Remote Pharmacist

Key Responsibilities Review Medicare Part D coverage determination and appeals cases. Evaluate clinical documentation and internal case notes for completeness and accuracy. Contact healthcare providers to obtain additional clinical information when necessary. Apply clinical judgment using Medicare guidelines and drug compendia. Ensure all cases meet CMS turnaround time requirements. Maintain accurate documentation within internal systems. Meet departmental productivity and quality metrics. Participate in coaching sessions, development discussions, and performance feedback. Work independently while managing multiple systems and applications.