Remote Clinical Pharmacist Advisor
Job ID:
MM1002
Job Description
A-Line Staffing is now hiring a Pharmacist -Medicare Part D- Clinical Review Specialist.
Pharmacist -Medicare Part D- Clinical Review Specialist Hours
- START DATE– 11/09
- 8-10 weeks of training - M-F - 9am-5:30pm EST (no vacation time planned).
- 40 hours per week, potential overtime
- Must be able to work ANY 8 hour shift from 7am - 8pm EST Monday – Friday
- 7am - 430pm EST Sat and Sunday. Rotating weekends
- FULLY REMOTE
Pharmacist -Medicare Part D- Clinical Review Specialist Compensation
- The pay for this position is between $53.00 an 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
Pharmacist -Medicare Part D- Clinical Review Specialist 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.
Pharmacist -Medicare Part D- Clinical Review Specialist Requirements
- Licensed Pharmacist