Remote Pharmacy Rep II Medicare Coverage Support

NTT DATA, Inc.; Lincoln (RI); Remote; USD 52,000 - 75,000; Full time

Job summary

NTT DATA, Inc. is seeking a Pharmacy Representative II, Remote to support Medicare members, prescribers, and providers by processing coverage-related requests across both phone and fax channels. This role operates within Medicare Part D and related Part B processes.

You will ensure accurate case setup, outreach, documentation, and timely resolution in line with Medicare guidelines, CMS-mandated timelines, and internal quality standards. Work involves inbound/outbound calls and fax-based casework.

Qualifications

• Experience handling Medicare coverage requests.
• Strong communication skills across phone and written channels.
• Meticulous attention to detail and accuracy in case processing.

Responsibilities

• Process coverage-related requests via phone and fax.
• Set up cases accurately and document actions.
• Coordinate outreach and timely resolutions.
• Maintain compliance with CMS timelines.

Skills

Medicare guidelines

Phone and written communication

Attention to detail

Regulatory environment

Job description

NTT DATA, Inc. is seeking a Pharmacy Representative II, Remote to support Medicare members, prescribers, and providers by processing coverage-related requests across both phone and fax channels. This role operates within Medicare Part D and related Part B processes.

You will ensure accurate case setup, outreach, documentation, and timely resolution in line with Medicare guidelines, CMS-mandated timelines, and internal quality standards. Work involves inbound/outbound calls and fax-based casework.