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.
Manage medication therapy for high-risk patients with chronic conditions using evidence-based protocols.
Collaborate with physicians, nurses, and specialists to optimize treatment plans during high-risk rounds.
Conduct patient education and in-service sessions to promote medication safety and quality care.
CenterWell Senior Primary Care provides proactive, preventive care to seniors, focusing on personalized experiences and whole-person health. As part of Humana, a large healthcare company, we foster a caring community that prioritizes employee well-being with competitive benefits.
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.
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.
Assist members, providers, and internal teams in navigating prescription coverage and prior authorization requests.
Verify eligibility, drug coverage, and perform claims adjudication based on plan benefit design.
Triage and prioritize multiple requests, coordinate outreach, and make determinations under protocol.
SmithRx is a health-tech company disrupting the pharmacy benefit management industry with a next-generation drug acquisition platform. With hundreds of thousands of members, they have a mission-driven and collaborative culture guided by values of integrity, courage, and together.
Manage end-to-end patient access case activities including benefit verification, prior authorization, appeals, and pharmacy coordination.
Apply pharmacy technician knowledge to review prescriptions, identify barriers, and coordinate with providers, payors, and pharmacies.
Maintain accurate case documentation and communicate effectively with patients, healthcare professionals, and internal teams.
PRO-spectus is a patient services company that strategically navigates the patient access process from prescription intake through treatment initiation. The company fosters a supportive, teamwork-driven culture with a focus on improving patient lives, though its exact size is not specified.
Lead and manage a team of Patient Support Associates to ensure medication adherence through refill management or timely prior authorization and financial assistance.
Manage service level goals, conduct audits, and provide coaching and performance management for a remote Patient Support team.
Collaborate with on-site management at hospital partners for quarterly calls, workflow improvements, and record keeping.
Shields Health Solutions provides specialty pharmacy management services to healthcare organizations. They are a fast-growing company with a close-knit team that values employee development and high-quality patient care.
Make outbound calls to eligible patients to enroll them in the Shields Partner Pharmacy program and explain the benefits of the service.
Access patient EMR and review chart notes to ensure familiarity with their condition before each call.
Identify medications requiring special handling and necessary supplies such as sharps containers or needles.
Shields Health Solutions is a specialty pharmacy services company that partners with health systems to provide comprehensive pharmacy care. They offer a supportive culture with benefits starting day one and opportunities for professional development.
Triage incoming clinical programs calls, schedule consultations, and conduct outreach to prescribers, pharmacies, and members.
Manage and maintain drug lists to support clinical programs, including periodic maintenance and ad-hoc updates.
Support reporting requirements, monitor claims, and ensure communication among internal and external stakeholders.
Judi Health is a health technology company providing benefit administration solutions with Unified Claims Processing architecture. It operates in a startup environment, deploying infrastructure for millions of Americans.
Develop and maintain protocols for prescribing, dispensing, and administering medications.
Provide specialized services to help patients manage chronic conditions such as Diabetes, COPD, and Hypertension.
Collaborate with healthcare professionals to plan, monitor, and evaluate patient effectiveness and medication safety.
Better Health Group is a healthcare organization dedicated to improving patient health through comprehensive medication management services. It is a growing team that values commitment, passion, and a culture of support for both employees and patients.
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.
Support patients by managing prescription refill requests and authorizing renewals based on standing orders.
Receive and triage refill requests from pharmacies and patients, reducing provider time spent on refills.
Communicate effectively with physicians and patients, ensuring consistent turnaround and adherence to care plans.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation providing comprehensive health care services. As an affiliate of one of the largest health systems in the nation, they offer purposeful work settings where staff can advance through challenging assignments.
Answer inbound and outbound calls to schedule and complete medication refills for patients.
Work closely with pharmacists, providers, and care teams to resolve prescription and claim issues.
Maintain accurate patient records and provide friendly, helpful support throughout the refill process.
Shields Health Solutions helps patients manage their medications by connecting them with pharmacy care teams. The company is a growing health solutions provider that values dependability, organization, and patient-focused support.
Support pharmacy benefit operations by coordinating clinical and administrative workflows.
Review documentation and communicate with members, providers, and internal stakeholders.
Ensure accurate and compliant processing of pharmacy benefit requests.
We are an innovative company striving to reduce the cost of healthcare. We have a tight-knit culture based on an outward mindset and are growing quickly.
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.
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.