Lead a team of pharmacy technicians in the end-to-end prior authorization and financial assistance processes.
Drive team performance by monitoring service levels, conducting audits, and providing ongoing feedback.
Oversee daily operations, including scheduling, workload distribution, and collaboration with hospital stakeholders.
Shields Health Solutions is a patient support center specializing in specialty pharmacy services. The company culture emphasizes leadership, performance, and patient outcomes, with a team-oriented environment.
Lead and manage a team of Patient Support Associates to ensure medication adherence through refill management or timely prior authorization and financial assistance.
Manage service level goals, conduct audits, and provide coaching and performance management for a remote Patient Support team.
Collaborate with on-site management at hospital partners for quarterly calls, workflow improvements, and record keeping.
Shields Health Solutions provides specialty pharmacy management services to healthcare organizations. They are a fast-growing company with a close-knit team that values employee development and high-quality patient care.
Lead strategic and operational clinical pharmacy services for specialty clinics, overseeing a team of clinical pharmacists and driving high-quality patient care.
Serve as the primary liaison between pharmacy services and clinic leadership, fostering interdisciplinary partnerships and program expansion.
Manage staff recruitment, onboarding, performance, and clinical quality while supporting pharmacist development and operational excellence.
Shields Health Solutions is a specialty pharmacy company that partners with health systems to deliver comprehensive medication management and improve patient outcomes. The company emphasizes innovation, collaboration, and clinical excellence, supporting a team of pharmacists dedicated to high-quality care.
Perform clinical review and evaluation of pharmacy prior authorization requests to determine medical necessity and appropriateness.
Coordinate appeals and provide clinical consultation to providers, members, and internal stakeholders.
Support utilization management initiatives, develop clinical criteria, and drive quality improvement across clinical programs.
FairosRx is an innovative company striving to reduce the cost of healthcare. They have a tight-knit culture based on an outward mindset and are growing quickly.
Assist members, providers, and internal teams in navigating prescription coverage and prior authorization requests.
Verify eligibility, drug coverage, and perform claims adjudication based on plan benefit design.
Triage and prioritize multiple requests, coordinate outreach, and make determinations under protocol.
SmithRx is a health-tech company disrupting the pharmacy benefit management industry with a next-generation drug acquisition platform. With hundreds of thousands of members, they have a mission-driven and collaborative culture guided by values of integrity, courage, and together.
Build and maintain customer relationships, leading account teams to deliver results that demonstrate value.
Manage financial aspects of accounts including revenue goals, cost of care, and contract compliance.
Identify opportunities for additional services and develop strategic business plans for long-term client retention.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on connecting care and reimagining pharmacy solutions. The company values a purpose-driven culture and aims to simplify healthcare.
Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits.
Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues.
Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.
AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.
Serve as the primary Clinical QA point of contact for a Phase 3, global study.
Collaborate with cross-functional groups to support study start-up and execution.
Perform clinical site audits and support inspection readiness.
Priovant is a biopharmaceutical company committed to developing therapies for autoimmune diseases. They have a small, collaborative team with a hands-on culture.
Lead, coach, and develop a team of up to 10 FTEs to drive performance and service excellence.
Monitor workflows, evaluate productivity, and provide real-time guidance to Pharmacy Liaisons.
Collaborate with cross-functional teams to enhance patient interactions and operational efficiency.
Shields Health Solutions is a healthcare company that provides specialty pharmacy services to improve patient outcomes. They foster a collaborative and patient-focused culture, supporting team development and operational excellence.
Review and evaluate medication orders for accuracy, appropriateness, and safety.
Provide medication counseling to patients, addressing questions and concerns.
Collaborate with healthcare providers to develop and monitor medication therapy plans.
Shields Health Solutions provides pharmaceutical care services, specializing in therapy management programs for patients with conditions like diabetes and weight management. The company focuses on remote collaboration with healthcare professionals to ensure safe and effective medication therapies.
Lead the application of the Clinical Quality Management Regime across Delivery Partners, ensuring compliance with contractual quality standards.
Use quality intelligence and performance data to assess effectiveness of controls and identify emerging risks.
Provide hands-on clinical quality expertise to diagnose performance issues and support corrective actions.
Ingeus is a leading human services provider that helps people, businesses, and communities thrive through employment, skills, and health & wellbeing services. It is a trusted partner to government and industry, committed to creating positive social impact, and fosters an inclusive culture treating everyone with dignity.
Manage medication therapy for high-risk patients with chronic conditions using evidence-based protocols.
Collaborate with physicians, nurses, and specialists to optimize treatment plans during high-risk rounds.
Conduct patient education and in-service sessions to promote medication safety and quality care.
CenterWell Senior Primary Care provides proactive, preventive care to seniors, focusing on personalized experiences and whole-person health. As part of Humana, a large healthcare company, we foster a caring community that prioritizes employee well-being with competitive benefits.
Develop and maintain protocols for prescribing, dispensing, and administering medications.
Provide specialized services to help patients manage chronic conditions such as Diabetes, COPD, and Hypertension.
Collaborate with healthcare professionals to plan, monitor, and evaluate patient effectiveness and medication safety.
Better Health Group is a healthcare organization dedicated to improving patient health through comprehensive medication management services. It is a growing team that values commitment, passion, and a culture of support for both employees and patients.
Establish strategic relationships with healthcare leaders and lead product demonstrations to drive sales.
Collaborate with sales team to convey the value of KitCheck platforms and assist in business planning.
Act as clinical thought leader, partnering with product and marketing to shape roadmap and content.
Bluesight creates groundbreaking solutions for health systems and hospital pharmacies to improve efficiency, safety, and visibility. It is a high-growth healthcare IT company with a startup culture and over 3,000 customers.
Own the systems that keep Daymark's clinical quality and safety program credible as it scales, including audits and incident investigations.
Partner with clinical leadership to embed quality standards into daily workflows, not layered on top.
Manage external audits and regulatory reviews, and provide clear-eyed analysis when issues arise.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a growing company backed by leading venture capital firms, with a collaborative culture focused on transforming cancer care.
Facilitate medication approvals by communicating with insurance companies and healthcare providers regarding prior authorizations.
Navigate pharmacy systems to enter data, adjudicate claims, process refills, and document patient interactions.
Assist patients with insurance claims, medication access challenges, and promote adherence through phone support.
Shields Health Solutions is a healthcare company dedicated to helping patients access life-changing medications through prior authorization and financial assistance support. They foster a collaborative, patient-focused culture with opportunities for professional growth in a fully remote setting.