Answer and respond to incoming calls from nursing staff and doctors to address concerns and inquiries.
Process new and refill prescriptions, verify eligibility, and input prescriptions while maintaining productivity and quality standards.
Document correspondence, prepare audit sheets, and forward incomplete scripts to the appropriate department for resolution.
Symbria Rx Services provides pharmacy, rehabilitation, and well-being services for senior-living and post-acute communities. The company is a 100% employee-owned healthcare provider with over 20 years of experience and a culture guided by integrity, compassion, stewardship, innovation, and teamwork.
Review prior authorization requests, appeals, and overrides using clinical guidelines and benefit criteria.
Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans.
Provide clear, empathetic support to members, prescribers, and pharmacies via phone, while staying current with clinical guidelines.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It is the intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service excellence.
Process new and refill prescriptions accurately while maintaining productivity and quality standards.
Contact physician offices and clients for refill authorization and order verification as needed.
Document correspondence, prepare audit sheets, and provide backup support to pharmacy groups.
Symbria Rx Services provides patient-centered pharmacy care to seniors in senior-living and post-acute settings. As a 100% employee-owned healthcare company, Symbria fosters a collaborative culture and has been serving for over 20 years.
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.
Build and maintain clinical/scientific relationships with Advanced Practice Providers and other healthcare professionals to communicate Neurocrine's scientific position.
Support educational outreach on disease state pathophysiology, diagnosis, and evidence-based treatment options in neurology and psychiatry.
Partner with national and state professional organizations and stay current on latest research to facilitate meaningful scientific discussions.
Neurocrine Biosciences is a biopharmaceutical company dedicated to discovering and commercializing treatments for neurological, psychiatric, endocrine, and immunological disorders. The company has a robust pipeline and has been recognized as a great place to work, with values of passion, integrity, collaboration, innovation, and tenacity.
Lead strategic oncology pharmacy initiatives across an assigned portfolio of practices, optimizing drug strategy, patient access, and operational performance.
Build trusted relationships with pharmacy, physician, and finance leaders, translating enterprise priorities into actionable implementation plans.
Analyze clinical, financial, and operational data to identify opportunities, track outcomes, and drive continuous improvement.
Lead and evolve the national MSL team, defining operational frameworks and best practices.
Translate medical strategy into clear field initiatives and measurable goals.
Oversee compliant MSL engagements with KOLs/HCPs and direct insights collection.
Orca Bio is a commercial-stage biotechnology company developing next-generation cell therapies to improve survival rates and reduce risks for blood cancer patients. The company maintains a start-up culture of camaraderie and leadership by example, driven by passion, courage, and integrity.
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.
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.
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.