Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : Cumberland,RI

Job Type : Full Time

Salary : $53.00 per hour

Date Posted : 2 December 2025

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Clinical Pharmacist Advisor Medicare job in Cumberland, RI, US

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May Street Woonsocket , RI 02895 US

*Pharmacist - Clinical Pharmacist Advisor Medicare

May Street Woonsocket , RI 02895 US

Posted: 11/19/2025 2025-11-19 2025-12-20 Category: CVS RAMP, Pharmacy Job Number: 162284

Job Description

A-Line Staffing is now hiring a Pharmacist - Clinical Pharmacist Advisor (Medicare)!

The Clinical Pharmacist Advisor will be working for a Fortune 500 Company and has career growth potential. See additional details below.

Pharmacist - Clinical Pharmacist Advisor (Medicare) Highlights

• The pay for this position will be $53.00 per hour.

•Business Hours:7:00 AM – 8:00 PM EST, Monday through Friday, and 7:00 AM – 4:30 PM EST on Saturday and Sunday (set rotation).

•Remote / Work from Homeposition.

• Must have adedicated, quiet workspaceand provide proof of internet speed meeting minimum requirements.

• This position isfull-time, contract.

Responsibilities

• SupportMedicare Part D members and providerswith pharmacy benefit and coverage determination requests.

• Ensureaccurate case setupand completeclinical review of Medicare appealsin compliance with CMS guidelines.

• Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.

• Conduct provider outreach for additional clinical clarification when necessary.

• Accurately document all Medicare Part D requests and maintain compliance withCMS-mandated timelines.

• Meet or exceed departmentalproductivity and quality standards.

Requirements

• Bachelor’s Degree in Pharmacy orDoctor of Pharmacy (PharmD)required.

•Active pharmacist licensein the state of residence required.

• Proven ability to applyclinical judgmentand interpret drug compendia resources.

• Strong attention to detail and ability to work independently in a remote environment.

• Prior experience inMedicare Part D,clinical review, orpharmacy benefit managementpreferred.

Benefits Available

• Benefits are available to full-time employees after 90 days of employment.

• A401(k) with company matchis available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in thisPharmacist - Clinical Pharmacist Advisor (Medicare)position,APPLYor contactkvaughn@alinestaffing.com

A-Line Staffing is now hiring a Pharmacist - Clinical Pharmacist Advisor (Medicare)!

The Clinical Pharmacist Advisor will be working for a Fortune 500 Company and has career growth potential. See additional details below.

Pharmacist - Clinical Pharmacist Advisor (Medicare) Highlights

• The pay for this position will be $53.00 per hour.

•

Business Hours:7:00 AM – 8:00 PM EST, Monday through Friday, and 7:00 AM – 4:30 PM EST on Saturday and Sunday (set rotation).

•

Remote / Work from Homeposition.

• Must have a

dedicated, quiet workspaceand provide proof of internet speed meeting minimum requirements.

• This position is

full-time, contract.

Responsibilities

• Support

Medicare Part D members and providerswith pharmacy benefit and coverage determination requests.

• Ensure

accurate case setupand complete

clinical review of Medicare appealsin compliance with CMS guidelines.

• Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.

• Conduct provider outreach for additional clinical clarification when necessary.

• Accurately document all Medicare Part D requests and maintain compliance with

CMS-mandated timelines.

• Meet or exceed departmental

productivity and quality standards.

Requirements

• Bachelor’s Degree in Pharmacy or

Doctor of Pharmacy (PharmD)required.

•

Active pharmacist licensein the state of residence required.

• Proven ability to apply

clinical judgmentand interpret drug compendia resources.

• Strong attention to detail and ability to work independently in a remote environment.

• Prior experience in

Medicare Part D,

clinical review, or

pharmacy benefit managementpreferred.

Benefits Available

• Benefits are available to full-time employees after 90 days of employment.

• A

401(k) with company matchis available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in this

Pharmacist - Clinical Pharmacist Advisor (Medicare)position,

APPLYor contact

kvaughn@alinestaffing.com

Meet Your RecruiterMari Vaughn

Recruiting Assistant

Recruiting Assistant

Are you sure you want to apply for this job?

Please take a moment to verify your personal information and resume are up-to-date before you apply.

Freqently Asked Questions

How does the Clinical Pharmacist Advisor Medicare role integrate clinical judgment with Medicare Part D policies??

This position demands applying expert clinical judgment alongside a thorough understanding of Medicare Part D guidelines. Advisors must interpret drug compendia accurately to ensure benefits align with CMS regulations, thereby supporting optimal medication management for Medicare beneficiaries.

What qualifications elevate a candidate's suitability for a Clinical Pharmacist Advisor specializing in Medicare coverage??

Candidates with a PharmD, an active pharmacist license, and experience in pharmacy benefit management or Medicare Part D clinical reviews stand out. Mastery in interpreting drug information and working independently in remote setups is critical for this advisory role.

In what ways can working as a Clinical Pharmacist Advisor Medicare in Cumberland, RI, influence career trajectory within pharmacy consulting??

Engagement with a Fortune 500 company in Cumberland offers exposure to complex clinical scenarios, fostering skills in Medicare appeals and pharmacy benefit strategies. This role can act as a springboard toward leadership or specialized consultancy roles in pharmaceutical care.

Could you clarify how A-line Staffing Solutions Llc supports Clinical Pharmacist Advisors Medicare in remote roles??

A-line Staffing Solutions ensures remote pharmacists have the necessary infrastructure, including quiet workspaces and reliable internet. They maintain structured schedules and provide benefits such as 401(k) matching after tenure, supporting both professional and personal growth.

What distinguishes the Clinical Pharmacist Advisor Medicare role at A-line Staffing Solutions Llc from similar positions in the healthcare staffing market??

This role uniquely blends contract-based flexibility with competitive pay around $53/hr and weekend rotations. Working remotely for a high-profile client offers pharmacists autonomy alongside structured clinical responsibilities, a balance rare in many staffing firms.

How competitive is the hiring landscape for clinical pharmacist positions specializing in Medicare within Cumberland, RI??

Cumberland’s growing healthcare sector shows steady demand for Medicare-focused clinical pharmacists, yet competition remains moderate. Candidates with specialized Medicare Part D experience and strong clinical review skills are more likely to secure roles amid local market dynamics.

Are there regional certifications or pharmacy licensure nuances in Rhode Island that impact Clinical Pharmacist Advisor roles??

Rhode Island mandates an active state pharmacist license for clinical roles. While no unique Medicare-specific certifications exist, familiarity with CMS guidelines and pharmacy benefit management enhances a candidate’s edge in this market.

Does the hourly wage of $53 for this Clinical Pharmacist Advisor Medicare position align with Cumberland, RI’s typical pharmacist salaries??

An hourly rate of $53 is competitive within Cumberland’s pharmaceutical job market, reflecting the specialized Medicare advisory skill set required. This rate exceeds average pharmacist wages locally, acknowledging the advanced clinical expertise and remote work flexibility.

What daily responsibilities can a Clinical Pharmacist Advisor Medicare expect while working remotely for A-line Staffing Solutions Llc??

Typical tasks include reviewing Medicare Part D appeals, ensuring compliance with CMS timelines, conducting provider outreach for clinical clarification, and managing coverage determinations. Remote work demands disciplined time management and strong communication skills.

How does A-line Staffing Solutions Llc structure full-time contract pharmacist roles to ensure productivity and quality standards??

They implement clear productivity benchmarks and quality metrics aligned with CMS mandates. Regular performance tracking and access to clinical resources empower pharmacists to meet rigorous standards even in remote contract engagements.

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