A-Line Staffing is now hiring a Remote Medicare Pharmacist in Woonsocket, RI The Remote Medicare Pharmacist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Remote Medicare Pharmacist position, please contact Austin Faris at 586-710-7941 or afaris@alinestaffing.com

Remote Medicare Pharmacist Compensation

• The pay for this position is $51.58 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Remote Medicare Pharmacist Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is 3:00 pm – 1:30 am

Remote Medicare Pharmacist Responsibilities

• Ensure accuracy of case setup and clinical review of Medicare appeals cases
• Review internal notes or fax requests thoroughly for pertinent information
• Provide clear, concise, and accurate documentation for case reviews
• Contacting providers, if needed, for clinical information to decision cases
• Utilize work instructions and Medicare guidelines for accurate case processing
• Comply with CMS mandated timelines and department productivity and quality standards
• Acquire and utilize clinical judgement and knowledge, drug compendia resources, relevant and changing work instructions, and CMS Medicare guidance
• Participate in development discussions receiving feedback from direct supervisor

Remote Medicare Pharmacist Requirements

• High School Diploma or GED
• Attendance is mandatory for the first 90 days
• Active pharmacist license in the state of residence that is in good standing
• Ability to utilize multiple software systems, simultaneously with a 2-screen workstation setup (Windows based operations, AS400, MHK, PeopleSafe, WI database, Microsoft office applications)
• Ability to type 30 WPM or greater
• Excellent oral and written communication skills
• Ability to multi-task, prioritize, and manage time effectively in a fast-paced, highly regulated environment
• Must be able to review large volume of information, determine importance, and apply clinical knowledge to assist in outcome
• Must be able to work independently and utilize critical thinking/problem solving skills to make case decisions
• Receptive to constructive feedback and flexible in adapting to change
• Flexibility with working a rotating schedule including overtime, weekends, and holidays
• Previous experience in Managed Care/PBM environment

If you think this Remote Medicare Pharmacist position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!