Jobs in Pacifica California Online

2,758 positions found — Page 6

Travel Nurse - Registered Nurse - ICU - Intensive Care Unit - $2181 / Week
✦ New
$2,181
San Francisco, CA 1 day ago

Coast Medical Service is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in San Francisco, CA. Shift: 4x8 hr flex Start Date: 04/20/2026 Duration: 12 weeks Pay: $2181 / Week

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!

About Coast Medical Service:

Coast Medical Service is a customer driven healthcare staffing company focused on per diem and travel nursing opportunities in Greater Los Angeles. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class healthcare to patients.

Since 1979, Coast Medical Service has worked hard to provide RN’s a professionally and financially rewarding experience in a personally fulfilling work environment. We are fanatical about improving the quality of healthcare. We focus on your expectations to find the assignments that will best suit your needs. Our RN’s can enjoy many benefits, including:
  • Flexible Schedule
  • Personalized Attention
  • High Pay
  • Ability to choose from multiple assignments
  • Work alongside top professionals in world class facilities
Not Specified
Travel Nurse - RN - OR - Operating Room - $2467 / Week - Hiring Now
✦ New
🏢 BluePipes
$2,467
San Francisco, CA 1 day ago

Fusion Medical Staffing is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in San Francisco, CA. Shift: Inquire Start Date: 04/20/2026 Duration: 13 weeks Pay: $2467 / Week

Travel OR RN

Company: Fusion Medical Staffing

Location: Facility in San Francisco, California

Job Details

Fusion Medical Staffing is seeking a skilled Operating Room RN for a 13-week travel assignment in San Francisco, California. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.

Required Qualifications:
  • One year of recent experience as an Operating Room RN
  • Valid RN license in compliance with state regulations
  • Current BLS certification (AHA/ARC)
Preferred Qualifications:
  • ACLS (AHA/ARC), PALS (AHA/ARC) or ENPC certifications
  • OR Nursing Certification (CNOR)
  • Other certifications and licenses may be required for this position
Summary:

The Operating Room Registered Nurse provides comprehensive patient care throughout the perioperative process, ensuring the safety and comfort of patients during surgical procedures. This role involves preparing the operating room, managing surgical equipment, and collaborating with the surgical team to ensure high-quality, patient-centered care. The OR RN collaborates with multidisciplinary teams and adheres to the highest standards of patient safety, infection control, and professional ethics in a dynamic surgical environment.

Essential Work Functions:
  • Prepares the operating room by ensuring all required instruments, equipment, and sterile supplies are ready and functional for each surgical procedure
  • Assists in positioning and preparing patients for surgery, addressing concerns and ensuring comfort and safety according to procedural requirements
  • Maintains a sterile field throughout surgical procedures and adheres to infection control protocols and sterile technique
  • Anticipates the needs of the surgical team, providing instruments, supplies, and support promptly to maintain efficient workflow
  • Monitors the patient's condition during surgery, documenting significant changes and notifying the surgeon
  • Handles surgical instruments and supplies, ensuring their proper use, sterilization, and disposal according to facility protocols
  • Manages specimen collection, labeling, and transport according to facility protocols, ensuring accurate diagnostic results
  • Documents all aspects of patient care in the perioperative setting accurately and thoroughly
  • Participates in patient handoff communication during pre- and post-operative phases, ensuring continuity of care
  • Assists in cleaning and restocking the operating room between cases, adhering to infection control and turnover protocols
  • Collaborates with the surgical team to ensure compliance with facility policies, procedures, and standards
  • Follows hospital safety rules and procedures, including proper use of PPE and infection prevention measures
  • Performs other duties as assigned within the scope of practice
Required Essential Skills:
  • Critical thinking, service excellence, and good interpersonal communication skills
  • The ability to read, write, and communicate in the English language
  • Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills
  • Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend
  • Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism
  • Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment
  • Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail
  • Sensory - Must possess visual acuity and ability to effectively communicate
Benefits Include:
  • Highly competitive pay for travel professionals
  • Comprehensive medical, dental, and vision insurance with first day coverage
  • Paid Time Off (PTO) after 1560 hours
  • Life and Short-term disability offered
  • 401(k) matching
  • Aggressive Refer-a-friend Bonus Program
  • 24/7 recruiter support
  • Reimbursement for licensure and CEUs
Why Choose Fusion?

At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you — that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.

Other Duties Disclaimer:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.

Start your rewarding career as a Travel Operating Room RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!

*Fusion is an EOE/E-Verify Employer


About Fusion Medical Staffing:

Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs. Fusion staffs a variety of specialties within the nursing and allied healthcare fields. We offer competitive pay packages and benefits that travelers deserve. At Fusion, you can seriously choose your own adventure!

Fusion's purpose is to ensure that everyone we touch has a better life. We strive to be humble, driven and positive in all our actions!

Specialty Fields:

  • Cardiopulmonary
  • Cath Lab
  • Home Health
  • Laboratory
  • Long Term care
  • Nursing
  • Radiology
  • Therapy
Not Specified
Travel Nurse - RN - OR - Operating Room - $3252 / Week
✦ New
🏢 BluePipes
$3,252
San Francisco, CA 1 day ago

Coast Medical Service is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in San Francisco, CA. Shift: 4x10 hr days Start Date: 04/20/2026 Duration: 13 weeks Pay: $3252 / Week

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!

About Coast Medical Service:

Coast Medical Service is a customer driven healthcare staffing company focused on per diem and travel nursing opportunities in Greater Los Angeles. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class healthcare to patients.

Since 1979, Coast Medical Service has worked hard to provide RN’s a professionally and financially rewarding experience in a personally fulfilling work environment. We are fanatical about improving the quality of healthcare. We focus on your expectations to find the assignments that will best suit your needs. Our RN’s can enjoy many benefits, including:
  • Flexible Schedule
  • Personalized Attention
  • High Pay
  • Ability to choose from multiple assignments
  • Work alongside top professionals in world class facilities
Not Specified
Travel Nurse - RN - ER - Emergency Room - $2591 / Week
✦ New
🏢 BluePipes
$2,591
San Francisco, CA 1 day ago

Stability Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in San Francisco, CA. Shift: 3x12 hr flex Start Date: 04/20/2026 Duration: 13 weeks Pay: $2591 / Week

About Stability Healthcare:

Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great opportunities throughout the United States. We are recognized in the industry, not by our size, but the quality of our professionals, committed service, staff and consultative approach.

As a dedicated healthcare professional, you want choices in your profession – choices that suit your lifestyle, your professional goals, and your personal needs. Stability believes that our Customers and Nurses come first! You deserve a healthcare staffing company that delivers on its promises – excellent compensation, personalized service and support every step of the way. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!
Not Specified
Travel Nurse - RN - Case Manager - $2884 / Week
✦ New
🏢 BluePipes
$2,884
San Francisco, CA 1 day ago

LRS Healthcare - Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in San Francisco, CA. Shift: Inquire Start Date: 04/20/2026 Duration: 13 weeks Pay: $2884 / Week

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture. What are you waiting for? Apply today!

Qualifications:
  • 2 year of recent experience in area of specialty preferred
  • Valid license and/or certification in state of practice, if applicable
  • Demonstrated ability to maintain high level of professionalism during stressful times
  • Valid Driver's License
  • Background and drug screen
Benefits:
  • Health, Dental, and Vision Insurance
  • Customized Housing Options
  • Life and Disability Insurance
  • 401(k) with Employer Match
  • Certification & Licensure Reimbursement
  • Generous Referral Bonus Program
  • Weekly Direct Deposit
  • 24/7/365 Support
Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!

About LRS Healthcare - Nursing:

At LRS Healthcare, we match skilled nursing professionals with top facilities nationwide. We know the healthcare industry never stands still, and neither do we. Our team of specialized recruiters professionals will help you find the travel healthcare job you’ve always wanted. And when you do, we’ll be there to support you whenever you need us, every step of the way.

Not Specified
Remote Inside Sales Representative {168055}
✦ New
Salary not disclosed
Atlanta, Remote 1 day ago
Sales Specialist (Remote) { 168055} Pay Rate: $17/hour Schedule: Monday – Friday, Day Shift Position Summary The Sales Specialist is responsible for conducting initial and follow-up sales calls with prospective and existing customers.

This role focuses on delivering a high-quality, customer-first experience by providing product education, addressing customer needs, and ensuring satisfaction throughout the sales process.

The ideal candidate demonstrates professionalism, empathy, and strong communication skills while meeting performance and sales goals.

Key Responsibilities Conduct inbound and outbound sales calls with prospective and current customers Educate customers on product lines including ostomy, urology, Purewick, and related medical supplies Identify customer needs and recommend appropriate solutions Address and resolve customer concerns in a timely and professional manner Accurately document all interactions, issues, and resolutions in CRM and call tracking systems Meet or exceed performance targets, including call volume, sales goals, and customer satisfaction metrics Ensure compliance with company standards, including HIPAA regulations, insurance protocols, and call scripting guidelines Collaborate with internal teams to resolve order issues and provide seamless customer support Additional Responsibilities Communicate with customers via phone, email, and web chat Maintain accurate and detailed customer records to support follow-up and service quality Contribute to a positive, team-oriented work environment Perform additional duties as assigned Qualifications Education & Experience: High school diploma or GED required 1–2 years of related sales or customer service experience preferred Skills & Abilities: Strong verbal and written communication skills Ability to explain technical or medical product information clearly Basic to intermediate math skills (discounts, percentages, commissions) Strong problem-solving and critical-thinking abilities Proficiency in Microsoft Office (Word, Excel) and CRM systems Familiarity with call center or dialer systems preferred Work Requirements Availability to work occasional evenings, weekends, or overtime as needed Work Environment (Remote) Must work from a private, quiet, and distraction-free environment Reliable high-speed internet is required Ability to remain seated and use a computer and phone for extended periods Physical Requirements Regularly required to sit, speak, and listen Frequent use of hands for computer and phone work
*
Remote working/work at home options are available for this role.
Not Specified
Remote Clinical Pharmacist Advisor- Medicare
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
Job Title: Remote Clinical Pharmacist Advisor – Medicare (Contract-to-Hire) Location: Remote (Must reside and be licensed in state of residence) Pay Rate: $53/hour Job Type: Contract-to-Hire Schedule: Business Hours are 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday.

Set Rotation Start Date : May 11th or 18th Position Overview We are seeking an experienced Clinical Pharmacist Advisor – Medicare to join a high-performing, remote clinical review team.

This role focuses on prior authorizations, coverage determinations, and Medicare Part D reviews in a fast-paced, production-driven environment.

This is an excellent opportunity for pharmacists with managed care, PBM, or Medicare experience who thrive in a remote, independent workflow setting and are comfortable handling high-volume clinical case reviews .

Schedule Business Hours: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Rotation: Set schedule (may include weekends) Training Schedule: Monday – Friday, 9:00 AM – 5:30 PM EST Key Responsibilities Perform prior authorization and coverage determination reviews in accordance with clinical guidelines and CMS regulations Evaluate medication requests, including formulary exceptions, step therapy, and quantity limits Process appeals and denial reviews with accurate clinical documentation Apply Medicare Part D knowledge to ensure compliance and timely decision-making Communicate with providers to obtain necessary clinical information and explain determinations Document decisions clearly, including rationale for approvals or denials Maintain productivity and quality standards in a high-volume, queue-based environment Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in state of residence Minimum 1+ year of experience in managed care, PBM, or prior authorization review Strong knowledge of Medicare Part D and pharmacy benefit structures Experience with: Prior authorizations Coverage determinations & appeals Clinical criteria and formulary reviews Preferred Experience Previous experience in PBM environments (e.g., Medicare or commercial plans) Background in organizations such as CVS/Caremark, OptumRx, Cigna, Walgreens, or similar Combination of retail pharmacy + managed care experience Experience working in a remote, production-based role Key Skills & Competencies Ability to manage high-volume case review queues with speed and accuracy Strong clinical decision-making and documentation skills Excellent provider communication and collaboration High level of attention to detail and compliance adherence Comfortable working independently in a remote environment with minimal supervision Strong computer proficiency and ability to navigate multiple systems simultaneously What Makes a Strong Candidate Successful candidates typically bring: Proven experience in Medicare pharmacy benefit review work A track record of handling time-sensitive clinical decisions Comfort working in remote, metrics-driven environments Ability to clearly communicate clinical decisions and alternatives to providers Readiness to hit the ground running with minimal ramp-up time Why Join Us? Fully remote opportunity Competitive hourly pay with contract-to-hire potential Structured training and support Opportunity to work with a leading clinical review team in the Medicare space INDJP .
Remote working/work at home options are available for this role.
Not Specified
Remote Medicare Clinical Pharmacist
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
A-Line Staffing is hiring a Full-Time, Remote, Remote Medicare Clinical Pharmacist! (CAN RESIDE ANYWHERE IN THE US! PAY IS $53.00/HR.

HOURS ARE 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) As a Clinical Pharmacist Advisor – Medicare, you will: Support Medicare Part D members and providers with pharmacy benefit requests Ensure accurate case setup and clinical review for decisioning Contact providers to obtain clinical details when necessary Follow CMS-mandated timelines, departmental productivity, and quality standards Apply clinical judgment using compendia, evolving work instructions, and Medicare guidance Participate in development discussions with supervisors for continuous improvement Remote Medicare Clinical Pharmacist Compensation · The pay for this position is $53.00/hr · 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 Medicare Clinical Pharmacist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Required Availability: is 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) Remote Medicare Clinical Pharmacist Responsibilities · Accurately set up Medicare Part D cases for members and providers.

· Review clinical information and documentation to support decision-making.

· Contact providers to obtain additional clinical details when needed.

· Ensure all case decisions comply with CMS Medicare guidelines and compendia resources.

· Adhere to departmental productivity, quality standards, and CMS-mandated timelines.

· Maintain thorough and clear documentation of all case activities.

· Utilize multiple computer applications efficiently, often across dual screens.

· Participate in training, development discussions, and feedback sessions with supervisors.

· Support continuous improvement initiatives within the team.

· Work independently while maintaining high attention to detail and accuracy.

· Demonstrate engagement, professionalism, and a positive attitude in all interactions.

Remote Medicare Clinical Pharmacist Requirements · Education: Bachelor’s in Pharmacy or PharmD required · Licensure: Active license in state of residence · Technical Skills: Proficiency in Excel, Word, PowerPoint, Access, and Visio preferred · Experience: Previous experience in Managed Care / PBM environment Join a team that is helping keep communities healthy across the country.

Apply with A-Line Staffing today to take part in this impactful healthcare initiative!
Remote working/work at home options are available for this role.
Not Specified
IAM Engineer
✦ New
Salary not disclosed
Remote 1 day ago
Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999.

Mindlance is here to help you to find the perfect fit with just the right company.

Currently, we are seeking an Accounts Payable Clerk for an exciting career growth opportunity.

Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition.

Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.

Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications · This is a senior-level position that will execute the implementation of designs and requirements provided by IAM architects · and analysts and ensures that IAM capabilities and services are successfully integrated within systems across the · organization while also providing ongoing support and maintenance as needed for IAM processes and technology.

Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.

This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.

The Senior IAM Engineer will lead the implementation and support of modern enterprise Workforce IAM systems.

They will collaborate closely with cross-functional development teams, architects, analysts, and business stakeholders to ensure secure identity solutions are integrated throughout the product lifecycle.

This role serves as a key technical contact for IAM authentication and authorization services across the organization.

Essential Job Accountabilities (Core responsibilities accounting for 10% or more of the role) 1.

IAM Platform Implementation & Support (40%) · Implement, administer, and support workforce IAM platforms including Oracle Access Manager (OAM), Microsoft Entra, and Duo.

· Design, configure, and troubleshoot authentication and authorization solutions throughout the SDLC.

· Support automated migration of applications from Oracle Access Manager to Microsoft Entra.

· Onboard and integrate new applications with Microsoft Entra.

· Perform detailed root cause analysis of IAM issues and implement preventative solutions.

· Engineer scalable, secure, and high-performance IAM solutions.

2.

IAM Process Engineering & Automation (20%) · Develop, enhance, test, document, and maintain IAM integration processes.

· Simplify and automate access management workflows to improve user experience.

· Architect and implement accelerators and automation enablers for IAM operations.

· Identify optimization opportunities and execute strategies to improve efficiency, scalability, and service delivery.

Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months Email Qualified Resumes to: IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.

Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.

This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.

5.

Metrics, KPIs & Operational Support (10%) · Support delivery of IAM metrics and KPIs through system analysis and integrations.

· Provide ongoing operational support and maintenance for IAM services and processes.

Required Qualifications & Experience IAM & Security Expertise · In-depth knowledge of Workforce IAM, Single Sign-On (SSO), and Multi-Factor Authentication (MFA).

· Proven experience onboarding SSO applications and integrating MFA with cloud-based identity providers.

· Strong understanding of modern authentication protocols and standards: o FIDO2, SAML, OAuth, OIDC, Kerberos, Federation · Hands-on experience with: o Passwordless authentication o API Gateways o SCIM connector development o Identity platforms such as Microsoft Entra, Duo, Oracle Access Manager, Ping Identity, Okta, or ForgeRock Compliance & Risk · Practical knowledge of compliance and regulatory frameworks: o SOX, PCI, FAA, GDPR, PII · Strong understanding of Zero Trust architecture, adaptive risk-based authorization, identity proofing, and verification technologies.

· Familiarity with security frameworks and governance standards: o ISO, NIST, CSA Controls Matrix Technical & Industry Experience · Experience with large-scale identity transformation initiatives, including migration from on-premise to cloud-based IAM services.

· Prior experience implementing passwordless technologies in large enterprise environments.

· Experience supporting IAM functions within the airline or transportation industry (preferred).

· Exposure to AI/ML, algorithm development, or automation-driven technical solutions (preferred).

Software Development & Delivery · Expertise in modern software development lifecycles and Agile methodologies.

· Experience with automated cloud infrastructure deployment.

Core Competencies · Strong written and verbal communication skills; ability to communicate with both technical and non-technical audiences.

· Excellent attention to detail with qualitative and quantitative data.

· Strong analytical and problem-solving skills with the ability to adapt quickly to changing priorities.

· Demonstrated initiative and ownership of deliverables and outcomes.
Remote working/work at home options are available for this role.
Not Specified
Clinical Pharmacist Advisor Medicare- Remote {168157}
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
Clinical Pharmacist Advisor – Medicare (Remote) Schedule: Business Hours: Monday through Friday 7:00 AM to 8:00 PM EST and Saturday and Sunday 7:00 AM to 4:30 PM EST Set rotation required, including weekends based on business needs Training Schedule: Monday through Friday 9:00 AM to 5:30 PM EST for the first 8 weeks No time off permitted during training Must have a dedicated, quiet workspace free of distractions Position Overview: The Clinical Pharmacist Advisor supports Medicare Part D members and providers by ensuring accurate case setup, reviewing clinical information, and making compliant coverage determinations.

This role requires strong clinical judgment, attention to detail, and the ability to work efficiently in a fast paced, productivity driven environment.

You will collaborate with providers, apply Medicare guidelines, and ensure timely and accurate documentation of all cases.

Key Responsibilities: • Review Medicare appeals cases for accuracy and completeness • Evaluate clinical documentation and internal notes for case decisioning • Perform outbound outreach to providers to obtain additional clinical information • Ensure compliance with CMS Medicare guidelines and mandated timelines • Utilize drug compendia resources and internal systems for decision making • Maintain high productivity and quality standards • Accurately document all case activity and decisions • Participate in coaching, feedback sessions, and continuous improvement initiatives Required Qualifications: • Bachelor’s degree in Pharmacy or PharmD required • Active Pharmacist license in good standing in state of residence • Ability to work independently in a remote environment • Strong attention to detail and organizational skills • Verifiable High School Diploma or GED required Preferred Qualifications: • Experience in Managed Care or PBM environment • Knowledge of Microsoft Access, PowerPoint, and Visio Required Candidate Submissions (Must Be Included on Resume): • Internet speed test • Screenshot of active Pharmacist license showing name, state, and expiration date Additional Details: • Virtual interviews conducted via Microsoft Teams • Opportunity for full time employment based on performance Contact Information: Taryn Davis 469-342-1411 .
Remote working/work at home options are available for this role.
Not Specified
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