Remote Pharmacist

A-Line Staffing is now hiring a Pharmacist -Medicare Part D- Clinical Review Specialist. This would be full time / 40+ hours per week. Pharmacist -Medicare Part D- Clinical Review Specialist Hours START DATE- 11/09 8-10 weeks of training - M-F - 9am-5:30pm EST (no vacation time planned). 40 hours per week, potential overtime Must be able to work ANY 8 hour shift from 7am - 8pm EST Monday – Friday 7am - 430pm EST Sat and Sunday. Rotating weekends FULLY REMOTE Pharmacist -Medicare Part D- Clinical Review Specialist Compensation The pay for this position is between $53.00 an hour Benefits are available to full-time employees after 90 days of employment A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. 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 Licensed Pharmacist Experience with PBMS, Utilization Management or Prior Authorization review highly prefer #aline03 #J-18808-Ljbffr