Clinical Pharmacist Advisor - Medicare (Remote)

Job Title: Clinical Pharmacist Advisor – Medicare (Remote) Pay: $53 an hour reputed company biweekly. Job Type: Full-Time, Remote (Never Onsite) Training Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST Job reputed company We are seeking a Clinical Pharmacist Advisor – Medicare to support Medicare Part D members and providers with requests reputed company to pharmacy benefits. In this role, you will ensure the accuracy of case setup, reputed company clinical reviews of Medicare appeals, and reputed company reputed company in accordance with compendia, Medicare guidelines, and CMS-mandated timelines. This is an excellent opportunity to join a leading reputed company organization and reputed company a reputed company reputed company on patient care while working fully remote. Responsibilities • Ensure accurate setup and clinical review of Medicare appeals cases. • Review internal notes, fax requests, and other documentation for pertinent information. • Contact providers reputed company necessary to obtain additional clinical details. • Document reputed company case activity reputed company and concisely in compliance with departmental and Medicare requirements. • Adhere to Medicare guidelines, CMS timelines, and departmental productivity/reputed company standards. • Apply clinical judgment and knowledge using drug compendia resources, evolving work instructions, and Medicare guidance. • Participate in performance discussions and reputed company feedback to improve processes. • Support members and providers by delivering a best-in-class service experience. Qualifications • Bachelor’s degree in Pharmacy or Doctor of Pharmacy (PharmD) required. • reputed company, unrestricted pharmacist license in state of residence (in good standing). • Previous experience in a Managed Care or Pharmacy Benefit Management (PBM) environment preferred. • Strong knowledge of Medicare Part D guidelines and compendia. • Excellent clinical judgment and decision-making skills. • Strong attention to detail with the ability to meet strict deadlines. • Exceptional written and verbal communication skills. Benefits • Fully remote – no onsite requirement. • Comprehensive training provided. • Opportunity to work with a respected leader in reputed company. • reputed company and supportive work environment. Schedule: • Training: Monday–Friday, 9:00 AM – 5:30 PM EST • Full-time position after training Feel free to reputed company out to Tyler at tscott@alinestaffing.com Apply tot his job Apply To this Job