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Prior Authorization Consultant- PBM

Iconma

  • Remote, RI
  • 1 day ago
  • Remote
  • $16–$26.30 Per Hour

Highlights

Consultants also work with a team of system trainers to provide consistent back end user support, assist in documentation and maintenance of user guides presentations and corrective action plans, provide system demos and help guide CAS users through the implementation process for Prior Authorization system tool. In order to be successful in this role you will interact and collaborate with internal colleagues to identify opportunities to improve processes and drive efficiencies within the department as well as assist in leading meetings, creation and maintenance of work instructions, training, projects and activities related to PA systems.

Numbers & Facts

LocationRemote, RI (
Remote
)
IndustryManagement Consulting Services
Salary$16–$26.30 Per Hour
Company Size2,000 to 2,499 employees
Year Founded2000
Websitehttps://www.iconma.com/

Description

Our Client, a Retail Pharmacy company, is looking for a Prior Authorization Consultant- PBM for their Remote location.
 
Responsibilities:
  • Configure criteria documents and fax forms into the Prior Authorization system daily, ensuring accuracy and completeness.
  • Link workload to specific drug classes and clients.
  • Validate all configurations for compliance and operational standards.
  • In order to be successful in this role you will interact and collaborate with internal colleagues to identify opportunities to improve processes and drive efficiencies within the department as well as assist in leading meetings, creation and maintenance of work instructions, training, projects and activities related to PA systems. Consultants also work with a team of system trainers to provide consistent back end user support, assist in documentation and maintenance of user guides presentations and corrective action plans, provide system demos and help guide CAS users through the implementation process for Prior Authorization system tool.
 
Requirements:
  • 3+ years of Pharmacy Benefit Management (PBM) prior authorization experience
  • Experience with PA system setup
  • Experience with MS Excel, Word and PowerPoint
  • Experience with CAS and/or MedHOK systems
  • Experience with Prior Auth and Appeals activities
  • Experience with previous project management.
  • Strong attention to detail and commitment to high-quality work.
  • Verifyable High School Diploma or GED Required
  • Bachelor's Degree in any related field
 
Why Should You Apply?#mcb

Benefits

401K, Employee Referral Program, Life Insurance

About Company

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

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