Pharmacist

Job Description

Job 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.

Duties and Responsibilities:

• You will be responsible for accurate case set up, review of clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidelines, CMS-mandated timelines, and internal quality standards.
  You will demonstrate 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 initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of Medicare Part B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.

Education & License:

• Bachelor’s degree in pharmacy or Pharm D. required.
• Must have an active license in good standing in state of residence.

Experience:

• Previous experience in managed care, PBM environment, institutional healthcare, pharmacy, or related experience (preferred).