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.
Grow the number of new patients filling at Shields partner pharmacies.
Lead, coach, and inspire a team of outreach coordinators.
Develop new patient engagement strategies and optimize outreach workflows.
Shields Health Solutions partners with health systems to build specialty pharmacy programs. They are a growing organization focused on operational excellence and a winning culture.
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.
Conduct high-volume inbound and outbound patient outreach via phone to educate, engage, and enroll eligible patients in care management programs.
Accurately document patient interactions and enrollment outcomes in a timely manner, collaborating with care teams for a seamless patient experience.
Follow established outreach workflows and compliance requirements while adapting conversations to meet individual patient needs and escalating concerns as needed.
Jaan Health is a leading AI-based care management company serving healthcare providers with its proprietary Phamily platform that enables high-quality proactive care. As an early-stage company, it values a growth mindset, ownership, and collaboration among its smart and humble team.
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.
Lead and manage a team of Patient Engagement members to ensure timely medication refill support and high-quality patient care.
Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time and service level goals are met.
Provide ongoing coaching, performance management, and professional development to drive team success and adoption of best practices.
Shields Health Solutions provides patient engagement and pharmacy support services to hospitals and clinics. It is a fast-growing company with a focus on high quality and accountability.
Follow scripts to educate patients and coordinate care needs.
Aledade empowers independent primary care practices by building value-based care networks that improve patient outcomes and physician sustainability. Founded in 2014, they are the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
Lead and manage a team of Patient Support Associates, providing coaching and performance development.
Ensure medication access through refills, prior authorizations, and financial assistance.
Oversee pharmacy workflows, conduct system audits, and collaborate with hospital stakeholders.
Shields Health Solutions specializes in specialty pharmacy services and patient support for hospitals and clinics. The company fosters a culture of patient-focused care and team collaboration, with a remote and onsite workforce.
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.
Educates patients about eligible healthcare services and directly schedules them with the provider team.
Builds trust-based relationships by empathetically addressing patient inquiries and objections.
Makes outbound calls to educate patients on Strive's holistic care model and schedules provider visits.
Strive Health is on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. The company is a passionate team that cares deeply about making an impact, shows up as One Team, and elevates the everyday.
Reviews Part D coverage determinations and appeals to ensure clinical appropriateness and compliance with CMS regulations.
Conducts Medication Therapy Management (MTM) activities, including comprehensive medication reviews and targeted interventions for high-risk members.
Supports pharmacy quality improvement initiatives aligned with Medicare Star Ratings and HEDIS measures.
Alignment Health is a healthcare company focused on serving seniors and the chronically ill through Medicare Advantage plans. The company is fast-growing with a team of passionate people dedicated to transforming senior care.
You'll make 80–100+ daily outreach touchpoints via phone, SMS, and email to connect with members and guide them through the intake process with efficiency and warmth.
You'll own the member relationship from first outreach through handoff to the Care team, persuading undecided members with clear articulation of Leap's value.
You'll partner closely with Care Guides, Member Growth, and Care Operations, while having a real voice in how this function evolves as we grow.
Leap is a fast-growing benefits solutions company that is redefining employer specialty pharmacy by eliminating hidden markups and expanding access to high-quality infusion care. We partner with Fortune 500 companies and leading TPAs, and we're building an outlier team focused on real impact, energy, and commitment.
Serve as the first point of contact, guiding patients through initial consultations and assessments.
Coordinate care journeys by scheduling sessions with patients, caregivers, and medical teams.
Reach out to interested patients to explain services and schedule appointments.
Isaac Health improves brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, they have scaled across the US with support from leading healthcare investors and a focus on clinical quality and safety.
Review and interpret clinician assessments for prior authorization approvals and care plan recommendations.
Monitor patient adherence across all sites and disease categories, focusing on oncology and specialty states.
Provide medication therapy management including regimen review, drug therapy changes, and patient coaching.
Shields Health Solutions provides integrated support to improve patient care quality. The company employs a team of licensed pharmacists and support staff, focusing on medication adherence and evidence-based care.
Support Veterans by answering pharmacy-related telephone inquiries, processing prescription requests, and delivering professional customer service.
Document patient interactions in CPRS, review prescription profiles, and refer clinical questions to pharmacists while maintaining HIPAA compliance.
Collaborate with healthcare teams to resolve medication-related issues and follow established pharmacy support workflows for first-contact resolution.
International SOS Government Medical Services provides healthcare, medical assistance, emergency response, and workforce support to improve patient care and operational readiness worldwide. Founded in 1984, the company operates in over 90 countries and supports government healthcare programs with a focus on veteran services.
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.
Conduct telephonic outreach to Medicare members to improve medication adherence and HEDIS diabetes and blood pressure control.
Use motivational interviewing to assess health risks and engage members in behavior change.
Partner with members to identify opportunities for integration into internal/external programs and coordinate care.
CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. They are a large company with passionate colleagues who care deeply, innovate with purpose, and prioritize safety and quality.
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.
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.
Efficiently schedule and coordinate medical appointments between patients and healthcare providers, managing calendar reminders to ensure timely healthcare delivery.
Facilitate effective communication between patients, providers, and team members while handling outbound and inbound calls to address inquiries and resolve issues.
Support Remote Therapeutic Monitoring and Remote Patient Monitoring, manage documentation, and help patients complete Health Risk Assessments to prepare for visits.
CareTalk Health is a fully remote, nationwide virtual medical practice that partners with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. They are a fast-growing telehealth organization with a nationwide clinical workforce, committed to creating an inclusive environment for all employees.