Manage prior authorization requests and coordinate specialty medication processes for a fully remote healthcare team.
Act as a liaison between pharmacies, prescribers, members, and vendors to resolve complex medication-related issues.
Support single case agreements, member financial assistance, and compliance with contractual and regulatory requirements.
The hiring company is a healthcare organization that administers specialty pharmacy and medical benefit programs. It operates fully remotely, fostering a collaborative and customer-focused culture that prioritizes compliance, member support, and process improvement.
Verify prescriptions for clinical accuracy and safety.
Provide proactive patient counseling via phone and digital platforms.
Collaborate with prescribers and supervise technicians for optimal outcomes.
Blink Health is a healthcare technology company that builds products to make prescriptions accessible and affordable. They are a highly collaborative team inventing new ways of working.
Review and verify physician orders, screening for allergies, interactions, dosing, and clinical protocols.
Use pharmacokinetic skills to determine dosing and monitor patient responses to selected medications.
Collaborate with hospital teams to ensure continuity of medication therapy and meet clinical program goals.
CommonSpirit Health is a nonprofit Catholic healthcare system offering integrated services through hospitals, clinics, home care, and virtual care. It has over 157,000 employees, including 45,000 nurses and 25,000 physicians, across 24 states.
Coordinate patient medication needs with a multidisciplinary team including CHWs, care coordinators, and therapists.
Perform telephonic and SMS outreach to address medication access, adherence, and HEDIS gaps.
Support prior authorizations, formulary changes, side effects, and therapeutic substitutions with the Waymark pharmacy team.
Waymark is a mission-driven healthcare technology company transforming Medicaid care delivery with community-based, human-centered support. They are a startup-minded team that values bold builders, humble learners, experimentation, and focused urgency.
Develop and manage complex clinical product initiatives, including clinical criteria and product roadmaps.
Analyze market information, clinical guidelines, and member claims data to support clinical product management strategies.
Collaborate with leadership and cross-functional partners to execute product strategy and represent the Clinical department in customer sessions.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on reimagining pharmacy solutions to simplify health care. It is a large, purpose-driven organization that values diversity, inclusion, and equal opportunity.
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.
Reviews patient medication orders for allergies, interactions, and appropriate drug therapy to optimize outcomes.
Ensures safe, cost-effective therapies and accurate dispensing while completing regulatory compliance documentation.
Collaborates with the Refill Authorization Pharmacy Team to improve patient access and quality initiatives.
Intermountain Health is a nonprofit healthcare system with 34 hospitals, 400+ clinics, and over 4,800 employed physicians, focused on clinical quality improvement and patient-centered care. They operate across the western U.S. and aim to help people live the healthiest lives possible.
Process new and refill prescription medications accurately and efficiently using e-Prescribing software and internal tools.
Work closely with internal and vendor partners to ensure timely medication shipment, resolving gating tasks and data entry.
Own relationships with pharmacy partners from launch to ongoing quality review and demand forecasting.
Hone is an online medical clinic transforming healthcare and enhancing longevity through cutting-edge science. They are a fully virtual, remote-first employer with a fast-paced, high-growth culture driven by values like fighting for the customer and collaborating selflessly.
Review and verify physician orders for safety, checking for drug interactions, dosing, and allergies.
Authorize prescriptions for pharmacy technicians and perform final checks before dispensing.
Monitor patients' responses to medications using pharmacokinetic skills and communicate with clinical teams.
CommonSpirit Health is a nonprofit Catholic healthcare organization providing integrated health services. With over 157,000 employees and 25,000 physicians across 24 states, it delivers more than 20 million patient encounters annually.
Review and interpret clinical data to support prior authorization approvals and care plan recommendations.
Monitor patient adherence across disease categories including oncology and specialty conditions.
Communicate with health professionals and supervise support personnel to ensure compliance with regulations.
Shields Health Solutions provides integrated support to patients and physicians to improve medication adherence and promote evidence-based care. The company is large enough to have multiple roles and emphasizes a culture of high integrity, teamwork, and confidentiality.
Lead and support patient engagement specialists, providing oversight, coaching, and workflow guidance.
Manage clinic implementation, stabilization, and queue prioritization to ensure high-quality patient care.
Maintain patient engagement specialist duties and act as subject matter expert on SOPs and compliance.
Shields Health Solutions provides specialty pharmacy care and patient engagement services, partnering with health systems to support medication adherence. The company fosters a collaborative, data-driven team culture focused on high-quality patient service and professional growth.
You perform complex medication reconciliations and identify clinical red flags to prevent ER visits and readmissions.
You deliver high-touch engagement for high-risk patients through post-discharge follow-up and care coordination.
You collaborate with practices and document interventions across multiple EHRs to ensure care gaps are closed.
Aledade PBC is a public benefit corporation that empowers independent primary care by creating value-based contracts. Founded in 2014, we are the largest network of independent primary care in the country, with a remote-first culture that is collaborative and inclusive.
Interpret and enter prescriptions, perform pharmaceutical calculations, and ensure proper medication handling and storage.
Communicate with patients over the phone for medication adherence follow-ups, refill coordination, and insurance resolution.
Manage pharmacy inventory, input data, and assist with process improvement initiatives.
Shields Health Solutions provides specialty pharmacy management services to improve patient medication adherence. The company is fast-growing and values highly motivated, self-starting team members with a focus on quality patient care.
Manage patient messages through the telehealth platform and address routine clinical questions within your nursing scope.
Escalate complex medical concerns, coordinate with providers, and ensure timely follow-ups.
Maintain accurate documentation, follow HIPAA protocols, and work independently in a fast-paced remote environment.
LumiMeds is a fast-growing U.S.-based telehealth startup focused on weight management and long-term metabolic health. It is an early-stage, remote-first company with a globally distributed team that values clarity, accountability, and initiative.
Conduct annual telehealth visits with Ennoble Care patients, reviewing care plans and confirming patient goals.
Collaborate with Advanced Practice Providers, flagging concerns or recommended changes to care plans.
Work fully remote with a target of about 20 telehealth visits per day at 1.0 FTE, with a flexible, part-time or full-time schedule.
Ennoble Care provides community-based primary, palliative, and hospice care to patients wherever home is for them. The company operates across 17 states, serves more than 50,000 patients per year, and embodies the motto, "To Care is an Honor."
Lead end-to-end client onboarding and technical implementations to drive project completion.
Configure EMR platforms, HubSpot accounts, and webhooks while troubleshooting issues.
Deliver virtual training and collaborate with Sales and Customer Success teams.
Strive Pharmacy is a personalized compounding pharmacy that believes medicine should fit the patient. They are a growing team focused on disrupting the pharmaceutical industry with a human-centered approach.