Pharmacist

Registered Pharmacist (RPh) – Medicare Part D Appeals / Clinical Case Review – Remote Location: Remote (WFH; active pharmacist license in state of residence required) Schedule: Training: M–F 9:00am–5:30pm EST (first 8 weeks). Post-training: rotating 8-hour shifts between 7:00am–8:00pm EST (Mon–Fri) and 7:00am–4:30pm EST (Sat/Sun), including weekend rotation. Pay: $53/hr Build your career in a remote, clinical documentation role supporting Medicare Part D pharmacy benefit requests and appeals. This Registered Pharmacist position focuses on accurate case setup, clinical review and decisioning, provider outreach for missing information, and clear documentation aligned with compendia resources and CMS Medicare guidance. Responsibilities Complete accurate setup and clinical review of Medicare Part D cases/appeals Review faxed requests and internal notes for relevant clinical details Conduct provider outreach to request additional clinical information when needed Document decision rationale clearly and thoroughly for compliance and quality review Follow Medicare guidance, CMS timelines, and detailed work instructions Maintain productivity and quality standards in a metrics-driven environment Participate in feedback/coaching sessions to support continuous improvement Qualifications Active pharmacist license in good standing in state of residence (required) Strong computer literacy and data entry skills; comfortable using dual monitors and multiple systems Proficient with Word and Excel; Access/PowerPoint/Visio preferred Dedicated quiet workspace; able to stay focused for full shifts without interruption Wired internet meeting minimum 25 Mbps download / 5 Mbps upload Able to be on camera for meetings and training; reliable attendance during initial training period *