Supporting Medicare Part D members and providers, the full-time Licensed Clinical Pharmacist Advisor will accurately set up cases, review clinical information, and make pharmacy-related decisions while working remotely during business hours. Key responsibilities Ensure accurate setup of Medicare appeals cases and review clinical information for appropriate decision-making Contact providers for additional clinical information and complete documentation for Medicare Part D requests Utilize drug compendia resources and follow CMS guidelines to ensure compliance with mandated timelines Required qualifications Bachelor's degree in pharmacy; PharmD preferred Active Pharmacist license in good standing in the state of residence Minimum of 2 years of experience in Medicare Part D clinical review and decision-making Experience in Managed Care, PBM, or pharmacy benefits Strong computer literacy, including proficiency in Microsoft Excel and Word
Licensed Clinical Pharmacist Advisor in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.