Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : Smithfield,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

Which clinical skills are essential to excel as a Clinical Pharmacist Advisor Medicare in Smithfield, RI??

Mastery in Medicare Part D regulations, strong clinical judgment, and expertise in drug compendia are critical. Given the remote nature of this Smithfield-based role, pharmacists must also be adept at managing case setups and clinical reviews independently, ensuring compliance with CMS guidelines while supporting Medicare members effectively.

How does the Clinical Pharmacist Advisor Medicare role differ from other pharmacy positions in terms of daily responsibilities??

Unlike typical pharmacy roles, this position focuses heavily on Medicare Part D appeals, clinical review, and provider outreach for drug coverage determinations. It involves a blend of clinical evaluation and regulatory adherence, requiring attention to CMS-mandated timelines and documentation accuracy, which sets it apart from general dispensing or hospital pharmacist duties.

What career advancement paths exist for someone working as a Clinical Pharmacist Advisor Medicare??

This role at A-line Staffing Solutions offers growth potential within pharmacy benefit management and Medicare consulting. Progression can lead to senior clinical specialist roles, pharmacy advisory positions, or managerial tracks overseeing clinical review teams, especially leveraging experience in Medicare Part D compliance and pharmacy care representation.

In what ways does A-line Staffing Solutions support the professional development of their Clinical Pharmacist Advisors Medicare??

A-line Staffing Solutions fosters career growth through exposure to a Fortune 500 client base and offers benefits after 90 days. Their remote work setup encourages independent clinical judgment, while the company’s structure supports skill enhancement in Medicare appeals and pharmacy benefit management, positioning advisors for future leadership opportunities.

How competitive is the Clinical Pharmacist Advisor Medicare role at A-line Staffing Solutions in the Smithfield, RI job market??

While Smithfield has a stable demand for Medicare-focused clinical pharmacists, competition is moderate due to the specialized skill set required. A-line Staffing Solutions attracts candidates seeking remote, contract-based roles with a strong emphasis on Medicare Part D expertise, making it an appealing choice amid regional healthcare staffing trends.

What should candidates expect regarding the hourly wage for Clinical Pharmacist Advisor Medicare jobs in Smithfield, RI??

Positions like this typically offer competitive hourly rates, with this role providing $53.00 per hour, reflecting the specialized knowledge of Medicare Part D and clinical pharmacy review. This wage aligns with local market standards for pharmacists working remotely in Medicare consulting and benefit management sectors.

Are there specific licensure or certification requirements unique to Clinical Pharmacist Advisor Medicare jobs in Rhode Island??

An active pharmacist license in Rhode Island is mandatory. Additionally, familiarity with Medicare Part D guidelines and CMS compliance is vital. Certifications related to pharmacy benefit management or clinical pharmacy specialization can enhance candidacy, especially given the regulatory nature of the role in this locale.

What technology or workspace setup is expected for the remote Clinical Pharmacist Advisor Medicare position at A-line Staffing Solutions??

Candidates must maintain a dedicated, quiet workspace with reliable high-speed internet to meet CMS communication and documentation standards. Proficiency with digital pharmacy benefit systems and remote clinical review tools is essential, ensuring seamless support for Medicare members and providers from Smithfield or other locations.

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