Remote Pharmaceuticals Jobs

• Evaluate and review all appeals requests to render coverage determinations based on clinical criteria and medical necessity.
• Perform scientific literature evaluation using primary, secondary, and tertiary drug resources to support decision-making and recommendations to providers.
• Make clinical prior authorization determinations in accordance with medical necessity and covered benefit guidelines within established turnaround times.

Judi Health offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® the industry’s leading proprietary Enterprise Health Platform (EHP). Together with our clients, they’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

• Provides integrated off-site support to patients, pharmacists, and providers for total quality patient care.
• Delivers medication adherence support utilizing various tools and applications.
• Educates prospective pharmacy patients on how the hospital pharmacy improves their overall care.

Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within their systems. They aim to improve medication access, adherence, and outcomes for patients with chronic conditions.

• Complete monthly utilization management and appeals performance and process audits.
• Present audit results to leadership to address issues.
• Assist management in identifying, evaluating, and mitigating risks.

Judi Health provides a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions and consolidate all claim administration-related workflows in one scalable, secure platform.

• Provide one-on-one counseling to patients and caregivers on medication use, adherence, side effects, and cost-effective options.
• Conduct comprehensive medication reviews and reconciliation, particularly for patients with chronic conditions, multiple medications, or recent hospitalizations.
• Partner with care managers, health center pharmacists, and primary care providers to support patients in meeting treatment goals, including diabetes, hypertension, COPD, and other chronic conditions.

Medical Home Network (MHN) partners with Federally Qualified Health Centers (FQHCs) nationwide to transform care. They help FQHCs succeed in value-based care through technology, care model innovation, and strong partnerships, expanding reach to enhance care for their patients.

• Lead Braveheart’s global PV strategy and partner closely with Clinical, Regulatory, and other development functions.
• Lead all PV contributions to Investigational New Drug (IND) and Clinical Trial Application (CTA) submissions worldwide, with responsibility for developing high-quality safety sections.
• Shape the future PV function— its people, structure, and operating model— as Braveheart transitions from clinical development to post-market commercialization.

Braveheart Bio is a Bay Area–based biopharmaceutical company pioneering best-in-class therapies for cardiovascular disease.

• Proactively grow the specialty pharmacy patient population by identifying eligible patients.
• Complete patient benefits investigations using approved tools and systems.
• Collaborate with team members to provide integrated, quality patient care and contribute to process improvement initiatives.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment.

• Serve as a primary scientific and operational point of contact for Praxis clinical trial sites.
• Deliver protocol and investigative product training to site personnel.
• Identify and help resolve site-level issues related to patient recruitment and retention.

Praxis Precision Medicines is a clinical-stage biopharmaceutical company translating genetic insights into the development of therapies for central nervous system disorders.

• Lead formulation and manufacturing process development.
• Provide technical and scientific direction to CMOs.
• Oversee the preparation of technical reports and CMC related documents.

Immunovant, Inc. is a clinical-stage immunology company dedicated to enabling normal lives for people with autoimmune diseases.

• Support the AVP of Medical Cost Containment in the implementation, process improvement, and optimization of clinical programs.
• Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claims.
• Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.

• Review and audit prescriptions and delivery slips for completion and accuracy.
• Collaborate with clinicians in specialty clinics to ensure seamless medication management and adherence.
• Educate patients on how pharmacy services enhance care and improve outcomes.

Shields Health Solutions is a fast-growing leader in specialty pharmacy management services, dedicated to making a real difference in patients’ lives.