[Hiring] Prior Authorization Consultant @Iconma Portal

Role Description

Our Client, a Retail Pharmacy company, is looking for a Prior Authorization Consultant- PBM for their Remote location.

• 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.
• Interact and collaborate with internal colleagues to identify opportunities to improve processes and drive efficiencies within the department.
• Assist in leading meetings, creation and maintenance of work instructions, training, projects, and activities related to PA systems.
• 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.

Qualifications

• 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.

Benefits

• Health Benefits.
• Referral Program.
• Excellent growth and advancement opportunities.