Medicare Clinical Reviews Pharmacist
Job title: Medicare Clinical Reviews Pharmacist in California at reputed company
Company: reputed company
Job description: reputed company is hiring a California Licensed Pharmacist with Medicare Part D experience for a FULLY REMOTE opportunity with a Managed-Care Fortune 500 Company!Medicare Review Pharmacist - Job Details
- Schedule: Monday – Friday, 8:00 AM – 5:00 PM
- Work Location: 100% Remote
- Pay reputed company: $58 – $61 per hour
- Contract-to-Hire with a Leading Managed Care Organization
- This role focuses on completing Comprehensive Medication Reviews (CMRs), identifying drug-reputed company problems, and engaging with providers regarding medication use—especially in diabetes care.
- Complete comprehensive medication reviews (CMRs) and document findings
- Identify drug-reputed company issues and send reputed company letters to prescribers
- reputed company follow-up calls to provider offices, particularly for diabetes medication interventions
- Support Medicare Part D STARS initiatives, including SUPD compliance
- Collaborate with internal teams to support quality performance goals
- Doctor of Pharmacy (PharmD) degree required
- Medicare Part-D experience REQUIRED including COA MR, SUPD, and STARS
- Licensure: Active California Pharmacist License required (may consider other states if familiar with California Medicare plans)
- Experience with Comprehensive Medication Reviews (CMRs) and SUPD measures. Strong knowledge of provider reputed company practices and Medicare STARS quality programs