Pharmacist - Clinical Pharmacist Advisor Medicare

Job Title: Clinical Pharmacist Advisor – Medicare
Location: RI – 02895 (Work From Home)
Contract: 6 month+
Shift: 7 AM–8 PM EST (rotational schedule)
Pay: $50/hr

Key Responsibilities

• Review and process Medicare Part D pharmacy benefit requests with speed and accuracy.
• Evaluate internal notes and fax requests for clinical details and ensure cases are set up correctly.
• Use sound clinical judgment and Medicare compendia to make case decisions.
• Conduct outreach to providers when additional information is needed.
• Document findings and decisions clearly, adhering to all CMS-mandated timelines.
• Maintain departmental productivity and quality standards.
• Collaborate with your team and leadership to support continuous process improvements.

• Education: Bachelor’s Degree in Pharmacy or PharmD.
• License: Active, unrestricted Pharmacist License in state of residence.
• Screenshot of active license (with name, dates, and state) required at top of resume.
• Proficiency in Excel, Word, Access, PowerPoint, and Visio (preferred).
• Strong data entry and multitasking skills — ability to work across multiple applications simultaneously.
• Previous experience in Managed Care/PBM is a plus.

• Wired internet connection with minimum 25 Mbps download / 5 Mbps upload.
• Speedtest screenshot required on top of resume (
  www.speedtest.net
  )
• Dedicated, quiet workspace with minimal interruptions.
• Comfortable sitting and focusing for the full shift.
• Dual-screen setup recommended for optimal performance.

• Training: 8–10 weeks | Monday–Friday, 9 AM – 5:30 PM EST (no time off during this period).
• Post-training, shifts will be assigned based on business needs, including 1 weekend day or rotational weekends.
• Attendance during training is non-negotiable.

• Each candidate must answer yes/no + explanation to the following on the top of their resume:
• Can you commit to the full training schedule with no time off?
• Do you have any conflicts with assigned shifts between 7 AM–8 PM EST?
• Do you have a quiet, dedicated home office space?
• Do you meet the wired internet requirements and can provide a screenshot?
• Are you able to work uninterrupted throughout your shift?
• Do you have prior data entry experience?
• Do you hold an active Pharmacist license in your state of residence? (screenshot required)
• Are you comfortable working independently in a productivity-driven environment?
• Do you bring a positive, engaged, and team-oriented attitude to your work?