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Remote Clinical Pharmacist Advisor – Medicare

Pay: $53.00 - $56/hour

Location: Remote (Work From Home)

Contract to Hire Potential

Start Date: September 7th or 28th, 2026

A-Line Staffing is currently seeking experienced Clinical Pharmacists for a fully remote opportunity supporting Medicare Part D members with one of the nation's leading healthcare organizations. This is an excellent opportunity to join a growing team with the potential for long-term employment based on performance.

Position Overview

As a Clinical Pharmacist Advisor, you will review Medicare Part D pharmacy benefit requests, evaluate clinical documentation, collaborate with healthcare providers, and ensure timely, accurate case decisions in accordance with CMS guidelines.

Responsibilities

• Review Medicare Part D appeals and prior authorization requests
• Evaluate clinical documentation for completeness and accuracy
• Contact providers when additional clinical information is required
• Document case activity clearly and accurately
• Apply clinical judgment using Medicare guidelines and drug compendia
• Meet quality, productivity, and turnaround time expectations
• Maintain compliance with CMS regulations and internal policies

Qualifications

• Active Pharmacist license in good standing in your state of residence
• Bachelor's Degree in Pharmacy or PharmD
• Previous Managed Care or PBM experience preferred
• Strong clinical decision-making skills
• Excellent computer proficiency, including Microsoft Office
• Knowledge of Excel, PowerPoint, Access, and Visio is a plus
• Ability to work independently in a fast-paced remote environment

Schedule

Training (First 8 Weeks)

• Monday-Friday
• 9:00 AM – 5:30 PM EST
• Attendance during training is mandatory.

After Training

• Assigned 8-hour shifts
• Operating hours:
• Monday-Friday: 7:00 AM – 8:00 PM EST
• Saturday & Sunday: 7:00 AM – 4:30 PM EST
• Weekend rotation or one weekend day may be required.

Remote Work Requirements

Candidates must have:

• Dedicated, quiet workspace
• Wired high-speed internet
• Minimum internet speed:
• 25 Mbps Download
• 5 Mbps Upload
• Dual monitor capability
• Ability to remain on camera during training and team meetings

Required Submission Items

To be considered, please include:

• Updated resume
• Screenshot of active pharmacist license
• Screenshot of internet speed test
• Confirmation of availability for the full training schedule

Why Apply?

• Fully remote opportunity
• National healthcare organization
• Gain valuable Medicare/PBM experience
• Potential for long-term employment based on performance

If you're a licensed pharmacist looking for a rewarding remote opportunity, apply today to be considered for this upcoming class starting September 7th or 28th, 2026.

Remote Clinical Pharmacist Advisor – Medicare

Pay: $53.00 - $56/hour

Location: Remote (Work From Home)

Contract to Hire Potential

Start Date: September 7th or 28th, 2026

A-Line Staffing is currently seeking experienced Clinical Pharmacists for a fully remote opportunity supporting Medicare Part D members with one of the nation's leading healthcare organizations. This is an excellent opportunity to join a growing team with the potential for long-term employment based on performance.

Position Overview

As a Clinical Pharmacist Advisor, you will review Medicare Part D pharmacy benefit requests, evaluate clinical documentation, collaborate with healthcare providers, and ensure timely, accurate case decisions in accordance with CMS guidelines.

Responsibilities

• Review Medicare Part D appeals and prior authorization requests
• Evaluate clinical documentation for completeness and accuracy
• Contact providers when additional clinical information is required
• Document case activity clearly and accurately
• Apply clinical judgment using Medicare guidelines and drug compendia
• Meet quality, productivity, and turnaround time expectations
• Maintain compliance with CMS regulations and internal policies

Qualifications

• Active Pharmacist license in good standing in your state of residence
• Bachelor's Degree in Pharmacy or PharmD
• Previous Managed Care or PBM experience preferred
• Strong clinical decision-making skills
• Excellent computer proficiency, including Microsoft Office
• Knowledge of Excel, PowerPoint, Access, and Visio is a plus
• Ability to work independently in a fast-paced remote environment

Schedule

Training (First 8 Weeks)

• Monday-Friday
• 9:00 AM – 5:30 PM EST
• Attendance during training is mandatory.

After Training

• Assigned 8-hour shifts
• Operating hours:
• Monday-Friday: 7:00 AM – 8:00 PM EST
• Saturday & Sunday: 7:00 AM – 4:30 PM EST
• Weekend rotation or one weekend day may be required.

Remote Work Requirements

Candidates must have:

• Dedicated, quiet workspace
• Wired high-speed internet
• Minimum internet speed:
• 25 Mbps Download
• 5 Mbps Upload
• Dual monitor capability
• Ability to remain on camera during training and team meetings

Required Submission Items

To be considered, please include:

• Updated resume
• Screenshot of active pharmacist license
• Screenshot of internet speed test
• Confirmation of availability for the full training schedule

Why Apply?

• Fully remote opportunity
• National healthcare organization
• Gain valuable Medicare/PBM experience
• Potential for long-term employment based on performance

If you're a licensed pharmacist looking for a rewarding remote opportunity, apply today to be considered for this upcoming class starting September 7th or 28th, 2026.