Pharmacist - Medicare Part D

US Tech Solutions; United States; Remote; USD 75,000 - 100,000; Full time

Job summary

Join a leading healthcare company as an RPh Advisor, where you'll support Medicare Part D members and providers. This role entails ensuring accurate setup of pharmacy benefit cases and compliance with Medicare guidelines, while promoting a best-in-class service experience.

Qualifications

• Previous pharmacy experience in Medicare Part D, PBM, or Prior Authorization.
• Must have an active state license in good standing.
• At least two years’ experience as a pharmacist.

Responsibilities

• Ensure cases are accurately set up for members and review clinical information.
• Perform outreach to providers for additional information when needed.
• Complete timely and accurate documentation of Medicare Part D requests.

Skills

Organizational Skill

Interpersonal Skills

Detail Orientation

Basic Computer Skills

Education

Bachelor's degree in pharmacy or Pharm D.

Job description

Job Description:
As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.


Responsibilities:

• You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
• This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
  

Experience:

• Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization.
• Appropriate state license required.
• Basic computer skills required.
• Strong organizational skill, interpersonal skills and detail orientation important for this position.
• Prior authorization experience is required.
• Medicare Part D
• Pharmacy Benefit Management
• Appropriate state license required.
  

Education:
Bachelor's degree in pharmacy or Pharm D. required with at least two years’ experience as a pharmacist. Must have an active license in good standing.

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.