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Pharmacist - Clinical Pharmacist

ICONMA

Role overview

Qualifications

  • Proficiency in Microsoft Excel, Word, Outlook, and SharePoint
  • Superior written and verbal communication skills
  • Will consider a recent grad with an active license
  • 1+ year of previous clinical pharmacy experience required

Responsibilities

  • Complete Clinical Reviews and provide a determination of Medicare-Medicaid Coverage Determination/Redetermination
  • Continually monitor the quality and efficiency of the Prior Authorization process
  • Complete all annual NCQA training requirements
  • Assist Member Services and other internal customers in responding to pharmacy-related inquiries

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Communication
  • Problem Solving
  • Teamwork

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 Pharmacist - Clinical Pharmacist for their Remote location.
 
Responsibilities:
  • Complete Clinical Reviews and provide a determination of Medicare-Medicaid Coverage Determination/Redetermination, Global Exception etc. by reviewing all requests which are not clearly approvable based on specified criteria (algorithms).
  • Continually monitor the quality and efficiency of the Prior Authorization process including coverage criteria, denial language, and communication with prescribers and members. Provide recommendations to physicians to improve medication regimens as appropriate.
  • Complete all annual NCQA, client required training requirements.
  • Assists Member Services and other internal customers in responding to and resolving pharmacy-related inquiries from members (NCQA Requirement).
  • Maintain open lines of communication with other functional areas/departments.
  • Responsible for staying current with clinical literature and guidelines and relaying those to the program development core teams.
 
Requirements:
  • Background/experience (required)
  • Proficiency in Microsoft Excel, Word, Outlook, and SharePoint
  • Superior written and verbal communication skills
  • Will considered a recent grad with an active license
  • Background/experience (preferred)
  • Managed care experience (Medicaid/Medicare)
  • 1+ year of previous clinical pharmacy experience required
  • 2+ years of experience working as a pharmacist (managed care experience is highly desirable, but not required)
  • Knowledge of clinical program components, formulary designs, and prescription benefit trends preferred
  • Board certification and managed care residency preferred
 
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MR

Marcus Rivera

Chief Revenue Officer

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