Source Job

• Develop and implement region-level strategies for pharmacy compliance, revenue cycle, data management, technology, financial planning, and operational improvement.
• Manage, improve, and develop pharmacy business and operational functions to enhance compliance, revenue cycle, data integrity, and medication-related technology implementation.
• Lead, plan, direct, and coordinate business operations, fostering effective working relationships with internal and external stakeholders.

CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually.

• 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.

• 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.

• Responsible for being the main point of contact for TPA (an external client) for new group implementations.
• Ensure all requirements are documented in the standard project templates and tools.
• Manage day to day coordination and task managements for a pod of Implementation Managers and/or Implementation Specialists to maintain workplace productivity.

SmithRx is a rapidly growing, venture-backed Health-Tech company aiming to disrupt the Pharmacy Benefit Management (PBM) sector. They accomplish this through technology and customer service, with a mission-driven and collaborative culture that inspires employees.

• Serve as lead program manager for Enterprise Drug File Adoption, with oversight of drug file content, training, education, and adoption activities across VA sites
• Lead preparation, transition, and sustainment of the Cerner drug file, including oversight of the drug file component of VA site prescription migration
• Act as primary liaison with VA Medical Centers (VAMCs) on VistA and Cerner, helping sites identify and resolve drug file discrepancies prior to and following Go-Live

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. They are based in Alexandria, Virginia, support more than a dozen agencies and have 300+ employees nationwide.

• Develop and maintain a quality audit program for the Clinical Review Team.
• Ensure high-quality reviews and adherence to regulatory requirements.
• Deliver exceptional member, provider, and employee experiences.

SmithRx is a rapidly growing Health-Tech company that aims to disrupt the Pharmacy Benefit Management (PBM) sector using technology and customer service. The company has a mission-driven and collaborative culture, with hundreds of thousands of members onboarded since 2016.

• 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.

• Conduct high-volume outbound and inbound calls with patients, providers, and pharmacies.
• Collaborate with patients to identify and remove barriers to medication adherence.
• Accurately document all interactions, outcomes, and identified barriers in appropriate systems.

Aledade empowers independent primary care practices. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

• Collaborate with clinic teams to deliver hands-on patient care.
• Process prior authorizations, resolve insurance issues, and support financial assistance.
• Educate patients on pharmacy services and assist with specialty and retail prescriptions.

Shields Health Solutions is redefining patient care through specialty pharmacy. They are hiring motivated people and seem to have a good employee culture.

• Be the primary face to the client during the implementation process
• Conduct impact analysis with client to determine the appropriate requirements for a smooth and successful implementation
• Create and maintain a detailed project plan and open items log for project monitoring purposes

SmithRx is a rapidly growing Health-Tech company aiming to disrupt the Pharmacy Benefit Management (PBM) sector. They have a mission-driven and collaborative culture that inspires their employees to do their best work and are guided by their company values: Integrity, Courage, and Together.

• Lead and nurture a dynamic team of clinical pharmacists and technicians.
• Create and uphold robust policies and procedures for utilization management review.
• Generate and deliver comprehensive reports on prior authorization metrics.

Judi Health is an enterprise health technology company providing solutions for employers and health plans, including pharmacy benefit management and health benefit management. Judi Health values diversity and provides equal employment opportunities to all employees and applicants.

• 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.

• Investigate pharmacy-related concerns and issues arising before and after EHR Go-Lives, determining root causes and developing effective mitigation strategies
• Actively engage with VA Medical Centers to support preparedness, readiness, and operational response during EHR deployment
• Work closely with EHRM Solution Experts and stakeholders to resolve identified issues and drive timely, sustainable solutions

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations, and enhanced service delivery. Founded in 2012, they have 300+ employees nationwide and specialize in applying technology, creativity, and human-centered services to optimize mission delivery.

• Responsible for all aspects of pharmacy analytics needed to support business operations and organizational projects.
• Able to partner with customers on analytics tools and visualization to solve problems or answer questions.
• Develops and maintains data sets for routine use over time and integrates data for analysis.

Vanderbilt University Medical Center (VUMC) is a global crossroads of teaching, discovery, and patient care located in Nashville, Tennessee. VUMC is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.

• 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.

• Work with internal and external teams to ensure pharmacies meet accreditation requirements.
• Assist with staff training and process implementation related to meeting accreditation standards.
• Prepare reports and maintain records, and participate in internal/external meetings.

VytlOne (formerly Maxor National Pharmacy Services) is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. With a workforce of 1,600+ and almost a century of pharmacy experience, they offer the stability of a Fortune 500 company and the energy and innovation of a startup.

• 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.

• Serve as lead program manager for Specialty Clinical Applications.
• Build and sustain effective communication channels to drive clarity.
• Provide technical training to VHA Pharmacy Informatics Specialists.

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, they support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. Founded in 2012 and with 300+ employees nationwide, Aptive is an equal opportunity employer that highly encourages veterans, members of the Reserve and National Guard, and transitioning active-duty service members to apply.

• 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.

Shields Health Solutions is redefining patient care through health-system integrated specialty pharmacy. They are known for elevating patient care at nationally recognized Academic Medical Centers and building meaningful relationships with patients and providers.

• Manage team members in benefit configuration and testing.
• Improve processes and institute best practices in benefit configuration.
• Build and maintain pharmacy benefit plans for client groups.

SmithRx is a rapidly growing Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector. They focus on building a next-generation drug acquisition platform with technology, cost-saving tools, and customer service, fostering a mission-driven and collaborative culture.