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.
Provide integrated support to patients and physicians to improve medication adherence and quality of care.
Review patient assessments and EMRs to develop care plans and optimize drug therapies.
Monitor adherence, oversee technicians, and ensure compliance with pharmacy regulations.
Shields Health Solutions provides integrated specialty pharmacy support to patients and physicians. The company emphasizes high-integrity, quality-focused teamwork and confidentiality in a remote work environment.
Develop, test, train, maintain, and support clinical systems used in medication management and pharmacy automation.
Serve as a non-supervisory technical and operational leader within Pharmacy Informatics, coordinating complex cross-functional initiatives.
Ensure technology solutions align with clinical, operational, and strategic needs across the pharmacy enterprise.
The Ohio State University is a top-20 public university and one of America's leading academic health centers. It offers a strong sense of community and resources that support professional growth across many fields.
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.
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.
Serve as the designated Pharmacist in Charge and fulfill all related responsibilities.
Review and approve licensing submissions, renewals, and regulatory documentation.
Collaborate with the operations and compliance team to support ongoing compliance.
MD Exam is a healthcare organization specializing in sterile compounding operations. They are a growing company with an experienced team dedicated to compliance and patient safety.
Serve as the designated Pharmacist-in-Charge, reviewing licensing submissions and regulatory documentation.
Work with pharmacy operations and compliance team to support ongoing compliance and Board-related discussions.
Provide professional guidance and identify issues requiring follow-up or corrective action.
MD Exam is a growing healthcare organization with established sterile compounding operations. It offers an experienced team support and a collaborative culture focused on patient safety and compliance.
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.
Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.
Lead strategic oncology pharmacy initiatives across an assigned portfolio of practices, optimizing drug strategy, patient access, and operational performance.
Build trusted relationships with pharmacy, physician, and finance leaders, translating enterprise priorities into actionable implementation plans.
Analyze clinical, financial, and operational data to identify opportunities, track outcomes, and drive continuous improvement.
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.
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.
Provide exceptional phone-based customer service and process prescriptions with speed and accuracy.
Perform claim adjudication, billing, and eligibility checks while maintaining detailed patient records.
Act as a liaison between pharmacists and medical professionals, placing outbound calls to support patient care.
AnewHealth is a leading pharmacy care management company specializing in complex, chronic patient care. With over 1,400 team members and an award-winning culture, we serve more than 100,000 people across all 50 states.
Lead clinical pharmacology and pharmacometrics strategy for rare disease and oncology programs.
Design clinical studies and author regulatory documents for IND, NDA, and other submissions.
Collaborate with cross-functional teams including discovery, translational, and clinical development.
Recursion is a clinical-stage TechBio company decoding biology to improve lives, advancing a portfolio of investigational medicines in oncology and rare disease. With a team of bilingual scientists and AI experts, the company operates automated labs in Salt Lake City and Oxfordshire, and offices in global hubs.
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.
Drive sales and exceed territory goals by engaging healthcare providers virtually and communicating product value.
Build relationships with providers and staff, deliver educational presentations, and support patient access.
Complete advanced product training, maintain CRM records, and adhere to compliance policies while working remotely.
EVERSANA provides next-generation commercialization services to the life sciences industry, helping bring innovative therapies to market. They employ over 7,000 people globally, serve more than 650 clients, and are certified as a Great Place to Work with an inclusive culture focused on diversity and patient impact.