Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans, using a unified claims processing platform. The company focuses on transparency and efficiency, serving millions of Americans.
Support Pharmacists and patients by conducting medication reviews and optimizing prescription drug therapy.
Make outbound calls and take inbound calls to collect medication history and provide counseling.
Work remotely with a flexible schedule within EST business hours and participate in training with camera on.
Humana is a leading U.S. healthcare company that provides insurance and healthcare services to millions. With a large workforce, Humana fosters a caring community and supports career growth.
Coordinate and process medication refills including data entry and claim adjudication.
Place outbound refill calls and assist patients through the refill request process.
Respond to and resolve inbound patient and provider inquiries with empathy.
Shields Health Solutions partners with health systems to deliver specialty pharmacy care. They foster a supportive culture with employee resource groups and wellness programs.
Support pharmacy benefit operations by coordinating clinical and administrative workflows.
Review documentation and communicate with members, providers, and internal stakeholders.
Ensure accurate and compliant processing of pharmacy benefit requests.
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.
Conducts outreach to members, prescribers, and infusion providers to facilitate site-of-care transitions and support informed healthcare decisions.
Manages case workloads, tracks referral progress, and coordinates with internal and external stakeholders to ensure timely service delivery.
Documents activities, identifies barriers, and contributes to process improvements to enhance program effectiveness and member outcomes.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It replaces fragmented, outdated systems with a unified claims processing architecture to drive operational efficiency for millions of Americans.
Make outbound calls to eligible patients to enroll them in the Shields Partner Pharmacy program and explain the benefits of the service.
Access patient EMR and review chart notes to ensure familiarity with their condition before each call.
Identify medications requiring special handling and necessary supplies such as sharps containers or needles.
Shields Health Solutions is a specialty pharmacy services company that partners with health systems to provide comprehensive pharmacy care. They offer a supportive culture with benefits starting day one and opportunities for professional development.
Answer new referral intake and refill calls in a timely and professional manner, accurately updating patient information in the computer system.
Contact patients to collect information for medical chart establishment and schedule delivery or shipping arrangements for refills.
Maintain accurate patient records, assist with copay collections, and participate in performance improvement and quality management processes.
VytlOne is a specialty pharmacy company transforming the pharmacy industry through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, and more. They foster a diverse and progressive culture with a remote work model and a team-oriented environment that encourages collaboration and innovation.
Processes electronic medication refill requests and communicates with providers and patients.
Ensures compliance with all HIPAA regulations and maintains patient confidentiality.
Provides excellent customer service and assists with prior authorization and medication assistance guidance.
St. Elizabeth Healthcare provides medical services as one of the largest healthcare providers in the Northern Kentucky region. The organization emphasizes a culture of caring for patients and each other, with a focus on innovation and community.
Answer inbound and outbound calls to schedule and complete medication refills for patients.
Work closely with pharmacists, providers, and care teams to resolve prescription and claim issues.
Maintain accurate patient records and provide friendly, helpful support throughout the refill process.
Shields Health Solutions helps patients manage their medications by connecting them with pharmacy care teams. The company is a growing health solutions provider that values dependability, organization, and patient-focused support.
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.
Provides comprehensive medication management and patient counseling through telephone consultations.
Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
Collaborates with healthcare professionals to optimize therapeutic outcomes.
Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.
Make outbound calls to hospitals and clinics to conduct brief surveys on after-hours and emergency protocols.
Accurately document responses using provided systems while maintaining a professional demeanor.
Handle a high volume of calls, meeting quality standards and protecting confidential information.
Five Star Solutions provides outsourced customer service and survey services for healthcare clients. They are a growing company focused on remote work, offering a supportive environment with paid training and benefits.
Engage with prospective clients through 60-100 outbound calls daily, recording interactions in CRM.
Review medical charts and support clients in completing psychosocial assessments.
Apply evidence-based practices like Motivational Interviewing and Trauma-Informed Care in all interactions.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by values of Excellence, Compassion, Curiosity, and Integrity.
Support patients by managing prescription refill requests and authorizing renewals based on standing orders.
Receive and triage refill requests from pharmacies and patients, reducing provider time spent on refills.
Communicate effectively with physicians and patients, ensuring consistent turnaround and adherence to care plans.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation providing comprehensive health care services. As an affiliate of one of the largest health systems in the nation, they offer purposeful work settings where staff can advance through challenging assignments.
Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
Communicate effectively with internal and external customers to ensure first-call resolution and quality care.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.
Conduct a high volume of outbound calls, including cold calls, to medical offices and healthcare facilities.
Research medical facilities and use creative problem-solving to identify additional sources when information is hard to find.
Accurately document outreach, findings, and case-related information in internal systems and prepare professional email communications.
Magna Legal Services is a trusted nationwide partner to law firms, corporations, insurance carriers, and government agencies, delivering comprehensive legal support at every stage of a case. The company fosters a culture where talented people can do meaningful work and grow their careers.
Serve as a point of contact for patients, families, and healthcare providers to address medication-related problems and answer pharmacotherapy questions.
Ensure accurate, efficient, and compliant medication distribution and fulfillment using proprietary software, including proper documentation and billing.
Oversee pharmacy technicians, review prescriptions, and maintain compliance with state and federal regulations, including HIPAA and quality standards.
AnewHealth is a leading pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, the company was established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare and serves more than 100,000 people across all 50 states.
Conduct educational telephone calls to advise members of benefits, complete health needs assessments, and refer to population health management programs.
Reach out to members with gaps in care, encourage compliance, and assist with locating providers and scheduling appointments.
Manage system work queues, screen members for eligibility and history, and assign to clinical teams for intervention.
BlueCross BlueShield of Tennessee is the state's largest health benefit plan company, helping Tennesseans find paths to good health since 1945. They are a remote-first organization with many employees working from home, fostering a culture of innovation and collaboration.