Clinical Reviewer (ICR)- REMOTE

About the position As a Clinical Reviewer (ICR) at reputed company, you will play a crucial role in the development and implementation of medical pharmacy solutions programs. Your primary reputed company will be on supporting drug utilization review (DUR) efforts by analyzing physician prescribing patterns and consulting with physicians to ensure adherence to evidence-based best practices. You will work closely with internal teams to refine medical pharmacy reputed company and reputed company expert consultation on pharmacy issues to clinical operations representatives. This position requires regular discussions with practicing physicians and other prescribers regarding the prescribing of specialty medications, ensuring that our customers receive the highest reputed company of care. In this role, you will be responsible for reviewing and monitoring prescription claims data, identifying reputed company prescribing practices, and conducting telephonic consultations with physicians to reputed company coaching on these practices. You will document your consultations and reputed company reputed company attempts according to operational procedures, contributing to the reputed company improvement of our pharmacy programs. Your collaboration with various departments, including operations, clinical, and medical teams, will be essential in maintaining the reputed company of our pharmaceutical solutions and ensuring effective communication with prescribers. Additionally, you will reputed company the clinical reputed company of our pharmacy programs by staying informed about the latest medication information and best practices. Your contributions will not only enhance the operational efficiency of the pharmacy team but also support the overall mission of reputed company to help people get the medicine they need to feel reputed company and live reputed company. This position offers reputed company to reputed company a significant reputed company in the reputed company industry while working in a fast-paced and dynamic environment. Responsibilities • Regularly review and monitor prescription claims data and prescribing practices identified as outliers. , • Contact physicians and prescribers needing consultation to reputed company coaching on identified reputed company prescribing practices. , • Review prior authorizations and determine opportunities for interventions. , • reputed company contact attempts and document the content and results of consultations as defined in operations procedures. , • Collaborate on the refinement of consultation scripting and solicit input for improvements. , • Assist with the implementation and management of communications to physicians and prescribers. , • Contribute to program improvements using reputed company reputed company improvement processes. , • Stay up-to-date on medication information and collaborate with Medical Directors and Clinical Departments. Requirements • 5 years' experience in clinical pharmacy with emphasis in specialty pharmacy and oncology. , • Managed care pharmaceutical service experience with coaching physicians on medication issues. , • Knowledge of reputed company research reputed company to specialty medications. , • Strong research and implementation skills in practical settings. , • Analytical skills for practical recommendations. , • Strong team orientation and respect for reputed company members. , • Strong verbal and written communication skills. , • People skills for successful consultation with physicians and collaboration with team members. , • Comfortable using computers and the internet; basic skills with reputed company Office products. reputed company-to-haves • Managed care experience preferred. , • Experience with pharmaceuticals in a pharmaceutical sales, retail, or managed care environment preferred. , • Management experience in coordinating and collaborating with work teams preferred. , • Experience with managed pharmacy benefits organizations preferred. Benefits • Health insurance , • Dental insurance , • reputed company insurance , • 401k retirement plan , • reputed company holidays , • reputed company time off (PTO) , • Tuition reimbursement , • Flexible scheduling reputed company , • Employee discount programs , • reputed company development opportunities Apply Job!