Remote Pharmacist Advisor – Medicare PBM (PA)

A-Line Staffing Solutions; Houston (TX); Remote; USD 61,992 - 84,033; Full time

Benefits offered by this job

Benefits after 90 days

401(k) with company match

Job summary

A-Line Staffing Solutions is seeking Pharmacists for remote work-from-home positions. Responsibilities include evaluating prior authorization requests, rendering coverage determinations, and coordinating with providers to obtain necessary information. Positions support Medicare Part D beneficiaries and require strong knowledge of PBM processes.

Openings include various shifts; candidates must be licensed and comfortable working from a home office with reliable internet access.

Qualifications

• Must be licensed Pharmacist in the state you reside in.
• Prior Authorization experience – PBM (not retail).
• Home office/ability to work from home with ethernet.

Responsibilities

• Evaluate and review all prior authorization requests and render coverage determinations.
• Coordinate with providers and health plans to obtain information as needed.
• Ensure decisions comply with Medicare guidance and timelines.

Skills

Licensed Pharmacist

PA/BPM experience

WFH setup

Job description

A-Line Staffing Solutions is seeking Pharmacists for remote work-from-home positions. Responsibilities include evaluating prior authorization requests, rendering coverage determinations, and coordinating with providers to obtain necessary information. Positions support Medicare Part D beneficiaries and require strong knowledge of PBM processes.

Openings include various shifts; candidates must be licensed and comfortable working from a home office with reliable internet access.