Remote Medicare Part D Pharmacist

Role Overview

Are you a detail-driven pharmacist with a passion for improving lives through innovative medication management systems? Take charge of your future as a Remote Medicare Part D Pharmacist and become part of a team that is reshaping how pharmacy services support Medicare beneficiaries across the nation. This is your chance to work at the cutting edge of technology-enabled healthcare from the comfort of your home, while helping to advance safer, smarter, and more efficient drug utilization.

With an annual salary of $126,701, this remote opportunity provides not just financial reward but also the satisfaction of contributing meaningfully to public health and policy-driven pharmacy care. Our company is scaling rapidly, and this role is crucial in optimizing Medicare Part D plan management, improving compliance, and driving clinical excellence across virtual networks.

Key Responsibilities

Prescription Benefit Plan Oversight

• Conduct clinical reviews for formulary compliance and medication therapy management (MTM) programs.
• Evaluate and manage prescription drug plans under Medicare Part D, ensuring alignment with CMS regulations.
• Identify high-risk medications and recommend safer alternatives using drug-interaction software.

Clinical Interventions and Patient Safety

• Utilize electronic prior authorization systems to streamline the approval process.
• Offer virtual consults and collaborate with prescribers to promote rational prescribing.
• Support transitions of care through e-prescribing tools and telehealth channels

Data Analytics & Reporting

• Analyze member data trends, claim histories, and pharmacy utilization using predictive analytics tools.
• Generate detailed performance reports for CMS submissions
• Utilize clinical rules engines to refine decision-making frameworks for patient interventions

Compliance & Regulatory Management

• Stay current with CMS guidelines, including STAR Ratings and quality measures.
• Ensure Medicare Part D documentation is accurate and audit-ready
• Track regulatory updates and adjust internal procedures accordingly

Cross-Functional Collaboration

• Liaise with medical directors, IT engineers, and benefit design teams to improve formularies
• Integrate clinical insights into population health dashboards and pharmacy benefit dashboards.
• Drive outcomes by contributing pharmacist expertise in multidisciplinary strategic meetings

Dynamic Work Environment

This remote position offers a unique blend of flexibility and impact, enabling professionals to manage their schedules while contributing to national healthcare innovation. You will thrive in an agile, fully digital ecosystem built on modern communication tools like Microsoft Teams, Slack, and integrated EMR systems.

What You Can Expect:

• Clear workflows using tech-enhanced drug review systems
• Performance tracking via secure dashboards and quality benchmarks
• Opportunity to influence large-scale healthcare outcomes from your remote workspace

Tools & Technologies

In this role, you'll leverage leading-edge technologies that streamline prescription review and compliance processes. Familiarity with these systems will help you excel:

• Real-Time Benefit Tools (RTBT) for drug cost transparency
• Pharmacy Benefit Management (PBM) platforms like Medispan, First Databank, and CoverMyMeds
• Business Intelligence Dashboards for KPIs and MTM performance tracking
• FHIR-based Interoperability Tools enabling seamless patient data access
• Clinical Decision Support Systems (CDSS) such as TherigySTM or Micromedex

Candidate Profile

Essential Qualifications

• Doctor of Pharmacy (PharmD) or equivalent degree from an accredited institution
• Active, unrestricted pharmacist license in at least one U.S. state
• Minimum of 3 years’ experience in Medicare Part D clinical operations, formulary review, or MTM
• In-depth knowledge of CMS Part D guidelines, regulations, and reporting requirements
• Proficiency with clinical review software and digital drug databases

Preferred Attributes

• Certification in Medication Therapy Management (MTM-C)
• Experience with EMR systems and telepharmacy workflows
• Strong analytical mindset with comfort using Excel, Tableau, or other data visualization tools
• Excellent written communication skills and attention to detail in compliance documentation

Benefits That Inspire

Our compensation package is designed to support your well-being, both personally and professionally. Join us and enjoy a forward-thinking benefits structure that supports your ambitions:

• Fully Remote Setup with provided tech equipment
• 401(k) with Company Matching to invest in your future
• Generous PTO Policy with floating holidays and wellness days
• Comprehensive Healthcare plans, including dental and vision
• Professional Development Credits for continuing education and certifications

Innovation in Action

Our organization utilizes data-informed strategies to make a significant impact on millions of Medicare enrollees. Last year alone, our pharmacy tech team automated over 70% of coverage determinations, resulting in an average of 2.4 days of therapy delays saved for patients. We are proud to use technology to bring pharmacists closer to patients, virtually and effectively.

Through ongoing collaboration with developers and health economists, we are piloting predictive adherence tools that proactively reach out to patients flagged as high-risk. Pharmacists in this role are instrumental in advising on drug coverage, optimizing therapeutic alternatives, and leading medication safety strategies that scale.

Growth Opportunities

We actively support the long-term professional development of every team member. From internal mobility pathways to mentorship initiatives and certification sponsorships, you'll find many ways to broaden your skills and deepen your impact.

• Transition into clinical leadership or regulatory compliance management
• Collaborate in cross-functional research for CMS innovation models
• Contribute to AI-driven medication adherence initiatives

Ready to Elevate Your Pharmacy Career?

Make a difference without stepping outside your door. Join a mission-driven team that combines clinical excellence with next-gen technology to serve Medicare beneficiaries better. If you're ready to work at the intersection of pharmacy and innovation, this is the opportunity you've been waiting for.

Take the next step today. Submit your application today and contribute your knowledge to a team that values precision, passion, and progress.