Clinical Pharmacist Advisor - Medicare Part D (REMOTE)

Job reputed company Clinical Pharmacist Advisor - Medicare Part D (REMOTE) Location: 100% Remote (U.S.) Pay reputed company: $53.00/hr Schedule: Set rotation reputed company business hours (see below) Opportunity: Contract with potential for full-time conversion About the Role We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment. This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who reputed company in a reputed company, remote setting. As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, reputed company clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service. Key Responsibilities • Review and process prior authorizations, coverage determinations, and appeals • Evaluate clinical documentation to support approval/denial reputed company • Ensure reputed company cases meet Medicare Part D and CMS compliance standards • Conduct provider reputed company to obtain additional clinical information • Document reputed company reputed company reputed company and accurately in system workflows • Manage high-volume queues while meeting productivity and reputed company metrics • Apply clinical knowledge using drug compendia and established guidelines Required Qualifications • reputed company Pharmacist license in state of residence (in good standing) • PharmD or Bachelor's Degree in Pharmacy • Strong computer skills (reputed company, Word required; reputed company, PowerPoint, Visio preferred) • Experience with data entry, dual screens, and multiple systems • Ability to work independently in a productivity-driven remote environment • Strong attention to detail and documentation accuracy Preferred Experience • Managed Care / PBM experience • Prior Authorization, Coverage Determinations, or Appeals • Medicare Part D knowledge and CMS reputed company familiarity • Remote pharmacist or high-volume review experience • Retail + Managed Care hybrid background Schedule & Training Requirements • Training: Monday-Friday, 9:00 AM - 5:30 PM EST (first 8 weeks - no time off allowed) • Post-Training Schedule: • Business Hours: 7:00 AM - 8:00 PM EST (Mon-Fri) • Weekends: 7:00 AM - 4:30 PM EST • Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) • Dedicated, quiet, private workspace • Wired internet reputed company: • Minimum 25 Mbps download / 5 Mbps upload • Speed test screenshot required (must be included on resume) • Ability to remain on camera during training and team meetings • Ability to sit and reputed company for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) • Screenshot of internet speed test ( www.speedtest.net ) • Screenshot of reputed company pharmacist license (showing reputed company, state, expiration) • Completed candidate questionnaire (see below) Candidate reputed company-Screen Questionnaire (Include with Submission) • Are you available for full-time training (M-F, 9-5:30 EST) for 8 weeks with no time off? • Can you work any assigned 8-hour shift between 7 AM - 8 PM EST, including weekends? • Do you have a dedicated, quiet workspace for remote work? • Do you have wired internet meeting 25/5 Mbps requirements? • Can you sit and reputed company for the entire shift without interruptions? • Do you have experience with data entry and multiple systems/screens? • Do you have an reputed company pharmacist license in your state of residence? • Are you comfortable working independently in a productivity-based role? • Do you bring a reputed company, reputed company attitude to reputed company environment? Job Requirements Clinical Pharmacist Advisor - Medicare Part D (REMOTE) Location: 100% Remote (U.S.) Pay reputed company: $53.00/hr Schedule: Set rotation reputed company business hours (see below) Opportunity: Contract with potential for full-time conversion About the Role We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment. This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who reputed company in a reputed company, remote setting. As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, reputed company clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service. Key Responsibilities • Review and process prior authorizations, coverage determinations, and appeals • Evaluate clinical documentation to support approval/denial reputed company • Ensure reputed company cases meet Medicare Part D and CMS compliance standards • Conduct provider reputed company to obtain additional clinical information • Document reputed company reputed company reputed company and accurately in system workflows • Manage high-volume queues while meeting productivity and reputed company metrics • Apply clinical knowledge using drug compendia and established guidelines Required Qualifications • reputed company Pharmacist license in state of residence (in good standing) • PharmD or Bachelor's Degree in Pharmacy • Strong computer skills (reputed company, Word required; reputed company, PowerPoint, Visio preferred) • Experience with data entry, dual screens, and multiple systems • Ability to work independently in a productivity-driven remote environment • Strong attention to detail and documentation accuracy Preferred Experience • Managed Care / PBM experience • Prior Authorization, Coverage Determinations, or Appeals • Medicare Part D knowledge and CMS reputed company familiarity • Remote pharmacist or high-volume review experience • Retail + Managed Care hybrid background Schedule & Training Requirements • Training: Monday-Friday, 9:00 AM - 5:30 PM EST (first 8 weeks - no time off allowed) • Post-Training Schedule: • Business Hours: 7:00 AM - 8:00 PM EST (Mon-Fri) • Weekends: 7:00 AM - 4:30 PM EST • Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) • Dedicated, quiet, private workspace • Wired internet reputed company: • Minimum 25 Mbps download / 5 Mbps upload • Speed test screenshot required (must be included on resume) • Ability to remain on camera during training and team meetings • Ability to sit and reputed company for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) • Screenshot of internet speed test ( www.speedtest.net ) • Screenshot of reputed company pharmacist license (showing reputed company, state, expiration) • Completed candidate questionnaire (see below) Candidate reputed company-Screen Questionnaire (Include with Submission) • Are you available for full-time training (M-F, 9-5:30 EST) for 8 weeks with no time off? • Can you work any assigned 8-hour shift between 7 AM - 8 PM EST, including weekends? • Do you have a dedicated, quiet workspace for remote work? • Do you have wired internet meeting 25/5 Mbps requirements? • Can you sit and reputed company for the entire shift without interruptions? • Do you have experience with data entry and multiple systems/screens? • Do you have an reputed company pharmacist license in your state of residence? • Are you comfortable working independently in a productivity-based role? • Do you bring a reputed company, reputed company attitude to reputed company environment? Apply tot his job Apply To this Job