To support Medicare Part D members and providers, the full-time Clinical Pharmacist Advisor - State Licensed will manage case setups, review clinical information, and ensure compliance with Medicare guidelines in a remote environment. Key responsibilities Ensure accurate setup and clinical review of Medicare appeals cases Document case reviews and clinical decisions in compliance with Medicare guidelines Contact providers to obtain additional clinical details as needed for case decisions Required qualifications Bachelor's degree in pharmacy Active pharmacy license in good standing in the state of residence Minimum of 2 years working experience as a clinical pharmacist Knowledge of Medicare Part D and CMS requirements Ability to document case reviews accurately and meet CMS-mandated timelines
Clinical Pharmacist Advisor - State Licensed in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.