Remote Clinical Pharmacist Advisor

Job Title : Remote Clinical Pharmacist Advisor – Medicare Part D Support

Pay Rate : $53 per hour

Schedule : Rotational shifts within business hours

Monday–Friday : 7 : 00 AM – 8 : 00 PM EST

Saturday–Sunday : 7 : 00 AM – 4 : 30 PM EST

Training Schedule : M–F, 9 : 00 AM–5 : 30 PM EST for first 8–10 weeks (attendance mandatory, no time off permitted)

Employment Type : Contract-to-Hire

Location : Remote (must reside in the U.S. and hold an active pharmacist license in your state of residence)

Position Overview

The Clinical Pharmacist Advisor will play a vital role in supporting Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, analyzing clinical information, and ensuring compliance with Medicare and CMS guidelines . This position emphasizes accuracy, attention to detail, and strong data entry skills within a productivity-driven environment.

You’ll be responsible for setting up cases, reviewing internal notes and faxed requests, performing outreach to providers for additional details when necessary, and ensuring all case decisions are accurate and timely. This is an excellent opportunity to build a long-term career with a leading healthcare organization committed to patient care and clinical excellence.

Key Responsibilities

Review and process Medicare Part D requests for pharmacy benefits.

Accurately document case details in compliance with Medicare, CMS, and company standards .

Analyze clinical data using drug compendia and clinical judgment .

Conduct outreach to providers or members to obtain necessary clinical information.

Ensure compliance with CMS-mandated turnaround times and departmental quality metrics.

Collaborate with team members and supervisors for continuous improvement and professional development.

Qualifications

Education : Bachelor’s degree in Pharmacy or Pharm.D. required.

Licensure : Active, unrestricted Registered Pharmacist license in state of residence (screenshot of active license must be included with resume).

Experience :

1–2 years of pharmacy, managed care, or PBM experience preferred.

Proven ability to work in data entry-heavy, computer-based roles .

Technical Skills :

Proficiency in Microsoft Excel and Word (required).

Familiarity with Access, PowerPoint, and Visio (preferred).

Ability to navigate multiple computer systems simultaneously.

Work Environment : Must have a dedicated, quiet workspace and wired internet connection meeting minimum 25 Mbps download and 5 Mbps upload speeds (screenshot required).

Pre-Interview Screening Questions

Please review and include answers at the top of your resume :

Are you available M–F from 9am–5 : 30pm EST for the first 8–10 weeks of training?

Do you have any conflicts working an 8-hour shift between 7am–8pm EST, including potential weekend rotation?

Do you have a dedicated, quiet, separate workspace at home?

Do you have wired internet meeting 25 Mbps download / 5 Mbps upload? (Include screenshot.)

Are you able to sit and focus for an entire shift without interruptions?

Do you have prior data entry experience and the ability to use dual monitors?

Do you have an active pharmacist license in good standing in your state of residence? (Include screenshot.)

Are you comfortable working independently in a productivity-driven environment?

Do you demonstrate a positive and engaged attitude suited for this role?

Why Join Us

Competitive pay and potential for full-time employment based on performance.

Opportunity to work with a national leader in healthcare .

Remote work flexibility and structured training for professional growth.

Supportive, collaborative team culture emphasizing accuracy, engagement, and excellence .

Apply Today :

If you meet the qualifications and are ready to make a meaningful impact supporting Medicare members through clinical expertise and precise documentation, apply and feel free to reach out to Pierce Jones at

pjones@alinestaffing.com