Lead and manage a team of Patient Engagement members to ensure timely medication refill support and high-quality patient care.
Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time and service level goals are met.
Provide ongoing coaching, performance management, and professional development to drive team success and adoption of best practices.
Shields Health Solutions provides patient engagement and pharmacy support services to hospitals and clinics. It is a fast-growing company with a focus on high quality and accountability.
Lead and manage a team of Patient Support Associates, providing coaching and performance development.
Ensure medication access through refills, prior authorizations, and financial assistance.
Oversee pharmacy workflows, conduct system audits, and collaborate with hospital stakeholders.
Shields Health Solutions specializes in specialty pharmacy services and patient support for hospitals and clinics. The company fosters a culture of patient-focused care and team collaboration, with a remote and onsite workforce.
Oversee daily operations for medication refill administration and inbound pharmacy patient inquiries.
Manage productivity and quality of 50+ team members, including supervisors and regional leads.
Partner with leadership to develop staffing plans, launch new services, and drive continuous improvement.
Shields Health Solutions is a fast-growing company focused on patient medication refill administration and pharmacy patient inquiries. While exact employee count is not given, it supports a large team of 50+ employees and emphasizes high quality, performance accountability, and employee development.
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.
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.
Handle inbound pharmacy calls and make outbound refill reminders to guide patients through the refill process.
Coordinate medication refills including data entry, claim adjudication, and resolving patient and provider inquiries.
Collaborate with pharmacists, clinicians, and internal teams to ensure timely and accurate patient support and process improvements.
Shields Health Solutions is a healthcare company that focuses on patient engagement and medication refill support for pharmacies. The company is large enough to offer benefits like medical, dental, and vision insurance, 401(k) match, and paid parental leave, and emphasizes a collaborative and supportive culture.
Supervise and coach a team of Outreach Specialists to meet engagement targets.
Conduct call audits and manage performance metrics like schedule rate and show rate.
Partner with market teams and drive adoption of new AI tools.
Accompany Health is a primary, behavioral, and social care provider for patients with complex needs, offering at-home and virtual care. They are a fast-paced startup with an empathetic care team, guided by proven care models.
Lead operational execution for pharmacy services, ensuring efficiency, profitability, and patient care excellence.
Mentor staff, manage client relationships, and oversee compliance with laws and accreditation standards.
Handle staffing, scheduling, inventory control, and training to optimize pharmacy workflows.
VytlOne is a pharmacy services and technology company that enables pharmacy care, with a focus on health system pharmacies. With nearly 100 years of experience and 1,000 employees, it combines Fortune 500 stability with startup energy and promotes a culture of teamwork and flexibility.
Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
Meet all departmental goals including schedule adherence, attendance, and quality monitoring.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.
Coordinate care between physicians, patients, and pharmacies to facilitate access to specialty medications for complex disease states.
Review chart notes and perform utilization management, handling case assignments and documenting case progress.
Provide clinical expertise to prescribers and guide prescribing offices through the prior authorization process.
Archimedes is the industry leader in specialty drug management solutions, transforming the PBM industry to provide alignment, value, and transparency. The company achieves superior results for clients by eliminating conflicts of interest and delivering rigorous clinical management at the lowest net cost.
Lead and develop a team of Enrollment Specialists to hit daily and weekly performance targets through coaching, huddles, and 1:1s.
Keep operations on track by handling HR tasks like timecards and PTO, and coaching the team to follow processes seamlessly.
Drive continuous improvement by partnering with other leads to fix enrollment queue issues and surfacing opportunities to improve workflows and conversion.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization, it combines human support with AI and has a bold vision to become a household name in cancer care.
Contact physician offices for refill authorizations and verify orders.
Process new and refill prescriptions, ensuring accurate data entry and maintaining productivity.
Answer incoming calls promptly and provide high standard of customer service.
Symbria Rx Services is a 100% employee-owned healthcare company that provides patient-centered care to the geriatric population in senior-living and post-acute settings. For over 20 years, they have been delivering an outstanding work environment for talented employees.
Conduct high-volume inbound and outbound patient outreach via phone to educate, engage, and enroll eligible patients in care management programs.
Accurately document patient interactions and enrollment outcomes in a timely manner, collaborating with care teams for a seamless patient experience.
Follow established outreach workflows and compliance requirements while adapting conversations to meet individual patient needs and escalating concerns as needed.
Jaan Health is a leading AI-based care management company serving healthcare providers with its proprietary Phamily platform that enables high-quality proactive care. As an early-stage company, it values a growth mindset, ownership, and collaboration among its smart and humble team.
Collaborate with the Sales team to identify strategic accounts and prioritize outbound plays.
Take ownership of Marketing leads to build interest and book qualified meetings with Sales.
Establish new business relationships with potential customers and hand off to sales executives.
Bluesight creates groundbreaking solutions to increase efficiency, safety and visibility for health systems, hospital pharmacy, and pharmaceutical manufacturers. It is a high growth healthcare IT company with a start-up vibe and over 3,000 customers.
Reviews Part D coverage determinations and appeals to ensure clinical appropriateness and compliance with CMS regulations.
Conducts Medication Therapy Management (MTM) activities, including comprehensive medication reviews and targeted interventions for high-risk members.
Supports pharmacy quality improvement initiatives aligned with Medicare Star Ratings and HEDIS measures.
Alignment Health is a healthcare company focused on serving seniors and the chronically ill through Medicare Advantage plans. The company is fast-growing with a team of passionate people dedicated to transforming senior care.
Manage provider and clinic compliance relationships, including onboarding and edge case resolution for approximately 3,500 clinics.
Lead investigations into prescribing pattern anomalies and credential lapses, producing written summaries and communicating outcomes.
Build and deliver compliance training for the sales team and develop provider-facing educational materials.
Strive Pharmacy is a personalized compounding pharmacy focused on individualized care and genuine partnership with patients and providers. The company is growing and seeks people who share their conviction for a more human approach to healthcare.
Lead day-to-day operational performance strategy across pharmacy operations to achieve productivity, turnaround time, and quality goals.
Establish and monitor KPIs, drive process improvement initiatives, and oversee staffing models and workforce planning.
Partner cross-functionally to support enterprise initiatives and transition to new pharmacy operating system.
We are one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs. With over 1,400 team members, we care for more than 100,000 people across all 50 states.