Source Job

Oversee a team of pharmacy technicians in the prior authorization process. Analyze data and provide recommendations to maximize team agility and performance. Generate and deliver reports on technician metrics to stakeholders.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans.

• Lead, coach, and develop Team Leads and Member Services Associates.
• Own performance outcomes for medication access including resolution time, pharmacy turnaround, quality scores, and member satisfaction.
• Serve as the primary operational partner for pharmacy vendors, owning escalation patterns, performance issues, and workflow alignment.

Maven is the world's largest virtual clinic for women and families with a mission to make healthcare work for all. They have raised more than $425 million in funding and have been recognized as a Time 100 Most Influential Company and a Fast Company Most Innovative Company.

• Review clinical documentation to determine medical necessity and program compliance.
• Decide on authorization or denial of prior approval requests via telephone.
• Provide pharmaceutical expertise to advisory board’s clinical workgroups.

UMass Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

• Lead and oversee Prior Authorization Operations across all lines of business.
• Manage Prior Authorization processes ensuring optimal efficiency and compliance.
• Drive cross-functional collaboration to align with organizational goals.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.

Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.

• Oversee daily operations related to patient medication refill administration and inbound pharmacy patient inquiries.
• Manage clinic level and/or hospital service level escalations; build and action plan for resolution.
• Work with leadership to develop documented staffing plans and staffing forecasts that align with the needs of the region and productivity targets.

Shields Health Solutions is a fast-growing company in the specialty pharmacy management services.

Provide medication management for individuals, including medication reconciliation, dose optimization, and medication adherence counseling. Collaborate with the interdisciplinary care team to develop individualized care plans that align with evidence-based guidelines. Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type.

• Lead a team to generate and post Physician and APP schedules across all sites of care, maximizing efficiency and meeting operational goals.
• Identify and execute opportunities to improve clinical quality and reduce costs through enhanced scheduling.
• Collaborate with technology and scheduling leaders to enhance tools and share best practices.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

• Lead the development and management of virtual care programs.
• Manage and support a remote team of Nurse Practitioners.
• Collaborate with cross-functional teams to optimize virtual care workflows.

Sprinter Health is an innovative healthcare startup dedicated to delivering high-quality, accessible in-home and virtual care across the country.

• Lead end-to-end implementation and operational rollout of new and existing programs.
• Develop and execute a customer support strategy rooted in responsiveness, partnership, and operational clarity.
• Partner with stakeholders to implement scalable, API-integrated pipelines that connect operational, contractual, financial, and performance data to automated workflows.

Aledade exists to empower the most transformational part of our health care landscape - independent primary care.

• Provide integrated support to patients and physicians, taking a hands-on approach to improve patient care quality.
• Develop personalized relationships with patients and prescribers to enhance medication adherence and promote evidence-based care.
• Monitor patient adherence across sites and disease categories, focusing on oncology and other specialty-specific conditions.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment.