Rhode Island Licensed Clinical Pharmacist

A company is looking for a Pharmacist - Clinical Pharmacist Advisor (Medicare).

Key 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

Accurately document all Medicare Part D requests and maintain compliance with CMS-mandated timelines

Required Qualifications

Bachelor's Degree in Pharmacy or Doctor of Pharmacy (PharmD) required

Active pharmacist license in the state of residence required

Proven ability to apply clinical judgment and interpret drug compendia resources

Prior experience in Medicare Part D, clinical review, or pharmacy benefit management preferred