Counsel patients via telephonic outreach on medication adherence and make evidence-based recommendations.
Perform focused clinical chart reviews to inform patient interventions and document commitments.
Escalate complex cases to prescribers and meet performance goals such as STARs and HEDIS.
Aledade is a public benefit corporation dedicated to empowering independent primary care practices. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, remote-first culture.
Manage provider and clinic compliance relationships, including onboarding and edge case resolution for approximately 3,500 clinics.
Lead investigations into prescribing pattern anomalies and credential lapses, producing written summaries and communicating outcomes.
Build and deliver compliance training for the sales team and develop provider-facing educational materials.
Strive Pharmacy is a personalized compounding pharmacy focused on individualized care and genuine partnership with patients and providers. The company is growing and seeks people who share their conviction for a more human approach to healthcare.
Interprets, evaluates, and dispenses medications remotely via electronic health records, ensuring safe and cost-effective therapy.
Collaborates with multidisciplinary teams to monitor and intervene on drug therapy, optimizing patient outcomes.
Reviews medication orders for completeness and appropriateness, documents interventions, and ensures compliance with clinical guidelines.
Brown University Health is a not-for-profit health system in Providence, RI, comprising three teaching hospitals and multiple community facilities. With over 20,000 employees, the organization is committed to diversity, equity, and inclusion, fostering a respectful and equitable environment.
Support Veterans by answering pharmacy-related telephone inquiries, processing prescription requests, and delivering professional customer service.
Document patient interactions in CPRS, review prescription profiles, and refer clinical questions to pharmacists while maintaining HIPAA compliance.
Collaborate with healthcare teams to resolve medication-related issues and follow established pharmacy support workflows for first-contact resolution.
International SOS Government Medical Services provides healthcare, medical assistance, emergency response, and workforce support to improve patient care and operational readiness worldwide. Founded in 1984, the company operates in over 90 countries and supports government healthcare programs with a focus on veteran services.
Review and interpret clinician assessments for prior authorization approvals and care plan recommendations.
Monitor patient adherence across all sites and disease categories, focusing on oncology and specialty states.
Provide medication therapy management including regimen review, drug therapy changes, and patient coaching.
Shields Health Solutions provides integrated support to improve patient care quality. The company employs a team of licensed pharmacists and support staff, focusing on medication adherence and evidence-based care.
Supervise day-to-day operations of clinical compliance auditors and specialists, serving as a liaison to senior management.
Coordinate orientation, training, and performance monitoring for clinical compliance auditors to promote professional growth.
Oversee development of UM and PHM agenda, audit guidelines, and ensure adherence to denial processes and compliance requirements.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, aiming to make healthcare affordable and improve patient health. It is a physician-led, remote-first organization that leverages AI and predictive analytics to empower partners in delivering high-quality, value-based care.
Supervise daily operations of clinical compliance auditors and specialists.
Assist in developing coordinated team processes and managing UM and PHM plan adherence.
Serve as clinical services liaison to senior management and ensure timely documentation.
Guidehealth is a data-powered healthcare company focused on operational excellence and value-based care. They emphasize empathy, AI, and collaboration, with a remote-first culture.
Consult directly with patients and care teams to implement comprehensive pharmacy care management programs.
Optimize medication therapy regimens using principles of Comprehensive Medication Management (CMM).
Drive medication-related clinical quality initiatives, including GDMT optimization and adherence improvement.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. The company provides interdisciplinary clinical resources and analytical tools to improve patient outcomes, and fosters a culture of innovation and compassion.