Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
Meet all departmental goals including schedule adherence, attendance, and quality monitoring.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.
Responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.
Conducts telephonic and video chat outreach to complete analysis of members' medication regimens.
Performs outbound calls to members, fielding inbound calls, and facilitating communication regarding clinical programs.
Navitus is an alternative to traditional pharmacy benefit manager (PBM) models, committed to removing cost from the drug supply chain to make medications more affordable. The company has a team that celebrates diversity, fosters creativity, and encourages growth.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Accurately fill prescriptions and counsel patients on therapies.
Perform clinical verification and maintain patient records.
Collaborate with pharmacy staff and ensure regulatory compliance.
Felix Pharmacy is a fully Canadian-owned and operated mail-order pharmacy focused on safe, efficient, and patient-centered care. The company emphasizes a people-first workplace with remote-first flexibility and a supportive team culture.
Receive and respond to prescription refill requests via phone, email, fax, and Telephone Encounter.
Verify validity and accuracy of refill requests, ensuring compliance with regulatory guidelines.
Provide exceptional customer service and collaborate with interdisciplinary teams to optimize workflow.
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily to improve outcomes. They foster a collaborative, innovative culture with an entrepreneurial spirit.
Provide virtual or telephonic support to clients and healthcare professionals, documenting medical information requests and adverse events.
Conduct study compliance calls and enroll participants in educational seminars.
Maintain excellent quality and productivity standards while adhering to program scripts and guidelines.
Inizio Engage is a strategic, commercial and creative engagement partner specializing in healthcare. They employ over 7,000 experts in more than 20 countries, fostering a passionate, diverse, and global culture that challenges conventional thinking to improve health outcomes.
Receive and respond to prescription refill requests through various communication channels, verifying validity and accuracy while ensuring compliance with regulatory guidelines.
Prepare and dispense prescription refills accurately, adhering to established protocols and providing exceptional customer service to stakeholders.
Collaborate with interdisciplinary teams and provide administrative support to clinical staff and managers for medication refill programs and special projects.
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. The company interacts with 1 in 3 Americans every day and integrates the power of human touch with data-driven technology in its mission to make healthcare better for all.
Conduct outbound calls to pharmacies to support patient care initiatives and address medication-related cases.
Communicate professionally with pharmacy staff and clinical teams to resolve issues and gather information.
Maintain accurate documentation and records within internal software platforms to ensure compliance.
The partner company is a fast-growing healthcare technology organization that connects patients, providers, and pharmacies to improve healthcare outcomes. It has a mission-driven and supportive team culture, focusing on improving patient care through innovative technology.
Provide expert-level medication therapy consultations to patients and providers, including Medication Therapy Management (MTM) services like Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs).
Collaborate with the Engineering team and leadership to improve Arine's software platform and guide the Clinical Support team, while managing a consistent volume of patient interactions.
Meet individual and team performance metrics related to outreach, engagement, documentation quality, and clinical outcomes, and adapt to evolving clinical projects and assignments.
Arine is a rapidly growing healthcare technology and clinical services company that uses data science and AI to optimize medication management and reduce healthcare costs. The company manages over 18 million lives, was ranked #236 on the 2024 Inc. 5000 list, and has a strong culture focused on innovation and patient outcomes.
Manage provider and clinic compliance relationships, including onboarding and edge case resolution for approximately 3,500 clinics.
Lead investigations into prescribing pattern anomalies and credential lapses, producing written summaries and communicating outcomes.
Build and deliver compliance training for the sales team and develop provider-facing educational materials.
Strive Pharmacy is a personalized compounding pharmacy focused on individualized care and genuine partnership with patients and providers. The company is growing and seeks people who share their conviction for a more human approach to healthcare.
Reviews, verifies, and interprets all physician orders received using the patient profile.
Screens medication orders for optimal usage, monitoring for allergies, interactions, and appropriate dosing.
Participates in continued education to meet regulatory requirements and organizational goals.
CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering over 20 million patient encounters annually. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians across 24 states, the organization focuses on creating a more just, equitable, and innovative healthcare delivery system.
Schedule, track, and coordinate patient appointments and process community care consults using required systems.
Validate patient data, screen inquiries, and communicate with providers on community care rules.
Support quality customer service and follow scheduling, referral, privacy, and compliance standards.
International SOS Government Medical Services delivers healthcare, medical assistance, and emergency response worldwide, supporting organizational safety and workforce wellbeing. Founded in 1984 with operations across over 90 countries, the company emphasizes a commitment to operational readiness and compliance with federal programs.
Schedule and confirm primary care, specialty, and community care appointments, verifying demographics and clinical details.
Work in CPRS and VistA, route consults via HSRM, and process referral documentation using REFDOC and EPSI.
Document every contact and collaborate with VA staff and the care coordination team to support veteran care.
CLF Consultants is a federal contractor providing healthcare staffing and language access services across U.S. federal, state, and local agencies. With a network of 500+ healthcare professionals and 200+ interpreters, CLFC is a Self-Certified Small Disadvantaged Business committed to mission-aligned placements.
Handle inbound pharmacy calls and make outbound refill reminders to guide patients through the refill process.
Coordinate medication refills including data entry, claim adjudication, and resolving patient and provider inquiries.
Collaborate with pharmacists, clinicians, and internal teams to ensure timely and accurate patient support and process improvements.
Shields Health Solutions is a healthcare company that focuses on patient engagement and medication refill support for pharmacies. The company is large enough to offer benefits like medical, dental, and vision insurance, 401(k) match, and paid parental leave, and emphasizes a collaborative and supportive culture.
Manage customer inquiries and process healthcare information requests accurately and confidentially.
Provide excellent customer support via phone, email, and written communication while documenting all interactions.
Maintain strict confidentiality of healthcare data and comply with HIPAA and privacy standards.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It operates remotely and focuses on efficient, fair recruitment processes.
Manages essential administrative and clinical-adjacent functions such as medication prior authorizations and scheduling.
Ensures tasks comply with organizational standards and regulatory requirements to promote a seamless care experience.
Supports clinical and operational scheduling and provides flexible administrative support to Care Teams.
This organization provides operational support for healthcare member care. They focus on ensuring accuracy and efficiency in workflows like prior authorizations and toxicology result entry.
Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.
Judi Health is a health technology company providing comprehensive health benefit management solutions for employers and health plans. They are rebuilding trust in healthcare with a platform that consolidates claim administration workflows.
Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Proactively enroll patients in the Shields specialty pharmacy program through outbound calls, explaining the benefits of the service.
Review patient medical records to understand conditions and identify medications that require special handling or supplies.
Work flexible shifts within Eastern Time Zone hours, with occasional Saturday availability, and maintain confidentiality.
Shields Health Solutions provides specialty pharmacy services to health systems, helping patients access medications and support. They are a growing company focused on patient care, employee development, and a collaborative culture.