Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : Woonsocket,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

In what ways does the Clinical Pharmacist Advisor Medicare role in Woonsocket demand specialized knowledge of Medicare Part D??

The role requires deep expertise in Medicare Part D regulations to accurately assess pharmacy benefits, review appeals, and ensure compliance with CMS timelines. This specialized knowledge enables effective support for members and providers navigating complex coverage determinations.

How might a background in clinical pharmacy influence success as a Clinical Pharmacist Advisor Medicare in a remote work setting??

Clinical pharmacy experience sharpens critical thinking and clinical judgment, essential for evaluating drug compendia remotely. The ability to work independently while maintaining attention to detail ensures adherence to quality standards, even without in-person supervision.

Which certifications or licenses are typically expected for a Clinical Pharmacist Advisor Medicare working in Rhode Island??

An active pharmacist license in Rhode Island is mandatory, along with credentials such as PharmD. Familiarity with state-specific pharmacy regulations and ongoing licensure renewal processes are critical to maintain compliance and professional standing in the region.

How competitive is the hiring landscape for clinical pharmacist roles in Woonsocket, RI, especially those focusing on Medicare advisory positions??

Woonsocket's healthcare sector shows steady demand for clinical pharmacists with Medicare expertise, but competition remains moderate due to specialized requirements. Candidates with robust clinical backgrounds and remote work readiness often gain an edge in this market.

What unique advantages does A-line Staffing Solutions offer to Clinical Pharmacist Advisors Medicare compared to other agencies in Woonsocket??

A-line Staffing Solutions connects candidates with Fortune 500 clients, offering contract roles with competitive pay and career growth. Their emphasis on remote work flexibility and comprehensive benefits after 90 days sets them apart in regional pharmacy staffing.

Does A-line Staffing Solutions provide support tailored specifically for clinical pharmacist advisors working under Medicare contracts??

Yes, A-line Staffing Solutions offers dedicated recruitment assistance focused on Medicare-related pharmacist roles. They facilitate streamlined hiring processes and maintain communication to ensure candidates meet clinical review and CMS compliance expectations.

What hourly wage can Clinical Pharmacist Advisor Medicare professionals expect when working remotely in Woonsocket through A-line Staffing Solutions??

This position offers a competitive rate of $53.00 per hour, reflecting the specialized clinical review and Medicare Part D knowledge required. Such compensation aligns well with regional standards for full-time contract pharmacist roles.

How does managing Medicare appeals differ in daily practice for a Clinical Pharmacist Advisor Medicare compared to general clinical pharmacy roles??

Handling Medicare appeals demands stringent adherence to CMS guidelines and precise documentation, with a focus on reimbursement and coverage determinations rather than direct patient care. This shifts the role towards regulatory compliance and provider communication.

What are the main challenges when conducting provider outreach for Medicare clinical clarifications in a fully remote Clinical Pharmacist Advisor Medicare role??

Remote outreach requires excellent communication skills and timely follow-ups to gather additional clinical data. Ensuring clear, concise documentation while navigating virtual interactions can be challenging but is critical for accurate case resolutions.

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