Coordinate patient medication needs with a multidisciplinary team including CHWs, care coordinators, and therapists.
Perform telephonic and SMS outreach to address medication access, adherence, and HEDIS gaps.
Support prior authorizations, formulary changes, side effects, and therapeutic substitutions with the Waymark pharmacy team.
Waymark is a mission-driven healthcare technology company transforming Medicaid care delivery with community-based, human-centered support. They are a startup-minded team that values bold builders, humble learners, experimentation, and focused urgency.
Apply pharmacy technician knowledge to support prescription intake, triage, and fulfillment across the patient access journey.
Coordinate with patients, prescribers, pharmacies, and internal teams to resolve prescription-processing and fulfillment barriers.
Manage cases with high accuracy and responsiveness to ensure timely patient access to therapy.
PRO-spectus is a healthcare services company providing patient support programs and pharmacy services. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives, with employees who are dedicated and collaborative.
Manage prescription workflows and provide clinical and operational support to the pharmacy enablement team.
Collaborate with RNs, providers, and coaches to coordinate care and resolve member issues.
Process clinical tickets, route faxes and records, and follow SOPs to maintain compliance.
Virta Health works to reverse metabolic disease in one billion people using technology, personalized nutrition, and virtual care delivery. It is a remote-first company backed by over $350 million from top-tier investors, partnering with health plans, employers, and government organizations.
Oversee daily clinical pharmacy functions including prior authorization reviews, override requests, and member/provider education calls.
Support staff training, quality improvement, and lead projects to optimize pharmacy operations and clinical outcomes.
Serve as a subject matter expert and make clinical decisions based on medical necessity and contract criteria.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It replaces fragmented systems with a unified claims processing platform and uses AI-powered care delivery to serve millions of Americans, fostering a mission-driven, collaborative culture.
Provide warm client interactions, manage phone triage, and schedule/reschedule appointments.
Collect insurance information, verify benefits, and manage copays and payment balances.
Answer client questions and stay organized in a fast-paced, collaborative environment.
Diana Health is a network of modern women's health practices partnering with hospitals to reimagine maternity and women's healthcare. Our interdisciplinary team shares a commitment to transform women's health and fosters a collaborative, growth-oriented culture.
Own engagement health across the full KitCheck customer base, monitoring portfolio performance and directing interventions for at-risk accounts.
Define and maintain the KitCheck engagement scorecard, publish executive summaries, and provide regular account-level updates to CSMs.
Act as a pharmacy operations SME, enabling CSMs, sales, and customers through playbooks, webinars, and proactive account support.
Bluesight creates healthcare information technology solutions that increase efficiency, safety, and visibility for health systems, hospital pharmacies, and pharmaceutical manufacturers. It is a high-growth company with a start-up vibe and over 3,000 customers using its proven solutions.
Receive and respond to prescription refill requests via phone, email, fax, and Telephone Encounter.
Verify prescription refill accuracy and compliance with regulatory guidelines.
Provide exceptional customer service and collaborate with interdisciplinary teams to optimize workflow.
Carenet Health provides healthcare support services, fostering collaboration and innovation. They are a market-leading remote team committed to employee growth and accountability.
Maintain clinical drug lists and prior authorization documents, resolve drug list and benefit setup questions, and prepare reports and client business review materials.
Investigate claim rejections related to drug list platform configuration and coordinate with pharmacists and operational teams to meet deadlines.
Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools.
Prescryptive is a healthcare technology company enabling the direct access marketplace for prescription drugs. As an Equal Opportunity Employer, the company values bold aspirations and a passion for improving consumer health and wellbeing.
Develop and manage complex clinical product initiatives, including clinical criteria and product roadmaps.
Analyze market information, clinical guidelines, and member claims data to support clinical product management strategies.
Collaborate with leadership and cross-functional partners to execute product strategy and represent the Clinical department in customer sessions.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on reimagining pharmacy solutions to simplify health care. It is a large, purpose-driven organization that values diversity, inclusion, and equal opportunity.
Serve as clinical subject matter expert and operational driver for prior authorization.
Build tools, drive process improvements, and mentor peer pharmacists on clinical protocols.
Handle complex escalations, appeals, and cross-functional collaboration to scale clinical operations.
SmithRx is a venture-backed Health-Tech company disrupting the PBM market with cutting-edge technology. Since 2016, we have onboarded hundreds of thousands of members and pride ourselves on a mission-driven, collaborative culture.
Triage incoming calls from nursing staff and doctors, addressing concerns and inquiries with high customer service.
Process new and refill prescriptions, verify eligibility, and document all correspondence and follow-up in the system.
Contact physician offices and clients for refill authorizations and order verification while escalating incomplete scripts as needed.
Symbria Rx Services provides pharmacy services for seniors in senior-living and post-acute settings. As one of the few 100% employee-owned healthcare companies, it fosters an owner-focused culture guided by integrity, compassion, and teamwork.
Approves and oversees medication ordering, compounding, and dispensing for patients.
Supervises pharmacy technicians and ensures compliance with state and federal regulations.
Participates in clinical initiatives, monitors patient progress, and educates healthcare staff.
The University of Rochester is a leading research university and academic medical center committed to learning, discovery, and healing. The institution values equity, integrity, and respect, fostering an inclusive culture for all employees.
You perform complex medication reconciliations and identify clinical red flags to prevent ER visits and readmissions.
You deliver high-touch engagement for high-risk patients through post-discharge follow-up and care coordination.
You collaborate with practices and document interventions across multiple EHRs to ensure care gaps are closed.
Aledade PBC is a public benefit corporation that empowers independent primary care by creating value-based contracts. Founded in 2014, we are the largest network of independent primary care in the country, with a remote-first culture that is collaborative and inclusive.
Conduct outbound and inbound outreach calls when automated workflows fail, assisting patients with onboarding and clinical metric collection.
Manage high-volume inbound queues, process webform exceptions, and execute clinical triage handoffs to RNs and Pharmacists.
Accurately document patient interactions, track engagement metrics, and collaborate cross-functionally to refine operations.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has grown to become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Provide compassionate, knowledgeable assistance to patients, providers, and staff.
Make outbound refill calls, process requests, and answer incoming pharmacy calls.
Coordinate medication refills, clarify orders, and assist with claim adjudication.
Shields Health Solutions is a specialty pharmacy company redefining patient care. They foster a team-first culture with a focus on employee development and inclusion.
Answer and respond to incoming calls from nursing staff and doctors to address concerns and inquiries.
Process new and refill prescriptions, verify eligibility, and input prescriptions while maintaining productivity and quality standards.
Document correspondence, prepare audit sheets, and forward incomplete scripts to the appropriate department for resolution.
Symbria Rx Services provides pharmacy, rehabilitation, and well-being services for senior-living and post-acute communities. The company is a 100% employee-owned healthcare provider with over 20 years of experience and a culture guided by integrity, compassion, stewardship, innovation, and teamwork.
Process new and refill prescriptions accurately while maintaining productivity and quality standards.
Contact physician offices and clients for refill authorization and order verification as needed.
Document correspondence, prepare audit sheets, and provide backup support to pharmacy groups.
Symbria Rx Services provides patient-centered pharmacy care to seniors in senior-living and post-acute settings. As a 100% employee-owned healthcare company, Symbria fosters a collaborative culture and has been serving for over 20 years.
Provide clinical expertise and strategic recommendations to clients and internal teams on drug spend, formulary compliance, and clinical programs.
Act as a clinical liaison between Plan Operations and other departments, communicating formulary changes and program updates.
Analyze drug benefit designs, prepare clinical marketing materials, and support go-live activities for new client groups.
SmithRx is a venture-backed health-tech company disrupting the PBM sector with a next-generation drug acquisition platform. It has hundreds of thousands of members and a mission-driven, collaborative culture guided by integrity, courage, and togetherness.
Review prior authorization requests and make evidence-based decisions using clinical guidelines.
Ensure compliance with federal, state, and internal regulations while accurately documenting clinical decisions.
Provide clear, empathetic support to members, prescribers, and pharmacies, staying current with prescribing guidelines and regulatory changes.
SmithRx is a rapidly growing, venture-backed Health-Tech company that disrupts the expensive Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. Since 2016, they have onboarded hundreds of thousands of members and pride themselves on a mission-driven, collaborative culture guided by values of Integrity, Courage, and Together.
Oversee remote patient access operations, including registration, insurance verification, prior authorizations, and scheduling, while meeting service-level agreements.
Lead and develop Patient Access Supervisors, using analytics and AI tools to improve productivity, quality, and operational visibility.
Collaborate with senior leadership and clients on implementations, escalations, and continuous improvement initiatives.
Our partner is a healthcare technology company focused on improving patient access through AI-powered tools and efficient operations. It is a fast-growing, collaborative environment committed to innovation and patient-centered care.