Hemophilia Clinical Reviewer (ICR)

$109,480 - $186,120/Yr

Prime Therapeutics - Oklahoma City, OK

Full-time - Mid Level

Oklahoma City, OK

Administrative and Support Services

About the position

The Hemophilia Clinical Reviewer (ICR) plays a crucial role in developing medical pharmacy solutions programs, focusing on drug utilization review (DUR) efforts. This position involves consulting with physicians on prescribing patterns, refining pharmacy management solutions, and ensuring the successful implementation of these programs for customer organizations. The role emphasizes collaboration with various internal departments and maintaining clinical integrity in pharmaceutical solutions.

Responsibilities

• Regularly reviews and monitors prescription claims data and prescribing practices identified as outliers.
• Contacts physicians and prescribers needing consultation to provide coaching on identified outlier prescribing practices.
• Tracks contact attempts and documents consultations as defined in operations procedures.
• Collaborates on the refinement of consultation scripting and solicits input for improvements.
• Assists with the implementation and management of communications to physicians and prescribers.
• Contributes to program improvements using continuous quality improvement processes.
• Stays up-to-date on medication information and collaborates 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 current research related to specialty medications.
• Strong research and implementation skills in practical settings.
• Analytical skills for practical recommendations.
• Strong verbal and written communication skills.
• Proficient in using computers and Microsoft Office products.

Nice-to-haves

• Managed care experience preferred.
• Management experience in coordinating work teams preferred.
• Experience with pharmaceuticals in a pharmaceutical sales, retail, or managed care environment preferred.
• Managed pharmacy benefits organizations preferred.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401k
• 401k matching
• Paid holidays
• Flexible scheduling
• Professional development
• Tuition reimbursement
• Employee discount programs