Remote Lab Data Entry Jobs in Gilbert, AZ (NOW HIRING)

Pay: From $53.00 per hour

Job description:

Clinical Pharmacist Advisor – Medicare Part D Appeals

Fully Remote

Position Overview

A-Line Staffing Solutions is seeking Licensed Registered Pharmacists for a fully remote Clinical Pharmacist Advisor – Medicare position supporting Medicare Part D members and providers.

This role is focused on Medicare appeals case setup, clinical review, documentation, provider outreach, and accurate decision-making in accordance with Medicare/CMS guidelines.

This is a productivity- and quality-driven remote position with a strong emphasis on accuracy, attendance, clinical judgment, and meeting regulatory timelines.

• Potential opportunity for full-time employment based on performance

Work Location

• 100% Remote / Work From Home
• No onsite requirement
• Candidate must have a dedicated, quiet workspace
• Candidate must have wired internet meeting:
• Minimum 25 Mbps download
• Minimum 5 Mbps upload
• Internet speed test screenshot from Speedtest.net must be included at the top of the resume.

Required License

• Must be a Licensed Registered Pharmacist
• Must have an active license in good standing in the candidate's state of residence
• Screenshot of active pharmacist license must be included at the top of the resume
• License screenshot must clearly show candidate name, state, expiration/date information, and active status

Education

• Bachelor's degree in Pharmacy or PharmD required
• Verifiable High School Diploma or GED required

Schedule

Training:

• Monday–Friday
• 9:00 AM – 5:30 PM EST
• Training attendance is extremely important during the initial 8–10 weeks
• Candidates must be available for the first 8 weeks of training
• No planned vacation/time off during the initial training period

Post-Training:

• 8-hour shifts assigned based on business needs
• Business hours:
• Monday–Friday: 7:00 AM – 8:00 PM EST
• Saturday–Sunday: 7:00 AM – 4:30 PM EST
• Set schedule/rotation
• Schedule will include either one weekend day or a weekend rotation

Interview Process

• Virtual interviews with supervisors via Microsoft Teams
• Candidates must be on camera during meetings, including:
• Training
• Supervisor meetings
• Team meetings

Key Responsibilities

• Ensure accurate setup and processing of Medicare Part D appeals cases
• Review internal notes, fax requests, and clinical documentation for pertinent information
• Perform clinical review and make accurate decisions regarding pharmacy benefit requests
• Apply clinical judgment and pharmacy knowledge when evaluating cases
• Review requests in accordance with:
• Medicare Part D requirements
• CMS guidance
• Applicable drug compendia
• Departmental work instructions
• Contact providers when additional clinical information is needed
• Document all case activity clearly, concisely, and accurately
• Meet CMS-mandated case processing timelines
• Maintain departmental productivity and quality standards
• Navigate multiple computer applications while utilizing two monitors
• Perform high-volume data entry and documentation
• Participate in coaching, development discussions, and feedback sessions with the direct supervisor
• Maintain a positive, engaged, and collaborative approach while working independently

Preferred Experience & Skills

• Previous experience in a Managed Care or PBM environment preferred
• Medicare Part D experience is highly desirable
• Medicare appeals experience is a plus
• Prior authorization/utilization management experience is beneficial
• Strong clinical documentation skills
• Strong data entry experience
• Comfortable working in a productivity-driven environment
• Ability to navigate multiple computer applications simultaneously
• Strong knowledge of:
• Microsoft Word
• Microsoft Excel
• Microsoft PowerPoint
• Microsoft Access — preferred
• Microsoft Visio — preferred
• Strong computer literacy
• Excellent written and verbal communication skills

Previous Managed Care/PBM experience is preferred but not required.

Candidate Requirements

Candidates must be able to answer YES to the following:

• Can you commit to Monday–Friday, 9:00 AM–5:30 PM EST for the first 8 weeks of training with no planned vacation or time off?
• Are you available to work an assigned 8-hour shift between 7:00 AM and 8:00 PM EST, including one weekend day or weekend rotation after training?
• Do you have a dedicated, quiet, separate workspace for working from home?
• Do you have wired internet with at least 25 Mbps download and 5 Mbps upload?
• Can you provide a screenshot of your internet speed test?
• Are you able to sit and remain focused on work for the duration of your shift without interruptions?
• Do you have experience with data entry and navigating multiple computer applications, including working with two screens?
• Do you hold an active Pharmacist license in good standing in your state of residence?
• Are you comfortable working independently in a data-entry and productivity-driven environment?
• Are you comfortable participating in camera-on training, supervisor meetings, and team meetings?

Resume Submission Requirements — IMPORTANT

The following must be placed at the TOP of every submitted resume:

1. Internet Speed Test

Include a screenshot from www.speedtest.net showing:

• Download speed
• Upload speed

Minimum requirement: 25 Mbps download / 5 Mbps upload

2. Pharmacist License

Include a screenshot of the candidate's active pharmacist license showing enough information to verify:

• Candidate name
• State
• License information
• Active status
• Relevant dates/expiration

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Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: Remote