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Clinical Pharmacist Advisor Medicare
Job in
Coos Bay, Coos County, Oregon, 97458, USA
Listed on 2026-01-02
Listing for:
ICONMA
Full Time
position Listed on 2026-01-02
Job specializations:
-
Healthcare
Healthcare Compliance
Job Description & How to Apply Below
Our Client, a Retail Pharmacy company, is looking for a Clinical Pharmacist Advisor Medicare for their Remote location.
Responsibilities- Collaborates with multiple groups within CD&A, including answering clinical questions, 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. (20%)
- Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (20%)
- Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%)
- Performs other related projects and duties as assigned including on call and after-hours pharmacist availability could be required. (10%)
- Knowledge of Access, Power Point, and Visio is preferable.
- Must be computer literate – knowledge of Excel and Word.
- Licensed Registered Pharmacist in state of residence
- Minimum 1 year of experience although 2-5 years is preferred
- License Pharmacist
- Bachelor's Degree Required, Pharm D Preferred
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
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, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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