Clinical Pharmacist Advisor Medicare

A-line Staffing Solutions Llc

Location : Lincoln,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 Lincoln, 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

In what ways does a Clinical Pharmacist Advisor Medicare contribute uniquely to patient care in Lincoln, RI??

This role focuses on supporting Medicare Part D members by reviewing clinical data and ensuring coverage decisions align with CMS guidelines. Their expertise in drug compendia and clinical judgment directly impacts medication management quality for patients within Lincoln, RI's healthcare landscape.

Which competencies should I prioritize to advance as a Clinical Pharmacist Advisor Medicare??

Mastering Medicare Part D regulations, refining clinical review techniques, and enhancing communication with providers are key. Excelling in these areas can unlock career growth and open doors to managerial or specialty pharmacist roles within pharmacy benefit management.

How does the $53 hourly wage for this Clinical Pharmacist Advisor Medicare role compare to similar positions in Rhode Island??

At $53 per hour, this position offers competitive compensation relative to the Rhode Island market, where clinical pharmacist salaries for Medicare-related roles typically range between $48 and $58 hourly, reflecting the specialized expertise required for Medicare appeals and clinical reviews.

What distinct challenges might a Clinical Pharmacist Advisor face working remotely from Lincoln, RI??

Remote work demands a quiet, distraction-free environment and reliable high-speed internet. Balancing independent case review responsibilities with timely documentation and provider outreach requires disciplined time management and self-motivation, especially within the busy Medicare Part D framework.

Are there specific certifications or licenses that increase employability for a Clinical Pharmacist Advisor Medicare in Lincoln, RI??

An active Rhode Island pharmacist license is mandatory. Additionally, credentials like Board Certification in Pharmacotherapy (BCPS) or experience in Medicare Part D clinical review enhance credibility and may give candidates a competitive edge in the local job market.

How is A-line Staffing Solutions Llc tailoring the Clinical Pharmacist Advisor Medicare role to fit their workforce strategy??

A-line Staffing Solutions leverages remote arrangements and contract flexibility for this position, aligning with evolving work trends. Their focus on compliance with CMS standards and productivity targets reflects a commitment to quality and efficiency within a Fortune 500 partnership.

What makes working as a Clinical Pharmacist Advisor Medicare at A-line Staffing Solutions distinct compared to other healthcare staffing firms??

This role offers access to a Fortune 500 client base with structured shift rotations including weekend coverage, emphasizing remote work flexibility. The company also provides benefits after 90 days and a 401(k) match, combining stability with contract-based engagement.

How competitive is the pharmacist job market in Lincoln, RI, particularly for clinical and Medicare-focused roles??

Lincoln, RI exhibits moderate demand for clinical pharmacists versed in Medicare, with increasing emphasis on remote-capable candidates. While competition exists, specialized knowledge in Medicare Part D and pharmacy benefit management enhances hiring prospects significantly.

What typical daily tasks can I expect as a Clinical Pharmacist Advisor Medicare working remotely for A-line Staffing Solutions??

Daily duties include reviewing Medicare Part D appeals, conducting clinical assessments using drug compendia, coordinating with providers for clarifications, and ensuring documentation aligns with CMS timelines. Maintaining productivity and quality in a home workspace is essential.

Does the Clinical Pharmacist Advisor Medicare position at A-line Staffing Solutions offer opportunities for professional development??

Yes, the role is designed with career growth potential within a Fortune 500 environment, encouraging skill enhancement in clinical review processes and pharmacy benefit management, supported by structured performance standards that foster ongoing professional advancement.

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