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Pharmacist - Medicare Advisor 162284
Pharmacist - Medicare Advisor 162284A-Line Staffing Solutions LLC • Atlanta, GA, US
Pharmacist - Medicare Advisor 162284

Pharmacist - Medicare Advisor 162284

A-Line Staffing Solutions LLC • Atlanta, GA, US
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A-Line Staffing is now hiring a Pharmacist - Clinical Pharmacist Advisor (Medicare)!

The Clinical Pharmacist Advisor will be working for a Fortune 500 Company and has career growth potential. See additional details below.

Pharmacist - Clinical Pharmacist Advisor (Medicare) Highlights

  • The pay for this position will be $53.00 per hour.
  • Business Hours : 7 : 00 AM – 8 : 00 PM EST, Monday through Friday, and 7 : 00 AM – 4 : 30 PM EST on Saturday and Sunday (set rotation).
  • Remote / Work from Home position.
  • Must have a dedicated, quiet workspace and provide proof of internet speed meeting minimum requirements.
  • This position is full-time.

Responsibilities

  • Support Medicare Part D members and providers with pharmacy benefit and coverage determination requests.
  • Ensure accurate case setup and complete clinical review of Medicare appeals in compliance with CMS guidelines.
  • Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
  • Conduct provider outreach for additional clinical clarification when necessary.
  • Accurately document all Medicare Part D requests and maintain compliance with CMS-mandated timelines .
  • Meet or exceed departmental productivity and quality standards .

    • Requirements

  • Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
  • Active pharmacist license in the state of residence required.
  • Proven ability to apply clinical judgment and interpret drug compendia resources.
  • Strong attention to detail and ability to work independently in a remote environment.
  • Prior experience in Medicare Part D , clinical review , or pharmacy benefit management preferred.

    • Benefits Available

  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with company match is available for full-time employees with 1 year of service on our eligibility dates.

    • If you are interested in this Pharmacist - Clinical Pharmacist Advisor (Medicare) position, APPLY or contact

    kvaughn@alinestaffing.com

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    Pharmacist • Atlanta, GA, US

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