ICONMA
ICONMA

20 Iconma Pharmacist Jobs Hiring Near You

Our Client, a Retail Pharmacy company, is looking multiple Pharmacists with prior authorization ... Excellent growth and advancement opportunities ICONMA is an Equal Opportunity Employer. All ...

Pharmacy Specialist Level 1

Newark, NY ยท On-site

$20.50 - $26.50/hr

Directly interact with members physician office staff, pharmacies and internal stake holders for ... Excellent growth and advancement opportunities ICONMA is an Equal Opportunity Employer. All ...

Working knowledge and experience with pharmaceutical markets and customers. * Demonstrated strong ... Excellent growth and advancement opportunities ICONMA is an Equal Opportunity Employer. All ...

Pharmacy Specialist Level 1

Newark, NJ ยท Hybrid

$21.50 - $27.75/hr

Directly interact with members physician office staff, pharmacies and internal stake holders for ... Excellent growth and advancement opportunities ICONMA is an Equal Opportunity Employer. All ...

Pharmacist

Alturas, CA ยท On-site

$66.50 - $79.75/hr

Pharmacist Our client, a healthcare company, is looking for a pharmacist for their Alturas, CA location. Responsibilities: * Professional behavior is demonstrated always, both when on duty and as a ...

Pharmacist

Warwick, RI ยท On-site

$57 - $68.50/hr

Pharmacist Position Our client, a Healthcare company, is looking for a Pharmacist for their Warwick, RI location. Responsibilities: * Accept and dispense prescription medications. * Monitor patient ...

New

Pharmacist

Washington, NC ยท On-site

$50.75 - $61/hr

Pharmacist Our client, a Healthcare company, is looking for a Pharmacist for their Washington, NC location. Responsibilities: * Accept and dispense prescription medications. * Monitor patient ...

Pharmacist

Spokane, WA ยท On-site

$59 - $70.75/hr

Pharmacist Our client, a healthcare company, is looking for a pharmacist for their Spokane, WA location. Responsibilities: * Accept and dispense prescription medications. * Monitor patient medication ...

Pharmacist

Reno, NV ยท On-site

$58 - $69.75/hr

Pharmacist Our client, a healthcare company, is looking for a pharmacist for their Reno, NV location. Responsibilities: * Accept and dispense prescription medications. * Monitor patient medication ...

Pharmacist

Minneapolis, MN ยท On-site

$60.75 - $73/hr

Our Client, a Healthcare company, is looking for a Pharmacist for their Fridley, MN location. Responsibilities: * Accept and dispense prescription medications. * Monitor patient medication compliance ...

Pharmacist - Clinical Pharmacist Advisor Medicare Our client, a Retail Pharmacy company, is looking for a Pharmacist - Clinical Pharmacist Advisor Medicare for their Remote location. Responsibilities:

*Pharmacist

Collierville, TN ยท On-site

$51.50 - $62/hr

Pharmacist Our client, a retail pharmacy company, is looking for a pharmacist for their Collierville, TN location. Responsibilities: * Will be responsible for: reviewing patient profile, drug ...

PHARMACIST

Norfolk, NE ยท On-site

$57.50 - $69/hr

Nebraska pharmacist license - need in hand * License Application Procedures & Requirements: * Application Process - Prior to submission of an application for a Nebraska Pharmacist license ...

Clinical Pharmacist/Pharmacist

$59.50 - $71.75/hr

Our Client, a Health Insurance company, is looking for a Clinical Pharmacist/Pharmacist for their Detroit, MI/Remote location. Requirements: * Prior authorization experience in a PBM environment

Pharmacist 4

Canal Winchester, OH ยท On-site

$55.50 - $66.75/hr

Pharmacist 4 Our client, a Retail Pharmacy company, is looking for a Pharmacist 4 for their Canal Winchester, OH location. Responsibilities: * Provides clinical services to patients, such as ...

Pharmacist

Grants, NM ยท On-site

$54 - $64.75/hr

Pharmacist Position Our client, a Healthcare company, is looking for a Pharmacist for their Grants, NM location. Responsibilities * The Pharmacist is responsible for filling medication orders ...

Pharmacist - Prior Authorizations

ICONMA, LLC

Remote

Full-time

Medical

Re-posted 14 days ago


Job description

Our Client, a Retail Pharmacy company, is looking multiple Pharmacists with prior authorization experience to work remotely.
Responsibilities:
  • Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design.
  • Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
  • One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
  • Collaborate with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer- agreed criteria within the designated service level agreements.
  • Performs and handles in bound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.
  • Maintain professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business.
  • Perform other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist avail ability as needed.
  • Demonstrated experience using clinical resources, e g., Micromedex, Lexicomp, Clinical Pharmacology
  • Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations.
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Requirements:
  • Excellent organizational skills. Strong detail orientation.
  • Strong Microsoft Office skills.
  • Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information.
  • Minimum 2 yearsโ€™ recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a specialty/skilled clinical setting i.e., specialty medical office or Pharmacy Benefits Manager (PBM)
  • Bachelorโ€™s degree in pharmacy or PharmD
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Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
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ICONMA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any status protected by applicable law.
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About ICONMA

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ICONMA is an established and stable organization building lasting relationships with clients and consultants. We are unique in our ability to provide a full spectrum of Staffing Services and Solutions including: Staff Augmentation (Contract, Contract-to-Hire, Direct Hire), Bulk Buy Staff Augmentation, Offshore Staff Augmentation, Payroll Services and Consulting (Project Delivery, SOW). At ICONMA, our goal is to become a one-stop destination for our customers' staffing and outsourcing needs. Our vision is to be a preeminent provider of innovative business solutions, leveraging key technologies to improve our customers' competitiveness, growth, and profitability. ICONMA focuses on a culture that fosters collaboration and team work. We recognize that employees are the foundation of any company, and we encourage our employees to be leaders while providing continuous training and growth opportunities. ICONMA encourages hard work, determination and dedication in a professional environment. ICONMA promotes a healthy work-life balance, and understands this is a key component to our employee's and company's success.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Troy, MI, US

Year founded

2000