Support Pharmacists and patients by conducting medication reviews and optimizing prescription drug therapy.
Make outbound calls and take inbound calls to collect medication history and provide counseling.
Work remotely with a flexible schedule within EST business hours and participate in training with camera on.
Humana is a leading U.S. healthcare company that provides insurance and healthcare services to millions. With a large workforce, Humana fosters a caring community and supports career growth.
Provide exceptional phone-based customer service and process prescriptions with speed and accuracy.
Perform claim adjudication, billing, and eligibility checks while maintaining detailed patient records.
Act as a liaison between pharmacists and medical professionals, placing outbound calls to support patient care.
AnewHealth is a leading pharmacy care management company specializing in complex, chronic patient care. With over 1,400 team members and an award-winning culture, we serve more than 100,000 people across all 50 states.
Lead a non-clinical outreach team, overseeing daily operations and EHR/platform administration.
Monitor KPIs, manage escalations, and implement workflow improvements for patient engagement.
Coach, mentor, and develop a remote team while fostering an inclusive, patient-centered culture.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, the company has grown into the largest network of independent primary care in the country, fostering a remote-first, collaborative, and inclusive culture.
Lead and support a virtual team of Transitions of Care Coordinators, providing day-to-day guidance and fostering a patient-focused environment.
Dedicate approximately 30% of your time to direct transitions-of-care patient support, coordinating appointments, transportation, and equipment.
Oversee team performance, develop workflows, and contribute to program development and cross-functional initiatives.
This organization partners with healthcare providers to support patient transitions from hospital to home. They operate with a virtual team and emphasize patient-centered care and professional growth.
Review prior authorization cases to ensure clinical and operational standards are met.
Audit AI outputs, third-party reviews, and internal decisions for accuracy and compliance.
Collaborate cross-functionally to refine workflows and improve patient access to treatment.
Generator Health operates a platform that streamlines prior authorization processes for patients and providers. They handle tens of thousands of patients weekly and emphasize collaboration and accuracy in a high-autonomy remote environment.
Process approved physician orders and manage referrals with attention to detail.
Track documentation requiring physician signatures and escalate as needed.
Ensure timely billing and complete EMR files for discharged patients.
CommonSpirit Health at Home is a full-service health care organization that provides home health and hospice services. As a faith-based organization, it is committed to improving patient health and community well-being through compassionate care.
Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
Supervise team tasks, monitor performance, and investigate escalated issues.
Analyze reports on aging, accounts receivable, and ensure service level standards.
Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.
Serve as the primary financial contact for caregivers during onboarding, explaining insurance benefits and estimated costs.
Collaborate with care coordination and clinical teams to ensure a seamless onboarding experience.
Maintain accurate documentation of all caregiver interactions while upholding HIPAA and privacy standards.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has a collaborative culture focused on delivering transformative care through technology.
Triage clinical program calls, schedule consultations, and conduct outreach to members, prescribers, and pharmacies.
Monitor outreach queues, document case activities, and escalate issues to ensure timely completion of clinical programs.
Maintain compliance with HIPAA and internal SOPs while providing compassionate, professional support to members and providers.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. They consolidate pharmacy and medical benefits on a unified platform, leveraging AI-powered care delivery to enhance efficiency and service. The company is a growing startup focused on transforming healthcare infrastructure.
Submit and manage prior authorization requests for surgical and procedural services
Review patient charts and clinical documentation to ensure medical necessity requirements are met
Work directly within payer portals including Availity to process and track authorization requests
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 70 clinics across 8 states and a Net Promoter Score of 93, we are building the future of vein care.
Address patient and DPOA inquiries via phone and patient portal, and assist with scheduling follow-up appointments.
Manage electronic health records, maintain patient rosters, and facilitate provider orders and prior authorizations.
Collaborate with the Curana interdisciplinary care team and handle incoming calls professionally.
Curana Health is a national leader in value-based care for senior living, offering on-site primary care and Medicare Advantage plans. Founded in 2021, it has grown to serve 200,000+ seniors in 1,500+ communities, with a team of 1,000+ clinicians and staff, ranking #147 on the Inc. 5000.
Provides comprehensive medication management and patient counseling through telephone consultations.
Completes medication reviews to ensure safety, efficacy, and cost-effectiveness.
Collaborates with healthcare professionals to optimize therapeutic outcomes.
Dartmouth Health is a nonprofit academic health system delivering advanced medical care and research. It is one of New England's largest employers with a culture that values innovation and teamwork.
Triage clinical incoming calls and conduct outreach to members, pharmacies, and prescribers.
Support operations of clinical programs including pharmacogenomics, MTM, and lower cost alternatives.
Ensure customer satisfaction and meet performance metrics while maintaining quality and compliance.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans, using a unified claims processing platform. The company focuses on transparency and efficiency, serving millions of Americans.
Processes electronic medication refill requests and communicates with providers and patients.
Ensures compliance with all HIPAA regulations and maintains patient confidentiality.
Provides excellent customer service and assists with prior authorization and medication assistance guidance.
St. Elizabeth Healthcare provides medical services as one of the largest healthcare providers in the Northern Kentucky region. The organization emphasizes a culture of caring for patients and each other, with a focus on innovation and community.
Assist patients with enrolling in our Prescription Payment Plan and verifying eligibility.
Coordinate with pharmacies to apply benefits and reduce out-of-pocket costs.
Guide patients through renewals and updates to ensure continued access.
We are a team dedicated to improving access to affordable prescription medications for patients. We partner with insurance companies, healthcare providers, and pharmacies to reduce the financial burden of medications, ensuring patients can access treatments without excessive costs.
Lead daily patient access and pre-access operations, coordinating registration and scheduling activities.
Supervise, coach, and develop team members through training, feedback, and performance evaluations.
Monitor operational KPIs such as point-of-service collections, wait times, and productivity to identify improvement opportunities.
The company specializes in healthcare revenue cycle management, focusing on patient access and pre-access operations. It is a growth-oriented organization that emphasizes innovation, collaboration, and work-life flexibility for its employees.
Serve as the designated Pharmacist in Charge and fulfill all related responsibilities.
Review and approve licensing submissions, renewals, and regulatory documentation.
Collaborate with the operations and compliance team to support ongoing compliance.
MD Exam is a healthcare organization specializing in sterile compounding operations. They are a growing company with an experienced team dedicated to compliance and patient safety.
Conduct high-volume outbound and inbound calls with patients, providers, and pharmacies to support medication adherence.
Collaborate with patients to identify and remove barriers to medication adherence, escalating clinical issues to pharmacists.
Document interactions and coordinate with providers and pharmacies to ensure prescription refills occur as scheduled.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead a team of Outbound Patient Enrollment Specialists, providing daily coaching on call quality, script adherence, and patient communication.
Monitor call volume, enrollment conversion, and productivity metrics, adjusting team focus to meet targets.
Conduct call audits and quality assurance reviews, giving direct feedback to ensure Cadence's enrollment standards.
Cadence is a clinical AI company automating the treatment of chronic disease. It partners with over 20 leading health systems and serves a population of more than 100,000 patients, recognized by TIME as a top healthtech company and LinkedIn as a top startup.
Verify prescriptions and conduct drug utilization reviews to ensure regulatory compliance.
Review Prior Authorization requests and transfer prescriptions for timely medication delivery.
Collaborate across departments to improve patient health outcomes and adherence.
PHIL is a San Francisco-based health-tech startup building a platform that connects doctors, pharmacies, and patients to streamline prescription management and delivery. The team consists of mission-driven individuals from diverse backgrounds focused on creating an innovative healthcare platform.