Rhode Island Licensed Clinical Pharmacist
- Full-time
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
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