Reporting to the Manager of Pharmacy Operations, the Clinical Pharmacist I is primarily responsible for the pharmacy utilization management (UM) activities, including review of all pharmacy prior authorization requests, oversight of the UM activities of the Pharmacy Services support staff, maintenance of pharmacy UM programs, provide clinical peer-to-peer consultation as needed.
Provide pharmacy-related customer service to internal and external parties and serve as a subject matter expert for claims issue resolution.
Provide implementation support for formulary management decisions and clinical policies and provide peer training as needed.
Requirements
The Clinical Pharmacist I may also participate in care management activities as needed.
At least 5 years clinical experience or completion of an accredited residency program required.
Experience in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is preferred.
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.