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Clinical Pharmacist Advisor – Medicare

Remote | Full-Time Contract | Opportunity for Full-Time Employment

Position Overview

A-Line Staffing is seeking a Licensed Registered Pharmacist for a fully remote Clinical Pharmacist Advisor – Medicare position supporting Medicare Part D members and providers.

The pharmacist will review Medicare appeals and pharmacy benefit requests, evaluate clinical information, make accurate case decisions, document findings, and contact providers when additional clinical information is needed.

Managed Care/PBM experience is preferred, but not required.

Job Details

• Position: Clinical Pharmacist Advisor – Medicare
• Work Arrangement: 100% Remote
• Start Date: October 26, 2026
• Pay Rate: $53.00/hour
• Schedule: Set rotation based on business needs
• Business Hours: Monday–Friday, 7:00 AM–8:00 PM EST; Saturday–Sunday, 7:00 AM–4:30 PM EST
• Training: Monday–Friday, 9:00 AM–5:30 PM EST for the first 8 weeks
• Interview: Virtual interview with supervisors via Microsoft Teams
• Employment: Opportunity for full-time employment contingent on performance

Key Responsibilities

• Accurately set up and process Medicare Part D cases.
• Review clinical information, internal notes, and fax requests.
• Apply clinical judgment when reviewing cases and making decisions.
• Ensure decisions comply with Medicare guidelines, CMS requirements, and applicable drug compendia.
• Contact providers when additional clinical information is required.
• Maintain accurate and concise documentation.
• Meet CMS-mandated timelines and departmental productivity and quality standards.
• Follow established work instructions and evolving Medicare guidance.
• Participate in feedback and development discussions with supervisors.

Required Qualifications

• Bachelor's degree in Pharmacy or PharmD.
• Active Pharmacist license in good standing in the state of residence.
• Strong computer skills and ability to navigate multiple applications.
• Knowledge of Excel and Word required.
• Ability to work independently in a productivity-driven environment.
• Strong attention to detail and accuracy.
• Ability to remain focused and work without interruptions throughout an 8-hour shift.
• Previous data-entry experience is preferred.
• Knowledge of Access, PowerPoint, and Visio is preferred.
• Previous Managed Care/PBM experience is preferred.

Work-from-Home Requirements

Candidates must have:

• A dedicated, quiet, separate workspace.
• Wired internet with a minimum of 25 Mbps download / 5 Mbps upload.
• Ability to work using multiple computer applications and two screens.
• Ability to remain on camera during training, supervisor meetings, and team meetings.
• Reliable attendance and availability throughout the training period.

Training & Schedule Requirements

Attendance is extremely important during the initial 8–10 weeks of training.

Candidates must be available Monday–Friday, 9:00 AM–5:30 PM EST for the first 8 weeks and should not have planned vacation or time off during this period.

After training, shifts will be assigned according to business needs and may include one weekend day or a weekend rotation, with an assigned 8-hour shift falling between the applicable business hours.

Resume Submission Requirements

At the top of the resume, candidates must include:

1. Internet speed test screenshot
• Minimum: 25 Mbps download / 5 Mbps upload
• Speed test can be completed through Speedtest.net
2. Active Pharmacist license screenshot
• Must clearly show the candidate's name, state, license information, and dates demonstrating that the license is active.

Please review with candidate, complete, and copy on top of resume.

1. Attendance is extremely important, especially during the initial 8-10 weeks of training. The new hire must be
available M-F from 9am-5:30pm EST for the first 8 weeks (no vacation time planned). Do you have any conflicts with the training schedule or time off planned during assignment duration?
2. After training, shifts will be assigned based on business needs and will include either 1 weekend day, or a weekend rotation*** Do you have any conflicts working an assigned 8-hour shift between 7 AM to 8PM EST?
3. This is a work from home (WFH) position for which you must have a dedicated quiet, separate space to work. Do you have a dedicated, quiet separate space in which to work?
4. Do you have wired internet meeting 25 mbps min download and 5 mbps minimum upload speed? Please include a screen shot of internet speed.
5. Must be able to sit and focus on work for the duration of shift. Are you able to sit and focus with no interruptions for entire shift?
6. Data entry and navigating multiple computer applications while utilizing two screens is the primary function
of job (possible outbound calls needed). A job history demonstrating this is recommended. Do you have data entry experience?
7. Do you have an active Pharmacist license in good standing in the state you live in?
8. Are you able to work independently and successfully in a data entry, productivity driven role?
9. As a company we strive for a team that is engaged and positive so candidates that demonstrate this would be ideal. Do you feel you have the engagement and positive attitude to work this assignment?

Clinical Pharmacist Advisor – Medicare

Remote | Full-Time Contract | Opportunity for Full-Time Employment

Position Overview

A-Line Staffing is seeking a Licensed Registered Pharmacist for a fully remote Clinical Pharmacist Advisor – Medicare position supporting Medicare Part D members and providers.

The pharmacist will review Medicare appeals and pharmacy benefit requests, evaluate clinical information, make accurate case decisions, document findings, and contact providers when additional clinical information is needed.

Managed Care/PBM experience is preferred, but not required.

Job Details

• Position: Clinical Pharmacist Advisor – Medicare
• Work Arrangement: 100% Remote
• Start Date: October 26, 2026
• Pay Rate: $53.00/hour
• Schedule: Set rotation based on business needs
• Business Hours: Monday–Friday, 7:00 AM–8:00 PM EST; Saturday–Sunday, 7:00 AM–4:30 PM EST
• Training: Monday–Friday, 9:00 AM–5:30 PM EST for the first 8 weeks
• Interview: Virtual interview with supervisors via Microsoft Teams
• Employment: Opportunity for full-time employment contingent on performance

Key Responsibilities

• Accurately set up and process Medicare Part D cases.
• Review clinical information, internal notes, and fax requests.
• Apply clinical judgment when reviewing cases and making decisions.
• Ensure decisions comply with Medicare guidelines, CMS requirements, and applicable drug compendia.
• Contact providers when additional clinical information is required.
• Maintain accurate and concise documentation.
• Meet CMS-mandated timelines and departmental productivity and quality standards.
• Follow established work instructions and evolving Medicare guidance.
• Participate in feedback and development discussions with supervisors.

Required Qualifications

• Bachelor's degree in Pharmacy or PharmD.
• Active Pharmacist license in good standing in the state of residence.
• Strong computer skills and ability to navigate multiple applications.
• Knowledge of Excel and Word required.
• Ability to work independently in a productivity-driven environment.
• Strong attention to detail and accuracy.
• Ability to remain focused and work without interruptions throughout an 8-hour shift.
• Previous data-entry experience is preferred.
• Knowledge of Access, PowerPoint, and Visio is preferred.
• Previous Managed Care/PBM experience is preferred.

Work-from-Home Requirements

Candidates must have:

• A dedicated, quiet, separate workspace.
• Wired internet with a minimum of 25 Mbps download / 5 Mbps upload.
• Ability to work using multiple computer applications and two screens.
• Ability to remain on camera during training, supervisor meetings, and team meetings.
• Reliable attendance and availability throughout the training period.

Training & Schedule Requirements

Attendance is extremely important during the initial 8–10 weeks of training.

Candidates must be available Monday–Friday, 9:00 AM–5:30 PM EST for the first 8 weeks and should not have planned vacation or time off during this period.

After training, shifts will be assigned according to business needs and may include one weekend day or a weekend rotation, with an assigned 8-hour shift falling between the applicable business hours.

Resume Submission Requirements

At the top of the resume, candidates must include:

1. Internet speed test screenshot
• Minimum: 25 Mbps download / 5 Mbps upload
• Speed test can be completed through Speedtest.net
2. Active Pharmacist license screenshot
• Must clearly show the candidate's name, state, license information, and dates demonstrating that the license is active.

Please review with candidate, complete, and copy on top of resume.

1. Attendance is extremely important, especially during the initial 8-10 weeks of training. The new hire must be
available M-F from 9am-5:30pm EST for the first 8 weeks (no vacation time planned). Do you have any conflicts with the training schedule or time off planned during assignment duration?
2. After training, shifts will be assigned based on business needs and will include either 1 weekend day, or a weekend rotation*** Do you have any conflicts working an assigned 8-hour shift between 7 AM to 8PM EST?
3. This is a work from home (WFH) position for which you must have a dedicated quiet, separate space to work. Do you have a dedicated, quiet separate space in which to work?
4. Do you have wired internet meeting 25 mbps min download and 5 mbps minimum upload speed? Please include a screen shot of internet speed.
5. Must be able to sit and focus on work for the duration of shift. Are you able to sit and focus with no interruptions for entire shift?
6. Data entry and navigating multiple computer applications while utilizing two screens is the primary function
of job (possible outbound calls needed). A job history demonstrating this is recommended. Do you have data entry experience?
7. Do you have an active Pharmacist license in good standing in the state you live in?
8. Are you able to work independently and successfully in a data entry, productivity driven role?
9. As a company we strive for a team that is engaged and positive so candidates that demonstrate this would be ideal. Do you feel you have the engagement and positive attitude to work this assignment?