This job has expired
This position was posted on April 18, 2026 and is likely no longer accepting applications. We've kept it here for historical reference. Check out the similar jobs below!
Job Overview
Location
Anywhere in the U.S.
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 18, 2026
Full Job Description
đź“‹ Description
- • The Remote Clinical Pharmacist II role at Alignment Healthcare is critical to ensuring compliance with CMS regulations and supporting Medicare Part D programs that directly impact the health and well-being of seniors and chronically ill members.
- • Day-to-day responsibilities include managing Part D coverage determinations, appeals, and grievances; leading targeted provider and member outreach; delivering Medication Therapy Management services; overseeing PBM-delegated operations; and ensuring audit readiness and regulatory compliance across pharmacy benefit programs.
- • Alignment Healthcare is a mission-driven organization focused on transforming care for seniors through innovation, clinical excellence, and a patient-first culture, offering opportunities to grow within a fast-expanding healthcare enterprise.
- • In this role, you will deepen your expertise in Medicare Part D regulatory affairs, clinical decision-making, and cross-functional collaboration while contributing to quality improvement initiatives that affect Star Ratings and member outcomes.
🎯 Requirements
- • Active and unrestricted Pharmacist license in the applicable state(s)
- • Minimum of 3 years of pharmacy experience at a health plan, PBM, or managed care organization
- • Bachelor’s degree in Pharmacy or a related health science discipline
🏖️ Benefits
- • Competitive pay range of $130,332.00 - $195,498.00 based on experience, education, and responsibilities
- • Opportunity to work remotely from anywhere in the U.S. with occasional onsite travel to Orange, CA (up to 10% of time)
- • Standard Monday–Friday, 8 AM–5 PST schedule with potential for rotational weekend shifts as needed
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Alignment Healthcare, LLC
Alignment Healthcare is a health insurance company that focuses on providing personalized care for seniors and underserved populations. They operate a value-based care model, aiming to improve health outcomes and reduce costs through integrated care teams, technology, and data analytics. Their services include Medicare Advantage plans, chronic care management, and home-based care. Alignment Healthcare partners with providers and aims to deliver a seamless and high-quality healthcare experience for its members, emphasizing proactive and preventive care to keep individuals healthy and out of the hospital.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
Similar Opportunities
Seven Counties Services Inc.
2 months ago
2 months ago
College Board
2 months ago
OpenAI, Inc.
2 months ago