Source Job

US

  • Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
  • Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
  • Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.

Clinical Pharmacy Customer Service Call Center Managed Care

20 jobs similar to New Clinical Programs Administrations Pharmacist

Jobs ranked by similarity.

US

  • Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
  • Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
  • Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.

Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.

US

  • Provides comprehensive medication management and patient counseling through telephone consultations.
  • Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
  • Collaborates with healthcare professionals to optimize therapeutic outcomes.

Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.

US

  • Review and evaluate medication orders for accuracy, appropriateness, and safety.
  • Provide medication counseling to patients, addressing questions and concerns.
  • Collaborate with healthcare providers to develop and monitor medication therapy plans.

Shields Health Solutions provides pharmaceutical care services, specializing in therapy management programs for patients with conditions like diabetes and weight management. The company focuses on remote collaboration with healthcare professionals to ensure safe and effective medication therapies.

US

  • Remote order entry and CPOE order evaluation and verification
  • Clinical medication dosing and review of patient profiles and lab values
  • Physician and nursing consultations to ensure continuity of care

Cardinal Health is a distributor of pharmaceuticals, medical products, and provider of performance and data solutions for healthcare facilities. With over 50 years of experience, they are a large employer of acute-care pharmacists in the US and foster an inclusive workplace.

$126,300–$173,700/yr
US

  • Manage medication therapy for high-risk patients with chronic conditions using evidence-based protocols.
  • Collaborate with physicians, nurses, and specialists to optimize treatment plans during high-risk rounds.
  • Conduct patient education and in-service sessions to promote medication safety and quality care.

CenterWell Senior Primary Care provides proactive, preventive care to seniors, focusing on personalized experiences and whole-person health. As part of Humana, a large healthcare company, we foster a caring community that prioritizes employee well-being with competitive benefits.

$108,000–$184,000/yr
US

  • Build and maintain customer relationships, leading account teams to deliver results that demonstrate value.
  • Manage financial aspects of accounts including revenue goals, cost of care, and contract compliance.
  • Identify opportunities for additional services and develop strategic business plans for long-term client retention.

Prime Therapeutics is a pharmacy benefit manager (PBM) focused on connecting care and reimagining pharmacy solutions. The company values a purpose-driven culture and aims to simplify healthcare.

US

  • Lead strategic and operational clinical pharmacy services for specialty clinics, overseeing a team of clinical pharmacists and driving high-quality patient care.
  • Serve as the primary liaison between pharmacy services and clinic leadership, fostering interdisciplinary partnerships and program expansion.
  • Manage staff recruitment, onboarding, performance, and clinical quality while supporting pharmacist development and operational excellence.

Shields Health Solutions is a specialty pharmacy company that partners with health systems to deliver comprehensive medication management and improve patient outcomes. The company emphasizes innovation, collaboration, and clinical excellence, supporting a team of pharmacists dedicated to high-quality care.

US

  • Support pharmacy benefit operations by coordinating clinical and administrative workflows.
  • Review documentation and communicate with members, providers, and internal stakeholders.
  • Ensure accurate and compliant processing of pharmacy benefit requests.

We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.

US

  • Serve as a point of contact for patients, families, and healthcare providers to address medication-related problems and answer pharmacotherapy questions.
  • Ensure accurate, efficient, and compliant medication distribution and fulfillment using proprietary software, including proper documentation and billing.
  • Oversee pharmacy technicians, review prescriptions, and maintain compliance with state and federal regulations, including HIPAA and quality standards.

AnewHealth is a leading pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, the company was established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare and serves more than 100,000 people across all 50 states.

US

  • Answer inbound and outbound calls to schedule and complete medication refills for patients.
  • Work closely with pharmacists, providers, and care teams to resolve prescription and claim issues.
  • Maintain accurate patient records and provide friendly, helpful support throughout the refill process.

Shields Health Solutions helps patients manage their medications by connecting them with pharmacy care teams. The company is a growing health solutions provider that values dependability, organization, and patient-focused support.

US

  • Support the Pharmacotherapy Clinic by assisting pharmacists with patient communication and care coordination.
  • Conduct patient check-ins, coordinate appointments, and track labs to ensure timely follow-up.
  • Maintain documentation in Epic and perform clerical tasks to support clinical operations.

Shields Health Solutions provides specialty pharmacy services to health systems and hospitals. They focus on patient-centered care and offer a collaborative, inclusive work environment.

US Unlimited PTO

  • Lead a multidisciplinary team integrating QA oversight, technical system management, and medication policy execution.
  • Drive clinical strategy, prior authorization platform management, and data-driven process improvements.
  • Ensure safety, evidence-based compliance, and operational excellence across the PA ecosystem.

SmithRx is a venture-backed Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. With hundreds of thousands of members onboarded since 2016, the company is guided by a mission-driven and collaborative culture that inspires employees to transform the U.S. healthcare system.

US 4w PTO

  • Make outbound calls to eligible patients to enroll them in the Shields Partner Pharmacy program and explain the benefits of the service.
  • Access patient EMR and review chart notes to ensure familiarity with their condition before each call.
  • Identify medications requiring special handling and necessary supplies such as sharps containers or needles.

Shields Health Solutions is a specialty pharmacy services company that partners with health systems to provide comprehensive pharmacy care. They offer a supportive culture with benefits starting day one and opportunities for professional development.

3w PTO

  • Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
  • Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
  • Document all interactions using SBAR standards and educate patients on refill policies and adherence.

Mindpath Health is redefining how mental health care is delivered, operating in more than 100 locations across six states with in-person and telehealth services. The team is deeply committed to compassionate, collaborative care and values diversity and inclusion.

$0–$120/hr
Global

  • Evaluate AI-generated responses to pharmaceutical scenarios for accuracy and safety.
  • Compare multiple model answers and select the best based on current pharmacy standards.
  • Write improved exemplars and structured feedback to help AI models learn.

Prolific is building the world's largest pool of quality human data, connecting AI developers and researchers with paid study participants. With over 35,000 AI developers and organizations using the platform, Prolific offers flexible, remote work opportunities for domain experts to train and evaluate AI models.

$19–$19/hr
US

  • Answer new referral intake and refill calls in a timely and professional manner, accurately updating patient information in the computer system.
  • Contact patients to collect information for medical chart establishment and schedule delivery or shipping arrangements for refills.
  • Maintain accurate patient records, assist with copay collections, and participate in performance improvement and quality management processes.

VytlOne is a specialty pharmacy company transforming the pharmacy industry through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, and more. They foster a diverse and progressive culture with a remote work model and a team-oriented environment that encourages collaboration and innovation.

US

  • Develop and maintain protocols for prescribing, dispensing, and administering medications.
  • Provide specialized services to help patients manage chronic conditions such as Diabetes, COPD, and Hypertension.
  • Collaborate with healthcare professionals to plan, monitor, and evaluate patient effectiveness and medication safety.

Better Health Group is a healthcare organization dedicated to improving patient health through comprehensive medication management services. It is a growing team that values commitment, passion, and a culture of support for both employees and patients.

$40–$40/hr
US

  • Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
  • Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
  • Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.

GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.

US 4w PTO

  • Coordinate and process medication refills including data entry and claim adjudication.
  • Place outbound refill calls and assist patients through the refill request process.
  • Respond to and resolve inbound patient and provider inquiries with empathy.

Shields Health Solutions partners with health systems to deliver specialty pharmacy care. They foster a supportive culture with employee resource groups and wellness programs.

US

  • Lead and manage a team of Patient Support Associates to ensure medication adherence through refill management or timely prior authorization and financial assistance.
  • Manage service level goals, conduct audits, and provide coaching and performance management for a remote Patient Support team.
  • Collaborate with on-site management at hospital partners for quarterly calls, workflow improvements, and record keeping.

Shields Health Solutions provides specialty pharmacy management services to healthcare organizations. They are a fast-growing company with a close-knit team that values employee development and high-quality patient care.