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Pharmaceutical Care Specialist

2 months ago


Lansing, Michigan, United States ICONMA Full time

Position Overview:
The Clinical Pharmacist will be responsible for evaluating Part B medical drug prior authorization requests in accordance with CMS regulations and clinical coverage standards.

Key Responsibilities:
- Communicate with prescribers and infusion centers to verify information, relay case outcomes, and discuss clinical details.
- Promote the appropriate and efficient review of prescription drug claims among participating physicians.
- Educate physicians and influence prescribing patterns to optimize the Client's drug benefit expenditures while enhancing the quality of benefits for members.

Liaison Role:
The incumbent will act as a liaison to the Medical Policy department, aiding in the formulation of medical policies related to pharmaceuticals.

Qualifications:
- A Bachelor's Degree or Doctorate in Pharmacy is mandatory.
- A minimum of three (3) years of experience in consulting with physicians on pharmaceutical matters or completion of an accredited residency program (ASHP, AMCP, Managed Care Pharmacy, or Pharmacy Practice Residency) is required.
- An active and unrestricted pharmacy license in the State of Michigan is essential.
- Experience as a Clinical Pharmacist is necessary for this role, and candidates with a background as a Drug Information Specialist will also be considered.

Essential Skills:
- Proficiency in Microsoft Office Suite.
- Experience in hospital or retail pharmacy settings.
- Excellent verbal and written communication skills.
- Ability to make independent decisions.

Education/Certifications:
- PharmD or BS in Pharmacy.
- Active and unrestricted pharmacist license in the State of Michigan.

Diversity and Inclusion:
As an equal opportunity employer, ICONMA fosters an employment environment that values and promotes the abilities of all individuals, regardless of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.