Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
Navigate pharmacy systems to enter data, adjudicate claims, and document patient interactions across multiple databases.
Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.
Shields Health Solutions partners with health systems to provide specialty pharmacy services, helping patients access complex medications. As a growing organization, they emphasize a collaborative culture and patient-centered care, employing pharmacy professionals dedicated to improving medication adherence and health outcomes.
Serve as a key point of contact between patients, providers, pharmacies, and pharmacy benefit teams to coordinate alternative medication sourcing solutions.
Identify and validate appropriate sourcing options for non-covered, high-cost, specialty, or limited-distribution medications.
Assist with cost comparisons, savings analyses, reports, invoices, and documentation related to pharmacy sourcing activities.
The company helps patients navigate complex pharmacy solutions and alternative medication sourcing pathways. They are a mission-driven organization focused on patient-centered service.
Communicate with insurance companies and clinician offices to facilitate medication prior authorizations.
Assist patients with financial assistance resources and navigate pharmacy systems for claims processing.
Support medication adherence through direct patient communication and accurate documentation.
Shields Health Solutions is a healthcare solutions company specializing in specialty pharmacy services. The company fosters a collaborative culture focused on patient care and operational excellence.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to prescribed medication and understand cost support options.
Guide patients and caregivers through the post-prescription process including enrollment, benefits verification, prior authorization, and therapy initiation.
Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression.
Inizio Engage is a strategic, commercial, and creative engagement partner specializing in healthcare. With over 7,000 experts across more than 20 countries, the company offers a collaborative culture and comprehensive benefits, and has been recognized as a Best Place to Work in BioPharma.
Interpret, evaluate, and summarize information and datasets of varying sizes.
Determine benefit limits and secure insurance approvals for specialty infusion, oral chemotherapy and high-cost medications.
Serve as a resource to patients and staff regarding insurance and drug coverage questions.
Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, it is the only NCI-designated cancer center in Washington, employing a diverse workforce that values collaboration, compassion, and innovation.
Counsel patients via telephonic outreach on medication adherence and make evidence-based recommendations.
Perform focused clinical chart reviews to inform patient interventions and document commitments.
Escalate complex cases to prescribers and meet performance goals such as STARs and HEDIS.
Aledade is a public benefit corporation dedicated to empowering independent primary care practices. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, remote-first culture.
Serve as a liaison between patients, providers, and internal teams to coordinate alternative pharmacy sourcing.
Identify and verify sourcing channels for non-covered or high-cost medications.
Track sourcing outcomes, maintain compliance, and support patient access to medications.
CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for chronically ill or complex condition patients. With over 19,000 employees across 150+ facilities in six states, it is a family-owned company that values family, heart, and exceptional service.
Lead and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support.
Partner with hospital and clinic stakeholders through regular meetings and collaboration calls to ensure patients receive medications on time.
Monitor service level metrics, conduct audits, and implement process improvements to optimize workflows and drive performance.
Shields Health Solutions is a fast-growing leader in specialty pharmacy, dedicated to a patient-first culture and mission-driven care. They offer a collaborative, supportive environment with strong career growth and leadership development opportunities.
Verifies patient insurance coverage and submits prior authorizations to insurance plans.
Troubleshoots prior authorization submissions and prescription processing with healthcare providers.
Documents activities and works with Customer Support team to ensure patient success.
PHIL is a health-tech startup pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals. The company employs over 120 individuals and expects to double its employee base in the coming year.
Proactively enroll patients in the Shields specialty pharmacy program through outbound calls, explaining the benefits of the service.
Review patient medical records to understand conditions and identify medications that require special handling or supplies.
Work flexible shifts within Eastern Time Zone hours, with occasional Saturday availability, and maintain confidentiality.
Shields Health Solutions provides specialty pharmacy services to health systems, helping patients access medications and support. They are a growing company focused on patient care, employee development, and a collaborative culture.
Support the design, execution, and optimization of patient access, affordability, and HCP support programs.
Manage day-to-day activities with patient services vendors, ensuring compliance and scalability.
Coordinate cross-functional reviews and governance to maintain alignment with brand priorities and compliance expectations.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. The company is headquartered in Radnor, Pennsylvania and operates as a fully remote organization.
Review and process prior authorizations for biologics, oncology, and specialty therapies with timely and accurate completion.
Manage clinical documentation, submit and track authorization requests, and resolve issues with insurance providers.
Communicate effectively with patients, clinical staff, and insurance representatives to ensure compliance and workflow efficiency.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. They are a rapidly growing company focused on patient comfort and employee empowerment, with core values of kindness, integrity, and continuous improvement.
Lead and manage a team of Patient Support Associates to ensure medication adherence and prior authorization support.
Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time.
Provide front-line supervision, coaching, and performance management to the Patient Support team.
Shields Health Solutions is a fast-growing company specializing in specialty pharmacy management services. They are committed to high quality and patient-centered care, with a focus on employee development and team collaboration.
Prepare prior authorization requests by validating prescriber and member information and ensuring appropriate clinical guidelines.
Make outbound calls to providers to obtain additional clinical information for pharmacist review.
Review and analyze pharmacy claims data for proactive outreach and intervention.
Judi Health is an enterprise health technology company offering pharmacy benefit management and health benefit solutions for employers and health plans. They are a startup focused on rebuilding trust in healthcare in the U.S.
Serve as the primary point of contact for patients after their intake visit, guiding them through their care plan.
Help patients schedule appointments, find in-network providers, and navigate Medicare benefits.
Document all patient interactions accurately and maintain confidentiality.
Mira Mace is a venture-backed company that helps Medicare patients navigate healthcare with clarity and confidence. They deliver Community Health Integration and Principal Illness Navigation services through affiliated provider organizations, with a small, patient-focused team.
Serve as a primary point of contact for patients through phone, email, and in-app messaging.
Partner with cross-functional teams to ensure coordinated support throughout the care journey.
Resolve non-clinical inquiries while delivering a positive, patient-centered experience.
Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. The company has grown from a single innovation into a complete sleep health company with an international team across the US, France, and Belgium, and values clarity, trust, collaboration, and compassion.
You will serve as a critical liaison between patients, providers, care teams, and community resources to ensure continuity of care.
You will create and promote adherence to treatment plans developed by healthcare providers.
You will assess patients' unmet health and social needs and connect them to relevant community resources.
Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment strategies and driving down plan costs.
Document and relay patient information to practices, utilizing Epic and other communication tools.
Boston Medical Center is a nationally-recognized academic medical center dedicated to providing exceptional and equitable care to all. As a top employer, we foster a strong sense of teamwork and support for our staff, with a focus on improving community health.
Act as the primary point of contact for patients, healthcare providers, and program stakeholders.
Manage patient access, reimbursement, and therapy support processes.
Build trusted relationships with healthcare professionals and ensure coordinated care.
A healthcare services organization that partners with patients and providers to navigate complex treatment processes. The culture is purpose-driven, collaborative, and inclusive, with an emphasis on improving health outcomes.