*Pharmacist - Clinical Pharmacist Advisor Medicare
Posted 08/06/2026
Job ID:
173225
Job Description
Job Title:
Pharmacist – Clinical Pharmacist Advisor Medicare
Address:
Working Offsite, RI
Job Description
Pharmacist – Clinical Pharmacist Advisor Medicare
Address:
Working Offsite, RI
Job Description
- Ensure the accuracy of case setup and clinical review of Medicare appeals cases.
- Review internal notes or fax requests for pertinent information and provide clear documentation.
- Contact providers as needed to obtain clinical details for case decisions.
- Adhere to work instructions and Medicare guidelines for proper case processing.
- Apply clinical judgment and knowledge using drug compendia resources and CMS Medicare guidance.
- Participate in development discussions and receive feedback for continuous improvement.
- Shift: Business hours are 7am - 8pm EST Monday - Friday; 7am - 4:30pm EST Saturday and Sunday with set rotation.
- Fully remote position; candidates must have a dedicated quiet workspace.
- Bachelor's degree in pharmacy or Pharm D required.
- Must have an active pharmacist license in good standing in the state of residence.
- Benefits are available to full-time employees after 90 days of employment.
- A 401(k) with company match is available after 1 year of service.
- This is an AI-formatted job description; recruiter confirmation required.
About Woonsocket, RI
Explore exciting job opportunities near Woonsocket, Rhode Island! Nestled in the picturesque New England region, Woonsocket offers a charming blend of historic charm and modern opportunities. With landmarks like the stunning Museum of Work & Culture, vibrant arts scene at the Stadium Theatre Performing Arts Centre, and delectable cuisine options ranging from classic clam bakes to trendy food trucks, this area promises a fulfilling career and a quality lifestyle. Join the proud community supporting local teams like the Pawtucket Red Sox at McCoy Stadium and savor outdoor adventures at the scenic World War II Veterans Memorial Park. Start your professional journey in Woonsocket, where every day offers a new chapter of growth and success.