Responsibilities:

  • Execute benefits investigations using approved pharmacy dispensing systems and electronic medical records.
  • Research patient insurance coverage and medication regimens to support pharmacy operations.
  • Clearly document all investigation findings and outcomes in the designated tools.

Collaboration and Improvement:

  • Work with team members to provide integrated, quality patient care and resolve operational problems.
  • Actively participate in and recommend process improvements to enhance productivity and service standards.
  • Act as a business partner to organizational stakeholders, applying observations to implement change.

Qualifications and Compliance:

  • Must possess strong computer skills and the ability to learn EMR and pharmacy systems quickly.
  • Required to have a state pharmacy technician license; national PTCB certification is strongly preferred.
  • Must maintain high integrity, discretion, and confidentiality when handling sensitive patient data.

Shields Health Solutions

Shields Health Solutions is a specialty pharmacy integrator that partners with health systems to grow their pharmacy programs. The company fosters a collaborative and improvement-focused culture, with team members acting as valued partners to stakeholders across the organization.

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