Managed Care Pharmacist – Medicare Part D (Remote)

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Remote RPh Advisor (Licensed Pharmacist, Medicare Part D) / Managed Care Pharmacist – Medicare (Remote)

Pay Rate: $53.00/hour

    Shift Hours:
  • Business Hours: 7 AM – 8 PM EST Monday – Friday
  • Weekend Hours: 7 AM – 4:30 PM EST Saturday & Sunday (Set Rotation)

Location: Fully remote (Work from home)

Job Description:

    As an RPh Advisor, you will directly support Medicare Part D members and providers with requests related to pharmacy benefits. You will be responsible for:
  • Accurately setting up cases for members
  • Reviewing clinical information for decision-making
  • Performing outreach to providers when additional information is needed
  • Ensuring decisions comply with compendia and Medicare guidelines and timelines
  • Maintaining timely and accurate documentation

This role provides an excellent opportunity to advance a career in healthcare while promoting a best-in-class service experience.

Candidate Requirements:

    Mandatory Qualifications:
  • Licensed Registered Pharmacist in state of residence
  • Must have a dedicated, quiet workspace for remote work
  • Must have wired internet with minimum speeds: 25 Mbps download / 5 Mbps upload
  • Strong computer literacy: Excel, Word, familiarity with Access, PowerPoint, and Visio preferred
  • Experience with data entry and multi-application navigation using dual screens
    Training Commitment:
  • Attendance during initial 8-10 weeks of training is critical: M-F, 9 AM – 5:30 PM EST
  • No vacation planned during training
  • Post-training shifts assigned based on business needs may include weekend rotation.

Please Contact:

Katherine Skelton

586-710-0022

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