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Clinical Pharmacist Advisor – Medicare Part D (Remote)

Remote, USA Full-time Posted 2025-11-08
Job Title: Clinical Pharmacist Advisor – Medicare Part D (Remote, Safety Sensitive) Start Date: December 8, 2025 Offer Deadline: November 10, 2025 Clearance Deadline: November 28, 2025 Location: Fully Remote (USA – must be licensed in state of residence) Rate: $53/hr. Position Overview We are seeking a Clinical Pharmacist Advisor – Medicare Part D to join a high-performing team supporting Medicare Part D members and providers. This fully remote, safety-sensitive role involves accurate case setup, clinical review of pharmacy benefits, documentation, provider outreach, and adherence to CMS guidelines. This is an excellent opportunity to initiate or continue your career with a leading healthcare organization. Strong data entry skills, attention to detail, and a customer-centric, positive attitude are essential. Key Responsibilities • Support Medicare Part D members and providers with pharmacy benefit inquiries. • Set up and review clinical information to determine appropriate decisions based on Medicare guidelines. • Contact providers for additional information as needed to support case resolution. • Ensure accuracy and compliance with compendia, CMS timelines, and internal standards. • Maintain clear documentation and follow all required processes and quality measures. • Navigate multiple systems using dual monitors efficiently in a high-volume environment. • Collaborate with supervisors and contribute to continuous improvement initiatives. Required Qualifications • Education: Bachelor’s degree in Pharmacy or PharmD (Required). • License: Active, unrestricted Registered Pharmacist license in state of residence. • (Must provide screenshot showing license status, name, state, and expiration date). • Experience: • Experience in Managed Care or PBM environment preferred. • Proven data entry and multitasking experience in high-productivity environments. • Tech Skills: • Proficiency in Microsoft Word and Excel. • Familiarity with Access, PowerPoint, and Visio is preferred. • Ability to use multiple applications and dual-screen setups.Shift and Schedule • Training: • Monday – Friday, 9:00 AM – 5:30 PM EST for the first 8–10 weeks. • (No time off during training; attendance is mandatory). • Post-training Shifts: 8-hour shift between 7:00 AM – 8:00 PM EST, including one weekend day or weekend rotation.Business hours: • Monday–Friday: 7:00 AM – 8:00 PM EST • Saturday–Sunday: 7:00 AM – 4:30 PM ESTInterview Process • Virtual interviews via Microsoft Teams with the supervisor. Remote Work Requirements Candidates must meet the following criteria to be considered: • Dedicated, quiet workspace free from interruptions. • Wired internet connection with minimum 25 Mbps download / 5 Mbps upload. • (Include screenshot of speed test from www.speedtest.net on resume.) • Ability to focus for entire shift and maintain high productivity. • Proven experience using dual monitors and navigating multiple systems. INDJP Job Types: Full-time, Contract Pay: $44.73 - $53.00 per hour Benefits: • Dental insurance • Health insurance • Vision insurance Work Location: Remote Apply tot his job Apply To this Job

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