Remote Clinical Pharmacist Advisor – Medicare

About the Job

We’re looking for a licensed Clinical Pharmacist Advisor to support Medicare Part D members and providers with pharmacy benefit requests.

This role involves clinical review, accurate case documentation, provider outreach, and ensuring compliance with CMS Medicare guidelines and timelines.

You’ll play an important part in ensuring patients receive timely, high-quality care while contributing to a best-in-class service experience.

This is a 6-month contract to start with the opportunity to transition into full-time employment based on performance.

What’s in it for you?

• $54 – $57 per hour (W2 contract)

• Fully remote – work from home anywhere in the U.S.

• Set rotation schedule within business hours:

Monday – Friday: 7am–8pm EST

Saturday – Sunday: 7am–4:30pm EST

• 8 weeks of paid training (9am–5:30pm EST)

• Thanksgiving and Christmas off

• Weekly pay schedule

What You’ll Be Doing:

• Review Medicare Part D member requests, ensuring cases are accurately set up

• Apply clinical judgment using compendia resources and Medicare guidance

• Perform outreach to providers when additional clinical details are required

• Document case decisions clearly, completely, and in compliance with CMS requirements

• Ensure all cases meet regulatory timelines, productivity, and quality standards

• Participate in feedback discussions with leadership to support ongoing development

What You’ll Need:

• Active Pharmacist license in your state of residence

• Bachelor’s degree in Pharmacy or PharmD required

• Previous experience in Managed Care or PBM environment

• Proficiency in Microsoft Word and Excel (Access, PowerPoint, and Visio a plus)

• Strong attention to detail, organizational skills, and clinical judgment

Ready to Apply?

Take the next step in your career and make a meaningful impact on patient care.

👉 Please either hit the ‘Apply For This Job’ button or email Jenn at Recruiter@CareDynamicsFL.com