Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : North Smithfield,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 North Smithfield, 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

Which specific clinical skills are essential for excelling as a Clinical Pharmacist Advisor Medicare??

Mastery in evaluating Medicare Part D pharmacy benefits and coverage, along with strong clinical review abilities, is crucial. The role demands proficiency in interpreting drug compendia, applying clinical judgment, and managing pharmacy benefit requests efficiently in compliance with CMS guidelines.

How does the Clinical Pharmacist Advisor Medicare role in North Smithfield differ from similar positions in other states??

In North Smithfield, RI, pharmacists must hold an active state license and adapt to local regulatory nuances. The region's cost of living and healthcare infrastructure influence salary scales and job demand, while the remote nature of this role provides flexibility uncommon in more urbanized areas.

What growth opportunities are available for a Clinical Pharmacist Advisor Medicare beyond entry-level responsibilities??

Beyond initial duties, advancing pharmacists can explore leadership in clinical pharmacy management, specialize in Medicare consulting, or transition into pharmaceutical medical advisor roles. Gaining expertise in pharmacy benefit management enhances prospects within Fortune 500 companies like A-line Staffing Solutions.

Are there unique challenges faced by Clinical Pharmacist Advisors working remotely for companies like A-line Staffing Solutions in Rhode Island??

Remote work demands a distraction-free environment and reliable high-speed internet to handle detailed Medicare appeal reviews. Maintaining productivity and quality standards independently, without direct supervision, can be challenging but rewarding for disciplined clinical pharmacists.

How competitive is the hiring market for Medicare pharmacist positions around the North Smithfield and Woonsocket metro area??

Demand for Medicare-focused clinical pharmacists is moderately high due to the aging population and expanding Medicare Part D programs. However, competition remains steady as candidates require specialized PharmD credentials and experience in pharmacy benefit management to stand out locally.

Does the Clinical Pharmacist Advisor Medicare position at A-line Staffing Solutions offer benefits typically found in full-time pharmaceutical roles??

Yes, full-time contractors become eligible for benefits after 90 days, including health coverage and a 401(k) plan with company matching after one year. Such perks align with industry standards, enhancing job stability and long-term financial planning for clinical pharmacists.

What salary range can a Clinical Pharmacist Advisor Medicare expect in North Smithfield, and how does $53 per hour compare??

An hourly rate of $53 aligns well with market expectations for clinical pharmacist advisors in Rhode Island, reflecting competitive compensation for remote Medicare-related roles. Considering local living costs and role specialization, this wage offers attractive earning potential for qualified professionals.

In what ways does A-line Staffing Solutions tailor the Clinical Pharmacist Advisor Medicare role to support career progression??

A-line Staffing Solutions partners with Fortune 500 clients, providing exposure to large-scale clinical pharmacy operations. Their contract roles emphasize skill development in Medicare Part D appeals and pharmacy benefit management, paving pathways toward senior clinical or advisory pharmacist positions.

How does working as a Clinical Pharmacist Advisor Medicare at A-line Staffing Solutions differ from hospital pharmacist roles in Rhode Island??

Unlike hospital pharmacists focused on inpatient care, this role centers on Medicare Part D coverage reviews and remote clinical case management. It requires in-depth knowledge of pharmacy benefit structures and regulatory compliance, offering a more consultative and policy-driven work environment.

What local certifications or licenses enhance a Clinical Pharmacist Advisor Medicare's credibility in North Smithfield, RI??

Holding an active Rhode Island pharmacist license is mandatory. Additional certifications in managed care pharmacy or Medicare-specific training can boost credibility. Participation in state pharmacy boards or continuing education on CMS regulations also strengthens a candidate's qualifications locally.

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