Clinical Pharmacist/Pharmacist
4 days ago
Job Summary
The Clinical Pharmacist will play a crucial role in reviewing Part B medical drug prior authorization requests in accordance with CMS regulations and clinical coverage criteria. This position requires strong communication skills to interact with prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information. The ideal candidate will have a strong background in pharmacy and experience consulting with physicians on pharmaceutical issues. The Clinical Pharmacist will also be responsible for promoting appropriate and efficient utilization review of prescription drug claims among client participating physicians. Additionally, this role will involve serving as a liaison to the Medical Policy department to assist with the development of medical policy as it applies to drugs.
Key Responsibilities
* Review Part B medical drug prior authorization requests according to CMS regulations and clinical coverage criteria
* Interact with prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information
* Promote appropriate and efficient utilization review of prescription drug claims among client participating physicians
* Serve as a liaison to the Medical Policy department to assist with the development of medical policy as it applies to drugs
Requirements
* Bachelor's Degree or Doctorate in Pharmacy required
* At least three (3) years of experience consulting with physicians on pharmaceutical issues or completion of an accredited American Society of Health-System Pharmacists (ASHP) or Academy of Managed Care Pharmacy (AMCP) or Managed Care Pharmacy or Pharmacy Practice Residency
* Current unrestricted Michigan pharmacy license
Preferred Qualifications
* Microsoft office suite proficiency
* Hospital or retail pharmacy experience
* Excellent communication skills (verbal and written)
What We Offer
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to 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.
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