Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : Providence,RI

Job Type : Full Time

Salary : $53.00 per hour

Date Posted : 2 December 2025

A-Line Staffing Solutions https://cdn.haleymarketing.com/templates/61804/logos/alinestaffing-hml.png http://www.alinestaffing.com http://www.alinestaffing.com true

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 competitive is the market for Clinical Pharmacist Advisor Medicare roles in Providence, RI??

Providence's healthcare sector has a growing demand for Clinical Pharmacist Advisors specializing in Medicare, driven by an aging population. Competition remains moderate, with preference for candidates holding active pharmacist licenses and Medicare experience, making it essential to highlight specialized skills and clinical judgment in applications.

Are there specific certifications favored for Clinical Pharmacist Advisor Medicare positions in Rhode Island??

In Rhode Island, employers highly value candidates with a PharmD and a valid state pharmacist license. Additionally, familiarity with CMS guidelines and Medicare Part D appeals processes enhances employability, reflecting the region's emphasis on compliance and clinical expertise in pharmacy benefit management.

What skill set distinguishes a Clinical Pharmacist Advisor Medicare from other clinical pharmacy roles??

Expertise in Medicare Part D benefit interpretation and appeal reviews sets this role apart, alongside strong clinical judgment and proficiency with drug compendia. Unlike broader clinical pharmacist positions, this advisor role demands nuanced knowledge of CMS regulations and the ability to liaise effectively with providers and members.

In what ways can a Clinical Pharmacist Advisor Medicare expect to grow their career??

Advancement opportunities often lead to managerial or specialist roles in pharmacy benefit management or pharmaceutical consulting. Gaining deeper familiarity with Medicare policies and expanding provider network coordination skills can propel career trajectory toward leadership within healthcare organizations or Fortune 500 companies.

How does the Clinical Pharmacist Advisor Medicare job at A-line Staffing Solutions Llc differ from other pharmacy advisor roles??

This position uniquely offers remote work flexibility while requiring adherence to CMS-mandated timelines for Medicare Part D appeals. The contract nature coupled with competitive hourly pay emphasizes a results-driven environment, contrasting with some advisory roles that may be more office-based or permanent.

What unique benefits might A-line Staffing Solutions Llc provide to Clinical Pharmacist Advisors specializing in Medicare??

Beyond competitive hourly wages, A-line Staffing offers full-time contract employees access to benefits after 90 days, including a 401(k) with company matching after one year. Such incentives align with retention strategies in competitive pharmacy advisory fields within remote work settings.

What is the salary expectation for a Clinical Pharmacist Advisor Medicare in Providence, RI??

For this role, candidates can anticipate an hourly wage around $53.00, reflecting market standards for specialized Medicare pharmacy advisors in Providence. This rate balances the expertise required for clinical review and the flexibility of remote, contract-based employment.

How does clinical judgment impact daily responsibilities for a Clinical Pharmacist Advisor Medicare??

Clinical judgment is crucial for interpreting complex drug compendia and making coverage determinations compliant with CMS standards. This skill ensures accurate Medicare appeals review and effective provider communication, directly influencing patient outcomes and regulatory adherence.

What working conditions should a Clinical Pharmacist Advisor Medicare expect when employed by A-line Staffing Solutions Llc??

Expect a primarily remote setup demanding a quiet, dedicated workspace with reliable internet. Business hours include extended coverage on weekdays and weekends under rotation, emphasizing autonomy and self-discipline within a full-time, contract framework.

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