Consultant- PBM

ICONMA

Role overview

Qualifications

  • 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
  • Experience with PA system setup
  • Experience with MS Excel, Word and PowerPoint
  • Experience with CAS and/or MedHOK systems

Responsibilities

  • Configure criteria documents and fax forms into the Prior Authorization system daily, ensuring accuracy and completeness.
  • Link workload to specific drug classes and clients.
  • Validate all configurations for compliance and operational standards.
  • Assist in leading meetings, creation and maintenance of work instructions, training, projects and activities related to PA systems.

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Microsoft Word
  • Microsoft PowerPoint
  • Detail Oriented
  • Collaboration
  • Training And Development

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

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Job description

Our Client, a Retail Pharmacy company, is looking for a Prior Authorization Consultant- PBM for their Remote location.
 
Responsibilities:
  • Configure criteria documents and fax forms into the Prior Authorization system daily, ensuring accuracy and completeness.
  • Link workload to specific drug classes and clients.
  • Validate all configurations for compliance and operational standards.
  • In order to be successful in this role you will interact and collaborate with internal colleagues to identify opportunities to improve processes and drive efficiencies within the department as well as assist in leading meetings, creation and maintenance of work instructions, training, projects and activities related to PA systems. Consultants also work with a team of system trainers to provide consistent back end user support, assist in documentation and maintenance of user guides presentations and corrective action plans, provide system demos and help guide CAS users through the implementation process for Prior Authorization system tool.
 
Requirements:
  • 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
  • Experience with PA system setup
  • Experience with MS Excel, Word and PowerPoint
  • Experience with CAS and/or MedHOK systems
  • Experience with Prior Auth and Appeals activities
  • Experience with previous project management.
  • Strong attention to detail and commitment to high-quality work.
  • Verifyable High School Diploma or GED Required
  • Bachelor's Degree in any related field
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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