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The Opportunity
Description
We’re looking for a Pharmacist , working in Healthcare Systems and Services industry in Detroit, Michigan, United States .
- The pharmacist will review Part B medical drug prior authorization requests according to CMS regulations and clinical coverage criteria.
- Call prescribers and infusion centers to confirm information, deliver case outcomes, and discuss clinical information.
- Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among BCBSM participating physicians.
- This position is also responsible for the education of physicians and influencing of prescribing patterns to reduce BCBSM’s drug benefit payout and improve the quality of the benefits as it relates to our members.
- The incumbent serves as the liaison to the Medical Policy department assisting with the development of medical policy as it applies to drugs.
Our Client
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
Education/Certifications – Include:
- PharmD or BS Pharmacy
- Active and unrestricted pharmacist license in State of Michigan
Top 3 Required Skills/Experience –
- Microsoft office suite proficiency
- Hospital or retail pharmacy experience
- Excellent communication skills (verbal and written)
Required Skills/Experience – The rest of the required skills/experience. Include:
- Microsoft office suite proficiency
- Hospital or retail pharmacy experience
- Excellent communication skills (verbal and written)
- Ability to make independent decisions
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what’s possible?
