Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.
Supports outbound calls and data/benefit analysis related to various clinical pharmacy programs.
Performs advanced administrative/operational/member support duties.
Initiates and responds professionally to a high volume of calls in a timely and efficient manner.
Capital Blue Cross promises to go the extra mile for their team and community. It appears to be a large company, that values its employees, as they are consistently voted one of the “Best Places to Work in PA”.
Work collaboratively with physicians, nurses, other healthcare providers, and patients to optimize drug therapy and outcomes using evidence-based standards of care.
Responsible for providing effective, efficient and accurate ambulatory pharmaceutical care to achieve organizational, patient care, and quality measure goals and objectives.
Prescribe pharmaceutical agents as outlined in the approved collaborative drug therapy management agreement including initiating, adjusting, and discontinuing drug therapy.
Dignity Health Medical Foundation, established in 1993, provides comprehensive health care services throughout California. They are an affiliate of Dignity Health, one of the largest health systems in the nation, striving to create purposeful work settings where staff can provide great care.
Assists RedBox Rx patients via phone, chat and email.
Perform drug utilization review and pre-verification of prescriptions.
Provides counseling to RedBox Rx patients in accordance with all state and federal statutes and regulations.
Hy-Vee's people are its strength, promising "a helpful smile in every aisle." They aim for a fully engaged and committed workforce supporting customers and each other.
Function in the Medication Support Navigator - Care Coordinator role supporting both regions and the Medication Navigator team.
Ensure timely completion of referrals and supports Medication Support Navigator team in timely completion.
Direct people leadership of the Medication Support Navigator team including 1:1s and performance management.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
Provide comprehensive medication management and drug‑level assessments.
Partner with physicians and interdisciplinary teams to order individualized care plans.
Monitor therapy effectiveness and safety, and provide recommendations to operations.
Shields Health Solutions is redefining patient care through health-system integrated specialty pharmacy. They are dedicated to elevating patient care at a nationally recognized Academic Medical Center and building meaningful relationships with patients and providers.
Conduct high-volume calls with patients, providers, and pharmacies using established protocols.
Collaborate with patients to remove barriers to medication adherence and escalate clinical barriers to a pharmacist.
Accurately document all interactions, outcomes, and identified barriers in appropriate systems.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Analyzes and answers inquiries regarding pharmacy claims adjudication.
Adjudicates pharmacy claims and processes pharmacy claims for payment.
Performs varied activities and moderately complex administrative/operational/customer support assignments.
Humana is committed to helping people live healthy lives, creating personalized experiences, and working collaboratively. They offer medical, dental, and vision benefits, a 401(k) retirement savings plan, and paid time off.
Handle inbound patient requests via phone, text, and email by reviewing order details to provide accurate information.
Partner with internal and external operational teams to ensure prescriptions are processed and delivered successfully.
Assist patients in navigating their portal and explaining insurance coverage to help them receive medication promptly.
Helpware is a technology-driven company that provides Customer Experience & Operational Support for modern companies. It has offices in the USA, Ukraine, Mexico, and the Philippines and focuses on leveraging empowered teams, innovative solutions, and technologies to deliver best-in-class services to partners.
Answer new referral intake and refill calls in a timely and professional manner, accurately updating information in the computer system.
Contact patients to collect necessary information for their medical chart, schedule deliveries for refills, and set up shipping arrangements as needed.
Work cooperatively with all departments to maintain accurate patient records, exemplify excellent customer service, and participate in training programs and meetings.
VytlOne is transforming the pharmacy industry to create healthier lives through services across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. The company fosters a diverse, progressive, and team-oriented culture that promotes a work-from-home model and innovation.
Act as a designated support resource for assigned Account Managers.
Responsible for troubleshooting escalated items related to claims, eligibility, and general account maintenance.
Collaborate with cross-functional internal teams for client issue resolution.
SmithRx is a rapidly growing, venture-backed Health-Tech company that aims to disrupt the Pharmacy Benefit Management (PBM) sector. They have hundreds of thousands of members onboarded since 2016 and pride themselves on a mission-driven and collaborative culture.
Provide remote pharmacy services, including order entry, verification, and clinical review to ensure safe and accurate medication use.
Collaborate with physicians, nurses, and interdisciplinary care teams to deliver timely clinical recommendations and improve patient outcomes.
Evaluate medication orders, identify potential interactions or risks, and recommend appropriate therapeutic adjustments.
The Cigna Group is dedicated to improving the health and vitality of those it serves. Through its divisions Cigna Healthcare and Evernorth Health Services, they enhance the lives of clients, customers and patients.
Manage and organize operational projects with a purpose driven focus on quality, outcomes, and timely delivery.
Plan and coordinate operational activities and meetings with authenticity and One Team partnership.
Support vendor relationships with integrity, responsiveness, and excellence for partners.
VytlOne is an independent, fully integrated total pharmacy solutions partner. They lead the way in unlocking revenue, growth and better outcomes for mission-driven hospitals, health systems, health centers, and employer partners. VytlOne has 1,600+ employees and a progressive culture that promotes teamwork.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under guidance.
Input, maintain, and update provider data across databases and internal systems.
Review and process enrollment applications, supporting documentation, and status updates.
Allara is a women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams and is trusted by over 60,000 women nationwide.
Serve as designated California PIC during licensing and pre-operational phase.
Review and approve licensing-related submissions as needed.
Participate in occasional compliance or Board-related discussions.
Greenstone Pharmacy is an expanding multi-state sterile compounding pharmacy preparing for California licensure and future operations. They are focused on building modern pharmacy infrastructure centered around compliance, operational excellence, telehealth integration, and scalable patient care solutions.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.