Clinical Pharmacist/Pharmacist
4 days ago
The Clinical Pharmacist will be responsible for reviewing Part B medical drug prior authorization requests according to CMS regulations and clinical coverage criteria. This role requires strong communication skills to confirm information, deliver case outcomes, and discuss clinical information with prescribers and infusion centers.
Key Responsibilities- Review Part B medical drug prior authorization requests according to CMS regulations and clinical coverage criteria.
- Confirm information, deliver case outcomes, and discuss clinical information with prescribers and infusion centers.
- Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among Client participating physicians.
- Collaborate with the Medical Policy department to develop medical policy as it applies to drugs.
- Ensure compliance with regulatory requirements and company policies.
- 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.
- Excellent communication and problem-solving skills.
- Ability to work independently and as part of a team.
- Experience as a Clinical Pharmacist or Drug Information Specialist.
- Microsoft office suite proficiency.
- Hospital or retail pharmacy experience.
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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Clinical Pharmacist
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Lansing, Michigan, United States LanceSoft Full timeJob Title: Clinical PharmacistLanceSoft is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a crucial role in reviewing Part B medical drug prior authorization requests according to Client regulations and clinical coverage criteria.Key Responsibilities:Review and analyze Part B medical drug prior...
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Clinical Pharmacist
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Lansing, Michigan, United States LanceSoft Full timeJob Title: Clinical PharmacistLanceSoft is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a critical role in reviewing Part B medical drug prior authorization requests and promoting appropriate utilization review of prescription drug claims among our participating physicians.Key Responsibilities:Review...
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Clinical Pharmacist
2 weeks ago
Lansing, Michigan, United States LanceSoft Full timeJob SummaryThe Clinical Pharmacist will play a crucial role in reviewing Part B medical drug prior authorization requests according to Client regulations and clinical coverage criteria. This involves collaborating with prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information. The ideal candidate will...
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