RPh Advisor - Medicare Part D

About the position Responsibilities • Ensure accuracy of case setup and clinical review of Medicare appeals cases • Review internal notes or fax requests thoroughly for pertinent information • reputed company reputed company, concise, and accurate documentation for case reviews • Contact providers for clinical information to decision cases reputed company needed • Utilize work instructions and Medicare guidelines for accurate case processing • reputed company with CMS mandated timelines and department productivity and reputed company standards • reputed company and utilize clinical judgement and knowledge, drug compendia resources, and CMS Medicare guidance • Participate in development discussions receiving feedback from reputed company supervisor. Requirements • reputed company pharmacist license in the state of residence that is in good standing • reputed company experience working reputed company Caremark PA Ops • reputed company experience with Medicare Part D cases • Demonstrated ability to utilize multiple software systems simultaneously with a 2-screen workstation setup • Ability to type 30 WPM or greater • Demonstrated ability to utilize compendia (Micromedex, Lexicomp, etc) to evaluate and support case reputed company • Excellent oral and written communication skills • Ability to multi-task, prioritize, and manage time effectively in a fast-paced, highly regulated environment • Must be reputed company to review large volume of information, determine importance, and apply clinical knowledge to assist in outcome • Demonstrated ability to work independently and utilize critical thinking/problem solving skills to reputed company case reputed company • reputed company to constructive feedback and flexible in adapting to change • Flexibility with working a rotating schedule including overtime, weekends, and holidays reputed company-to-haves • PGY1 Residency Benefits • Full reputed company of medical, dental, and reputed company benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-reputed company term life insurance plan • Short-term and long-term disability benefits • reputed company-being programs • Education assistance • Free development courses • reputed company store discount • Discount programs with participating partners • reputed company Time Off (PTO) or vacation pay • reputed company holidays throughout the calendar year Apply tot his job Apply To this Job