Conduct MTM and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS).
Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services.
Provide Medicare Part D clinical, operational and educational support by maintaining knowledge of all existing updates and regulations regarding the MTM program.
Navitus is an organization that was founded as an alternative to traditional pharmacy benefit manager (PBM) models. They are committed to removing cost from the drug supply chain to make medications more affordable for people; Navitus welcomes new ideas and shares a passion for excellent service to customers and each other.
Develop and maintain Arine’s software platform and to help optimize patient outcomes.
Improve Arine’s software platform, and will be expected to supervise and maintain the clinical quality of our product content, as well as assist in clinical program development.
Serve as a liaison for patients and outside providers on product enhancements as the platform expert.
Arine is a healthcare technology and clinical services company focused on ensuring individuals receive the safest and most effective treatments. With backing from healthcare investors, they're tackling medication-related issues and was ranked 236 on the 2024 Inc. 5000 list and was named the 5th fastest-growing company in the AI category.
Serve as the Medicare coverage determinations and redeterminations subject matter expert.
Create and uphold robust policies and procedures for coverage determinations and redeterminations in accordance with CMS guidelines.
Recruit, onboard, train, and manage Medicare PA and Appeals pharmacists and technicians.
Judi Health provides a comprehensive suite of solutions for employers and health plans. Together with our clients, they’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.
Respond to inbound inquiries from providers, medical office staff, and payers by phone, email, and internal messaging
Support providers with real-time order status updates, prescription processing steps, and plan-specific requirements
Triage escalations and resolve urgent or complex order-level issues efficiently
PHIL is a Series D health-tech startup building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing.
Communicate with patients telephonically regarding the Shields Partner Pharmacy program.
Access patient EMR to review chart notes prior to outbound calls.
Identify medications requiring special storage and necessary supplies.
Shields Health Solutions collaborates with hospital leaders to elevate specialty pharmacy care. They focus on enhancing outcomes, improving access, and lowering costs through integrated pharmacy programs; additionally, they are committed to equal opportunity and diversity within their workforce.
Evaluate, assess, and document patient data in Arine’s software platform.
Complete efficient and thorough medication review and/or adherence counseling appointments.
Follow-up with clinics, providers, pharmacies, and patients to resolve patient issues.
Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals receive the safest and most effective treatments. They are backed by leading healthcare investors and collaborate with top healthcare organizations.
Skilled in maintaining contract compliance while generating pull through sales at the IDN-Corporate and hospital levels.
Serve as the expert in the company for your assigned accounts, owning your entire territory as noted.
Gain an accomplished understanding of the market and our competitors.
Dr. Reddy’s is dedicated to helping people lead longer and healthier lives by making medicines more affordable and discovering innovative treatment options. They are seeking dynamic and energetic individuals ready to inspire and make a difference for their community. At Dr. Reddy’s, they are deeply committed to building a diverse, equitable and inclusive workplace where everyone belongs
Responsible for business growth with existing manufacturers.
Create, manage, and execute the company’s strategic plan.
Maintain and strengthen overall client relationships.
CareTria is dedicated to providing exceptional care, currently seeking passionate contributors to join their team. As an equal opportunity employer, they value integrity, teamwork, and results-oriented individuals.