A-Line Staffing is now a Remote RPH Advisor. This would be full time / 40+ hours per week.
If you are interested in thisRemote RPH Advisor Opportunity, please contact Michelleat 586-422-1171or Mmansoor@alinestaffing.com
Remote RPH Advisor Availability
8 weeks of training. The new hire must be available M-F from 9am-5:30pm EST for the first 8 weeks (no vacation time planned).
Hours after training will be any 8-hour shift from 8am to 8pm EST/CST with rotating weekends
Remote RPH Advisor Compensation
The pay for this position is $51.58 per hour
Benefits are available to full-time employees after 90 days of employment
A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Remote RPH Advisor Responsibilities
As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.
You will be responsible for ensuring cases are accurately set up for our members, review 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 guidance and timelines.
This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements
Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes
Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests
Remote RPH Advisor Requirements
Licensed Pharmacist in state candidate resides in
2-5 years of experience highly preferred in Medicare Part D
Knowledge of Access, Power Point, and Visio is preferable.
Must be computer literate – knowledge of Excel and Word.
If you think this Remote RPH Advisor Position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!
Seniority level
Entry level
Employment type
Full-time
Job function
Sales and Business Development
Industries
Staffing and Recruiting
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