Conduct routine patient check‑ins to monitor therapy experience, identify concerns, and support adherence to treatment plans.
Assist with initial outreach to confirm therapy start and assess early treatment experience.
Coordinate patient appointments, follow‑up visits, and clinical monitoring schedules.
Shields Health Solutions partners with hospitals and health systems to develop and manage specialty pharmacies. They focus on improving patient outcomes, enhancing financial performance, and ensuring regulatory compliance for their partners.
Handle inbound pharmacy calls and conduct proactive outbound refill and engagement calls in English and Spanish.
Educate and guide patients through the end-to-end medication refill process.
Serve as a liaison between patients, pharmacists, clinicians, payors, and internal support teams.
Shields Health Solutions partners with hospitals and health systems to create specialty pharmacies. We focus on improving medication access, adherence, and overall patient outcomes.
Conduct high-volume outbound and inbound calls with patients, providers, and pharmacies.
Collaborate with patients to identify and remove barriers to medication adherence.
Accurately document all interactions, outcomes, and identified barriers in appropriate systems.
Aledade empowers independent primary care practices. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Conducting outbound telephonic outreach to patients to support medication adherence, address barriers to care, and promote engagement with their healthcare plan.
Assisting patients in navigating healthcare services, including coordination of prior authorizations, benefit inquiries, and referrals to appropriate care resources.
Supporting care gap closure activities by identifying members in need of medication reviews, refills, or preventive services and coordinating appropriate follow-up.
Guidehealth is a data-powered healthcare company focused on operational excellence with the goal to make healthcare affordable, improve patient health, and restore fulfillment of practicing medicine for providers. The company is growing and innovative adapting to evolving business needs, and supporting cross-functional initiatives.
Answer inbound calls and return voicemails from members, delivering exemplary customer service and support.
Troubleshoot and resolve prescription-related issues for members whose plans utilize CVS or Carelon as the PBM.
Coordinate with providers’ offices and retail/mail-order pharmacies as needed to resolve claims processing, prior authorization, and medication access issues.
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They focus on cost containment strategies and driving down the cost of plans with innovative solutions. Point C provides equal opportunity in all employment practices.
Act as the primary point of contact for incoming member calls and prior authorization inquiries.
Accurately advise callers on options for exception requests based on client benefit elections.
Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They manage health benefits for employers, TPAs, and health plans and are rebuilding trust in healthcare in the U.S.
Review and process patients’ enrollment forms to the Patient Assistance Program (PAP).
Caretria is dedicated to improving patient access to medications. Become one of their contributors and join the Caretria Team! They offer a comprehensive benefits package.
Handle inbound patient calls as your primary responsibility
Answer questions about prescriptions, refills, subscriptions, appointments, and account status clearly and accurately
Document patient interactions accurately in our systems after each call
Mochi Health is building an AI-driven marketplace that makes healthcare discoverable, connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Their platform gives patients transparent pricing, personalized medication management, and long-term access to their own medical records.
Conduct research and provide problem-solving support to the Customer Service Department, Brokers and Sales.
Provide efficient, courteous, professional quality service to Groups, Plan personnel and Brokers/Sales in a timely manner.
Ensure compliance with organizational and regulatory requirements.
They promise to go the extra mile for their team and community. Capital Blue Cross values your professional and personal growth by investing heavily in training and continuing education.
Communicate with insurance companies to facilitate medication approvals.
Navigate pharmacy systems to input data and prepare action plans.
Communicate with patients and clinician offices regarding medication access.
Shields Health Solutions focuses on improving patient care by removing barriers to medication access. They value creating a positive and inclusive work environment where employees can grow their careers.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.