Medicare Part D Clinical Pharmacist Advisor

US Tech Solutions; Rhode Island; On-site; USD 110,000 - 140,000; Full time

Job summary

US Tech Solutions is seeking a Clinical Pharmacist Advisor Medicare to support Medicare Part D members and providers with pharmacy benefits requests. You will set up cases, review clinical information for decisioning, and reach out to providers to obtain needed details, ensuring decisions comply with compendia and Medicare guidance.

This 12-month contract offers a hands-on role in a leading healthcare company, focusing on accurate documentation and timely processing of Part D requests while

Qualifications

• Pharmacist licensed in good standing in the state of residence.
• Bachelor's degree in pharmacy or PharmD required.
• Experience in Managed Care/PBM preferred.

Responsibilities

• Review Medicare Part D requests and ensure accurate case setup.
• Perform clinical information review and provide decision support.
• Coordinate with providers for additional information and ensure CMS timelines are met.
• Document all actions clearly to support compliant decisions.

Skills

Pharmacist

Prior Authorization

PA Request

Medicare Part D

Pharmacy Benefit management

PBM

Managed care

Education

Bachelor's degree in pharmacy or Pharm D.

Job description

US Tech Solutions is seeking a Clinical Pharmacist Advisor Medicare to support Medicare Part D members and providers with pharmacy benefits requests. You will set up cases, review clinical information for decisioning, and reach out to providers to obtain needed details, ensuring decisions comply with compendia and Medicare guidance.

This 12-month contract offers a hands-on role in a leading healthcare company, focusing on accurate documentation and timely processing of Part D requests while