Source Job

• Provides integrated off-site support to patients, pharmacists, and providers for total quality patient care.
• Delivers medication adherence support utilizing various tools and applications.
• Educates prospective pharmacy patients on how the hospital pharmacy improves their overall care.

Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within their systems. They aim to improve medication access, adherence, and outcomes for patients with chronic conditions.

• Complete monthly utilization management and appeals performance and process audits.
• Present audit results to leadership to address issues.
• Assist management in identifying, evaluating, and mitigating risks.

Judi Health provides a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions and consolidate all claim administration-related workflows in one scalable, secure platform.

Provide medication management for individuals, including medication reconciliation, dose optimization, and medication adherence counseling. Collaborate with the interdisciplinary care team to develop individualized care plans that align with evidence-based guidelines. Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type.

• Provide one-on-one counseling to patients and caregivers on medication use, adherence, side effects, and cost-effective options.
• Conduct comprehensive medication reviews and reconciliation, particularly for patients with chronic conditions, multiple medications, or recent hospitalizations.
• Partner with care managers, health center pharmacists, and primary care providers to support patients in meeting treatment goals, including diabetes, hypertension, COPD, and other chronic conditions.

Medical Home Network (MHN) partners with Federally Qualified Health Centers (FQHCs) nationwide to transform care. They help FQHCs succeed in value-based care through technology, care model innovation, and strong partnerships, expanding reach to enhance care for their patients.

• Provide integrated support to patients and physicians, taking a hands-on approach to improve patient care quality.
• Develop personalized relationships with patients and prescribers to enhance medication adherence and promote evidence-based care.
• Monitor patient adherence across sites and disease categories, focusing on oncology and other specialty-specific conditions.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment.

• Oversee daily operations related to patient medication refill administration and inbound pharmacy patient inquiries.
• Manage clinic level and/or hospital service level escalations; build and action plan for resolution.
• Work with leadership to develop documented staffing plans and staffing forecasts that align with the needs of the region and productivity targets.

Shields Health Solutions is a fast-growing company in the specialty pharmacy management services.

• Proactively grow the specialty pharmacy patient population by identifying eligible patients.
• Complete patient benefits investigations using approved tools and systems.
• Collaborate with team members to provide integrated, quality patient care and contribute to process improvement initiatives.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment.

• Review clinical documentation to determine medical necessity and program compliance.
• Decide on authorization or denial of prior approval requests via telephone.
• Provide pharmaceutical expertise to advisory board’s clinical workgroups.

UMass Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

Supports the clinical team through collaboration with prescribers and beneficiaries. Provides medication therapy management (MTM) services via triage of inbound calls. Documents services/activities in appropriate databases/software to ensure compliance.

Centene is committed to helping people live healthier lives by providing access to high-quality healthcare, innovative programs and a wide range of health solutions.