Provide clinical expertise and strategic recommendations to clients and internal teams on drug spend, formulary compliance, and clinical programs.
Act as a clinical liaison between Plan Operations and other departments, communicating formulary changes and program updates.
Analyze drug benefit designs, prepare clinical marketing materials, and support go-live activities for new client groups.
SmithRx is a venture-backed health-tech company disrupting the PBM sector with a next-generation drug acquisition platform. It has hundreds of thousands of members and a mission-driven, collaborative culture guided by integrity, courage, and togetherness.
Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.
Provide clinical expertise in neurology and behavioral health across the system.
Develop and implement evidence-based guidelines, policies, and procedures.
Collaborate with healthcare teams to enhance medication use and patient outcomes.
Baptist Health is a full-spectrum health system based in Louisville, Kentucky, operating 10 hospitals and more than 470 points of care. With over 24,000 employees and a strong focus on clinical excellence and nursing recognition, it is dedicated to improving community health.
Manage prescription workflows and provide clinical and operational support to the pharmacy enablement team.
Collaborate with RNs, providers, and coaches to coordinate care and resolve member issues.
Process clinical tickets, route faxes and records, and follow SOPs to maintain compliance.
Virta Health works to reverse metabolic disease in one billion people using technology, personalized nutrition, and virtual care delivery. It is a remote-first company backed by over $350 million from top-tier investors, partnering with health plans, employers, and government organizations.
Perform patient-specific medication reviews and develop recommendations for medical drug utilization management and Medication Therapy Management.
Resolve medication and pharmacy issues for members triaged from Member Services or other departments.
Act as subject matter expert for audits, quality improvement, and LEAN projects.
IEHP is a not-for-profit health plan dedicated to healing and inspiring the human spirit by providing quality healthcare services to members. They emphasize a supportive culture with career growth and wellness programs for their team.
Manage formularies, coverage determinations, and benefit design for PBM services.
Resolve clinical inquiries from members, clients, providers, and pharmacies.
Support P&T Committees with drug monographs, summaries, and medication policies.
OHSU is Oregon's only public academic health center with hospitals, clinics, and research schools. It is Portland's largest employer and a national research hub, welcoming diverse backgrounds.
Provide integrated support to patients and physicians to improve medication adherence and quality of care.
Review patient assessments and EMRs to develop care plans and optimize drug therapies.
Monitor adherence, oversee technicians, and ensure compliance with pharmacy regulations.
Shields Health Solutions provides integrated specialty pharmacy support to patients and physicians. The company emphasizes high-integrity, quality-focused teamwork and confidentiality in a remote work environment.
Design, implement, maintain, and support assigned Epic software applications to meet clinical needs.
Collaborate with operational teams across ProMedica and mentor less experienced IT EMR staff.
Plan system implementations and upgrades, ensuring thorough testing, quality assurance, and documentation.
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio, serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. It employs over 1,300 health care providers through ProMedica Physicians and more than 2,300 physicians and advanced practice providers, with a culture focused on improving health and well-being.
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.
Assess clinician and Veteran EHR needs and translate them into system requirements.
Develop and refine clinical decision support, order sets, and workflows in VistA/CPRS and the Federal EHR.
Support Agile ceremonies, go-lives, issue management, and informatics patient safety.
Artemis ARC is a healthcare technology company supporting the Department of Veterans Affairs' Office of Clinical Informatics. They work within Agile Release Trains to improve electronic health record systems for clinicians and Veterans.
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.
Consult with stakeholders to define software and system specifications.
Manage IT project initiatives and provide mentorship to peers.
Support application support, enhancement, and implementation of complex changes.
Northern Arizona Healthcare (NAH) is a healthcare system providing medical services to Northern Arizona. NAH emphasizes teamwork and patient-centered care, with a focus on technology and innovation.
Review prior authorization requests and make evidence-based decisions using clinical guidelines.
Ensure compliance with federal, state, and internal regulations while accurately documenting clinical decisions.
Provide clear, empathetic support to members, prescribers, and pharmacies, staying current with prescribing guidelines and regulatory changes.
SmithRx is a rapidly growing, venture-backed Health-Tech company that disrupts the expensive Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. Since 2016, they have onboarded hundreds of thousands of members and pride themselves on a mission-driven, collaborative culture guided by values of Integrity, Courage, and Together.
Administers and manages cloud and on-premises applications, including testing, troubleshooting, and maintenance.
Coordinates issue investigation, implements corrective actions, and coaches junior colleagues.
Assists in defining system security, monitors access, and acts as a technical SME.
Community System Lexington is a healthcare organization focused on improving health and promoting well-being. They operate in multiple locations across Kentucky and have a Culture department emphasizing professional management and innovative initiatives.
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.
Coordinate logistics for Oregon's perinatal substance use disorder program, including scheduling, travel arrangements, and reimbursements.
Provide quality improvement coaching and support to hospitals, clinics, and treatment programs using QI tools.
Support program evaluation, budget tracking, and reporting for funders and stakeholders.
OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for health care professionals. As Portland's largest employer, it offers opportunities to learn and advance across a system of hospitals and clinics in Oregon and Southwest Washington, with an inclusive and welcoming culture.
Lead and support the Epic Beaker CP implementation, managing IT staff by recruiting, training, assigning projects, and monitoring performance.
Ensure staff alignment with mission, compliance with budgets, and regular communication of project status to leadership and stakeholders.
Drive process improvements by reviewing technology advances and industry best practices, and assist with operating and capital budgets.
Vanderbilt Health is a large academic health system with eight hospitals and over 180 clinics, providing world-class care and advancing medicine through patient care, education, and research. They employ more than 43,000 people and foster a collaborative, supportive culture that values expertise, diversity, and compassion.
Forge partnerships with customers to determine needs, understand application capabilities, and complete workflow analysis, design and documentation.
Lead decision-making discussions to determine strategy for implementation of tools and systems, ensuring alignment with organizational goals.
Monitor the market for emerging technologies and contribute to the creation of a systems capability strategy.
UnityPoint Health is a healthcare system providing medical services across the Midwest. It is recognized as a Top 150 Place to Work in Healthcare, emphasizing a culture of belonging and employee support.
Serve as the designated Pharmacist-in-Charge, reviewing licensing submissions and regulatory documentation.
Work with pharmacy operations and compliance team to support ongoing compliance and Board-related discussions.
Provide professional guidance and identify issues requiring follow-up or corrective action.
MD Exam is a growing healthcare organization with established sterile compounding operations. It offers an experienced team support and a collaborative culture focused on patient safety and compliance.
Supervises representatives, manages performance, and provides feedback through side-by-side and recorded call reviews.
Handles escalated calls, partners with business units, and coordinates team schedules to maximize efficiency.
Monitors volumes for pending queues and ensures timely processing of prior authorization forms.
PharMerica is a long-term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States. It operates as part of BrightSpring Health Services, combining personalized care with the resources of a national network.