Medicare Pharmacist Advisor
A-Line Staffing Solutions LLC
Atlanta, GA
A-Line Staffing is now hiring a Pharmacist - Clinical Pharmacist Advisor (Medicare)!
The Clinical Pharmacist Advisor will be working for a Fortune 500 Company and has career growth potential. See additional details below.
Pharmacist - Clinical Pharmacist Advisor (Medicare) Highlights
• The pay for this position will be $53.00 per hour..
• Business Hours: 7:00 AM – 8:00 PM EST, Monday through Friday, and 7:00 AM – 4:30 PM EST on Saturday and Sunday (set rotation).
• Remote / Work from Home position.
• Must have a dedicated, quiet workspace and provide proof of internet speed meeting minimum requirements.
• This position is full-time, contract.
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 .
Requirements
• Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
• Active pharmacist license in the state of residence required.
• Proven ability to apply clinical judgment and interpret drug compendia resources.
• Strong attention to detail and ability to work independently in a remote environment.
• Prior experience in Medicare Part D , clinical review , or pharmacy benefit management preferred.
Benefits Available
• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with company match is available for full-time employees with 1 year of service on our eligibility dates.
If you are interested in this Pharmacist - Clinical Pharmacist Advisor (Medicare) position, APPLY or contact
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About the Company
A-Line Staffing Solutions LLC
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals