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Varite

Pharmacist - Clinical Pharmacist Advisor Medicare #

$59.50 - $71.75/hr

As a Clinical Pharmacist Advisor - Medicare B Operations , you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused ...

Managed Staffing

Clinical Pharmacist - Medicare

TX · Remote

$57 - $58/hr

Clinical Pharmacist Advisor - Medicare Part D (Remote) Location: Fully Remote (U.S. based) Pay Rate: $57.31/hr (W2) Duration: 6 months contract (extension/full-time possible) About the Role Join a ...

Verda Healthcare Inc

Event Coordinator

Carrollton, TX · On-site

... Medicare Advisor with in-language support to community members with questions about their Medicare options. · Schedule and coordinate health events held at the community centers. This includes ...

New

US Tech Solutions

Pharmacist - Medicare Part D

$59.50 - $71.75/hr

Pharmacist Advisor As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. Responsibilities: * You will be ...

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How much do medicare advisor jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for medicare advisor in the United States is $25.93, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $29.81 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Medicare advisor position, and why are they important?

To thrive as a Medicare Advisor, a strong understanding of Medicare regulations, health insurance plans, and client consultation is essential, often requiring a valid health insurance license. Familiarity with customer relationship management (CRM) software and online enrollment platforms is typically expected. Exceptional communication, active listening, and problem-solving skills help advisors build trust and effectively guide clients through complex choices. These competencies are critical for ensuring clients select appropriate coverage, remain compliant, and feel supported throughout the process.

What is a Medicare advisor?

A Medicare Advisor helps individuals understand their Medicare options, including Original Medicare, Medicare Advantage, and supplemental plans. They assess clients' healthcare needs, explain coverage choices, and assist with enrollment. Advisors may work independently or for insurance companies, ensuring clients select the best plan based on their medical and financial situation. Their goal is to simplify the Medicare process and provide personalized guidance.

What are the typical daily responsibilities of a Medicare advisor?

Medicare Advisors spend much of their day meeting with clients to assess healthcare needs, explain Medicare options, and assist with plan selection and enrollment. They frequently review new policies, stay updated on regulatory changes, and complete required documentation or follow-ups. Collaboration with other insurance agents, healthcare providers, and support staff is common, especially when addressing unique client questions. This role also often involves proactive outreach to both new and existing clients to ensure they maintain appropriate coverage and are satisfied with their plans.

How do I become a Medicare advisor?

To become a Medicare advisor, you typically need to obtain a health insurance license by completing pre-licensing education and passing a licensing exam. Many advisors also pursue certifications such as the Certified Medicare Advisor (CMA) or Certified Senior Advisor (CSA) to enhance credibility. Strong knowledge of Medicare policies, good communication skills, and ongoing education are important for success in this role.

Do Medicare advisors get paid?

Medicare advisors typically earn commissions or fees based on the insurance plans they sell or recommend. Compensation can come from insurance companies or clients, and advisors often need to be licensed and certified to provide advice and sell plans. Their income may vary depending on sales performance and the structure of their employment or independent practice.
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Medicare Advisor jobs near you
Infographic showing various Medicare Advisor job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $53,941 per year, or $25.9 per hour.

Pharmacist - Clinical Pharmacist Advisor Medicare #

US Tech Solutions

Remote

$59.50 - $71.75/hr

Other

Posted 12 days ago

Job description

Clinical Pharmacist Advisor – Medicare B Operations

Duration: 12 months

Position Summary: As a Clinical Pharmacist Advisor – Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused medications covered under their medical benefits. Responsibilities include reviewing clinical information, making accurate coverage decisions, conducting provider outreach when additional information is needed, and ensuring compliance with drug compendia, Medicare guidelines, CMS-mandated timelines, and internal quality standards. This role requires strong attention to detail, professional verbal and written communication skills, and the ability to problem-solve in a highly regulated, fast-paced environment. This is a great opportunity to build a career with a leading healthcare company while reviewing and processing Medicare Part B requests and delivering a best-in-class service experience.

Key Responsibilities
  • Case Review and Processing
  • Process incoming coverage-related requests from members and prescribers.
  • Accurately set up cases, review documentation, and follow work instructions to ensure timely and accurate processing.
  • Read, analyze, and interpret business and medical correspondence, technical procedures, and Medicare regulations to support decision-making.
  • Outreach and Information Gathering
  • Conduct outbound calls to members and providers to obtain missing or additional information required to complete requests.
  • Communicate clearly, professionally, and empathetically while maintaining a positive business image.
  • Documentation, Accuracy, and Compliance
  • Provide clear, concise, and accurate documentation of all case activity across systems.
  • Ensure cases are properly closed and meet CMS-mandated timelines, productivity expectations, and quality standards.
  • Apply clinical judgment and knowledge while utilizing drug compendia resources, evolving work instructions, and CMS Medicare guidance.
  • Continuous Learning and Development
  • Acquire and maintain working knowledge of evolving work instructions, systems, and Medicare guidance.
  • Participate in coaching, feedback, and professional development discussions with leadership.
Required Education
  • Bachelor's degree in pharmacy or Pharm.D. required.
  • Must hold an active pharmacist license in good standing in the state of residence.

About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com. US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.

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About US Tech Solutions

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US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

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