Texas Licensed Clinical Pharmacist

Job Summary

Supporting Medicare Part D members and providers, the remote Clinical Pharmacist Advisor will review pharmacy benefit requests, ensure accurate case processing, and make clinically appropriate decisions in accordance with Medicare guidelines on a contract basis.

Key Responsibilities

• Review Medicare Part D appeals and pharmacy benefit requests for accuracy and completeness
• Evaluate clinical documentation and internal case notes to support appropriate case decisions
• Contact healthcare providers to obtain additional clinical information when needed

Required Qualifications

• Bachelor's Degree in Pharmacy or Doctor of Pharmacy (PharmD)
• Active pharmacist license in good standing in the state of residence
• Verifiable High School Diploma or GED
• Strong clinical judgment and attention to detail
• Ability to work independently in a remote environment while meeting productivity and quality expectations