Remote Clinical Pharmacist Advisor – Medicare
Pay: $53.00 - $56/hour
Location: Remote (Work From Home)
Contract to Hire Potential
Start Date: September 7th or 28th, 2026
A-Line Staffing is currently seeking experienced Clinical Pharmacists for a fully remote opportunity supporting Medicare Part D members with one of the nation's leading healthcare organizations. This is an excellent opportunity to join a growing team with the potential for long-term employment based on performance.
Position Overview
As a Clinical Pharmacist Advisor, you will review Medicare Part D pharmacy benefit requests, evaluate clinical documentation, collaborate with healthcare providers, and ensure timely, accurate case decisions in accordance with CMS guidelines.
Responsibilities
- Review Medicare Part D appeals and prior authorization requests
- Evaluate clinical documentation for completeness and accuracy
- Contact providers when additional clinical information is required
- Document case activity clearly and accurately
- Apply clinical judgment using Medicare guidelines and drug compendia
- Meet quality, productivity, and turnaround time expectations
- Maintain compliance with CMS regulations and internal policies
Qualifications
- Active Pharmacist license in good standing in your state of residence
- Bachelor's Degree in Pharmacy or PharmD
- Previous Managed Care or PBM experience preferred
- Strong clinical decision-making skills
- Excellent computer proficiency, including Microsoft Office
- Knowledge of Excel, PowerPoint, Access, and Visio is a plus
- Ability to work independently in a fast-paced remote environment
Schedule
Training (First 8 Weeks)
- Monday-Friday
- 9:00 AM – 5:30 PM EST
- Attendance during training is mandatory.
After Training
- Assigned 8-hour shifts
- Operating hours:
- Monday-Friday: 7:00 AM – 8:00 PM EST
- Saturday & Sunday: 7:00 AM – 4:30 PM EST
- Weekend rotation or one weekend day may be required.
Remote Work Requirements
Candidates must have:
- Dedicated, quiet workspace
- Wired high-speed internet
- Minimum internet speed:
- 25 Mbps Download
- 5 Mbps Upload
- Dual monitor capability
- Ability to remain on camera during training and team meetings
Required Submission Items
To be considered, please include:
- Updated resume
- Screenshot of active pharmacist license
- Screenshot of internet speed test
- Confirmation of availability for the full training schedule
Why Apply?
- Fully remote opportunity
- National healthcare organization
- Gain valuable Medicare/PBM experience
- Potential for long-term employment based on performance
If you're a licensed pharmacist looking for a rewarding remote opportunity, apply today to be considered for this upcoming class starting September 7th or 28th, 2026.