Responsible for aiding in the delivery of clinical interventions and Medication Therapy Management (MTM) services for commercial and Medicare members.
Conducts telephonic and video chat outreach to complete analysis of members' medication regimens.
Performs outbound calls to members, fielding inbound calls, and facilitating communication regarding clinical programs.
Navitus is an alternative to traditional pharmacy benefit manager (PBM) models, committed to removing cost from the drug supply chain to make medications more affordable. The company has a team that celebrates diversity, fosters creativity, and encourages growth.
Respond to patient inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy, including answering inbound calls and conducting status checks.
Make outbound patient refill phone calls, coordinate medication refills including data entry and pharmacy claim adjudication, and resolve adjudication error messages.
Manage, organize, and update relevant data using database applications, identify trends, and participate in process improvement initiatives.
Shields Health Solutions is a healthcare company that partners with health systems to deliver specialty pharmacy services. They focus on patient engagement and medication adherence through integrated care models.
Perform remote order entry and CPOE evaluation and verification for acute-care hospitals.
Utilize clinical skills including monitoring, dosing, and reviewing patient medication therapy.
Collaborate with physicians and nurses to ensure continuity of care and regulatory compliance.
Cardinal Health distributes pharmaceuticals and provides medical products and data solutions for healthcare facilities. With over 45 years of experience, it is one of the largest employers of acute-care pharmacists in the United States, fostering an inclusive workplace that values diversity.
Collect and document clinical information from providers, pharmacies, and members.
Assist pharmacists with utilization management and appeals processing.
Communicate with prescribers and pharmacies regarding authorization status and coverage requirements.
The OccuNet Company is an innovative company striving to reduce the cost of healthcare through negotiations-driven levers and an experience-centric approach. We have an ambitious vision and are growing quickly, with a tight-knit culture based on the outward mindset philosophy emphasizing empathy and mutual respect.
Review and process patients’ enrollment forms for the Patient Assistance Program.
Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks.
Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process.
CareTria aims to help patients access coverage for their prescribed medications. We provide telephone support and administrative functions. The company offers comprehensive benefits and is an Equal Opportunity Employer, indicating a commitment to a positive and inclusive work environment.
Accurately and timely review medication orders in a virtual environment.
Ensure safe medication use, regulatory compliance, and quality patient care.
Collaborate with healthcare teams through secure digital platforms to resolve medication-related issues.
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. The organization prioritizes safety and provides an integrated system of healthcare experts committed to exceptional care.
Act as primary point of contact for patients, providers, and referral sources during the intake process.
Process respiratory equipment orders, verify documentation, and ensure timely delivery.
Maintain communication with internal teams and referral sources to coordinate service.
Respire Homecare Services provides comprehensive, compassionate home care services for patients and families. The company fosters a culture of open communication, teamwork, and mutual respect, and is committed to employee development and retention.
Serve as a primary contact for incoming DME referrals, providing clear information on pricing, order status, timelines, and qualification requirements.
Advance referrals by reviewing documentation, identifying gaps, and securing clinical or insurance information.
Verify insurance eligibility, maintain patient accounts, and coordinate intake workflows across multiple communication channels.
CarepathRx advances pharmacy and care delivery alongside hospitals and health systems nationwide. The team is ambitious, compassionate, and invested in curious, resilient individuals who are motivated to grow, keeping patients at the heart of everything they do.
Handle inbound calls regarding STAT medical record requests.
Ensure prompt and courteous responses within performance standards.
Maintain accurate records and escalate issues as needed.
This organization manages the release of medical records in urgent timeframes. It maintains a remote workforce focused on customer service and compliance.
Provide patient care and advanced clinical pharmacy services in the ambulatory pharmacy space.
Collaborate with prescribers and manage medication therapy for direct patient care.
Document patient interactions across various electronic medical record platforms.
Saint Francis Hospital is a healthcare facility in Chicago, IL, part of Prime Healthcare SFIL Resurrection Medical Center. It offers a comprehensive benefits package and empowers staff with resources for growth and well-being.
Process referrals to MTM team and schedule appointments for patients.
Provide phone support and document patient information in electronic health records.
Assist with prior authorizations and billing to help patients access affordable medications.
UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.
Support daily pharmacy operational workflows and administrative tasks to ensure timely and accurate prescription processing.
Provide frontline operational support to clinicians and internal teams for routine pharmacy workflow questions and requests.
Collaborate with the CX team to assist with basic prescription-related member issues and inquiries.
Lifeforce is the world's largest longevity medicine program. They bring together diagnostics, clinical experts, health coaches, and customized protocols to help people understand and optimize their bodies, functioning now and decades to come. They seem to have a modern and proactive company culture.