Perform patient-specific medication reviews and develop recommendations for medical drug utilization management and Medication Therapy Management.
Resolve medication and pharmacy issues for members triaged from Member Services or other departments.
Act as subject matter expert for audits, quality improvement, and LEAN projects.
IEHP is a not-for-profit health plan dedicated to healing and inspiring the human spirit by providing quality healthcare services to members. They emphasize a supportive culture with career growth and wellness programs for their team.
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.
Conduct ADHD suitability and assessment appointments, including prescribing where clinically appropriate.
Manage patient titrations, medication reviews, and full clinical documentation.
Work independently in a flexible, remote sessional model with low initial volumes and growth potential.
Xyla Neurodevelopmental Services provides ADHD assessments and treatment support through an expanding prescribing workforce. They offer clinicians flexible, remote sessional work with strong clinical support and a consistent referral pathway.
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.
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.
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.
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.
Assess, diagnose and manage patients presenting with a range of minor illnesses and acute conditions.
Review, interpret and act on blood test results including FBC, U&Es, CRP, LFTs, lipid profiles and HbA1c.
Maintain accurate clinical records using SystmOne and work autonomously within scope of practice.
GPDQ provides nationwide healthcare services for individuals, businesses, and the NHS. Led by NHS GP and Founder Dr Anshu Bhagat, the multidisciplinary team uses technology to deliver primary care online, at home, or in clinics.
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.
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 news and competitive intelligence monitoring for pharmaceutical and life-sciences clients.
Conduct clinical trial research and maintain organized records of active programs.
Support database and AI-assisted research workflows using AlphaSense, GlobalData, and AI tools.
20four7VA connects offshore independent contractors with clients worldwide to deliver remote business support services. They foster a vibrant community with constant support and guidance for contractors.
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.
Provide clinical expertise in neurology and behavioral health across the system.
Develop and implement evidence-based guidelines, policies, and procedures.
Collaborate with healthcare teams to enhance medication use and patient outcomes.
Baptist Health is a full-spectrum health system based in Louisville, Kentucky, operating 10 hospitals and more than 470 points of care. With over 24,000 employees and a strong focus on clinical excellence and nursing recognition, it is dedicated to improving community health.
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.
Own clinical QA program for all clinicians: audits, workflows, scorecards, Rippit administration.
Implement automation for sampling, screening, flagging, and reporting with validation and trend analysis.
Maintain calibration, onboard new clinicians, and partner with clinical leadership on quality improvements.
Lifeforce is a longevity medicine program providing advanced diagnostics, expert clinicians, and personalized care from home. Founded with leaders from Harvard Medical School and Cleveland Clinic, it has 50+ clinicians and a remote culture.
Partner with Clinical Scientists and Clinician Services leaders to design and deliver study-specific training programs.
Develop calibration strategies, monitor clinician performance, and implement quality improvements.
Lead group training, coaching, and documentation while ensuring GCP and regulatory compliance.
Clario, part of Thermo Fisher Scientific, provides endpoint data solutions for clinical trials. Its global team has supported over 30,000 clinical trials and 70% of FDA drug approvals since 2015.