Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug‑level assessments aligned with evidence‑based standards.
Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
Review patient care notes for clinical data needed for prior authorization approvals.
Monitor patient adherence across all sites and disease categories, focusing on oncology and specialty-specific disease states.
Recommend alternative therapeutic drug regimens and disease-specific treatments according to guidelines.
Shields Health Solutions provides integrated pharmacy solutions to health systems. They focus on improving patient care and outcomes through specialized pharmacy programs and services. The company values innovation, collaboration, and a patient-centered approach.
Review medication orders for accuracy and safety, providing patient counseling.
Collaborate with healthcare providers, monitor drug interactions, and maintain records.
Ensure regulatory compliance, contribute to protocol development, and assist in training.
Shields Health Solutions provides pharmaceutical care services to patients, collaborating with healthcare professionals . They focus on safe and effective medication therapies.
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
Included Health is a healthcare company that delivers integrated virtual care and navigation, aiming to raise the standard of healthcare for everyone. They break down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized virtual and in-person care.
Acts as primary point of contact for oncology pain patients after referral to the CPC, until the patient has sufficient knowledge and resources to direct self-care.
Responsible for monitoring, coordinating care, and educating cancer patients and families as they move through the CPC.
Responds to criteria-based referrals as soon as possible, no longer than 24 hours, and schedules with appropriate provider within 72 hours.
OHSU is Oregon's only public academic health center that cares for patients, leads groundbreaking research, and trains the next generation of health care professionals. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Partner with payer clients as a trusted clinical advisor to design drug management strategies.
Assess and benchmark PBM and other industry vendor clinical programs.
Leverage medical and pharmacy data to assess program performance.
PSG (Pharmaceutical Strategies Group), an EPIC owned company, provides consultative guidance to payer clients in the drug management market. They have over 3,000 employees nationwide and foster a 50/50 culture between producers and the rest of the business, supporting collaboration and teamwork.
Conduct routine patient check‑ins to monitor therapy experience, identify concerns, and support adherence to treatment plans.
Assist with initial outreach to confirm therapy start and assess early treatment experience.
Coordinate patient appointments, follow‑up visits, and clinical monitoring schedules.
Shields Health Solutions partners with hospitals and health systems to develop and manage specialty pharmacies. They focus on improving patient outcomes, enhancing financial performance, and ensuring regulatory compliance for their partners.
Works in the build, implementation, and maintenance of automation and technology to optimize pharmacy practice, pharmacy systems, and the medication‐use process.
Responsible for effective process design, development, and implementation of Electronic Medical Record and Clinical Decision Support build.
Implements and optimizes the use of technology and the electronic health record to enhance the entire medication use process using both clinical, informatics and leadership skills.
Legacy Health is focused on good health for their people, patients, communities, and the world, and committed to doing the right thing. They foster an inclusive environment where everyone can grow and succeed.
Create innovative clinical programs, products, and services aimed at optimizing specialty and non-specialty drug management, support payer clients with their PBM and drug coverage decisions
Act as a detail-oriented advisor, using data-driven insights to evaluate pharmacy programs, identify trend drivers, outlier high-cost claims and drive improvements.
Monitor emerging market trends and drug pipelines to anticipate client impact and develop proactive solutions.
Pharmaceutical Strategies Group (PSG), an EPIC owned company, provides an integrated data and analytics platform that transforms member data into actionable intelligence, which drives improved management of drug spend and trend across both pharmacy and medical benefits. EPIC has over 60 offices and 3,000 employees nationwide.