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PBM Clinical Pharmacist Advisor

A-Line Staffing Solutions LLC
Full-time
On-site
Atlanta, GA
A-Line Staffing is seeking a motivated and detail-oriented * PBM Clinical Pharmacist Advisor. * This role offers career growth, a supportive work environment, and full-time hours (40 per week). * If interested in this * * PBM Clinical Decision Pharmacist position APPLY NOW for IMMEDIATE consideration * * Brittney Blackman | * * * *bblackman@alinestaffing.com* * * * PBM Clinical Decision Pharmacist | Details and Compensation: * * * Location: * Remote * * Payrate: * $53/hr * * Required Availability: * Training Schedule: Mon–Fri, 9:00 AM–5:30 PM EST (12 weeks, no time off allowed during this period) * Business hours: 7am - 8pm EST Monday - Friday and 7am - 430pm EST Sat and Sunday - must have open availability, will have a set assigned schedule * PBM Clinical Decision Pharmacist| Summary and Highlights: * The * PBM Clinical Pharmacist Advisors * will be supporting Medicare Part D prior authorizations. This fully remote, productivity-driven position requires exceptional attention to detail, strong clinical judgment, and the ability to work independently in a fast-paced virtual environment. You’ll play a critical role in reviewing and processing prior authorization requests, conducting provider outreach, and ensuring compliance with Medicare guidelines—all while delivering a best-in-class experience for members and providers. * Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates *PBM Clinical Decision Pharmacist| Responsibilities:* * Process Medicare Part D prior authorization requests * Review clinical data for accuracy, completeness, and compliance * Perform outreach to providers for additional information as needed * Accurately document decisions per compendia and Medicare guidelines * Ensure timelines are met and service expectations exceeded * Navigate multiple computer applications and dual monitors for data entry * Communicate with providers and members by phone and/or secure message *PBM Clinical Decision Pharmacist| Requirements*: * Education: High school diploma or equivalent. * Attendance: Commitment to mandatory attendance during the first 90 days. | Must be available for the full 12-week training period without planned time off * Active Registered Pharmacist license in state of residence (must show active status with dates) * 1 year of experience in pharmacy practice (retail, hospital, PBM, or specialty) required * Prior experience with Medicare Part D or prior authorizations required * Comfortable working remotely with a dedicated workspace and wired internet * Must be able to sit and focus for full shift duration with minimal interruptions * Strong data entry skills and experience navigating multiple systems * Computer literacy: Excel, Word, PowerPoint; Access/Visio a plus * Excellent communication and organizational skills *Remote Work Requirements:* * Must reside within the United States * Dedicated, distraction-free work environment * High-speed, hardwired internet connection required (minimum speed: 25 Mbps download / 5 Mbps upload – screenshot required with resume) * Ability to use employer-provided computer and tech equipment, including a surge protector with network line protection *Take the Next Step *Join a company that values your growth and contributions. If you’re interested in the PBM Clinical Decision Pharmacist role apply now or send a, up-to-date copy of your resume with an internet speed test* *Brittney Blackman | *bblackman@alinestaffing.com* * |*