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.
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.
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.
Perform clinical review and evaluation of pharmacy prior authorization requests to determine medical necessity and appropriateness.
Coordinate appeals and provide clinical consultation to providers, members, and internal stakeholders.
Support utilization management initiatives, develop clinical criteria, and drive quality improvement across clinical programs.
FairosRx is an innovative company striving to reduce the cost of healthcare. They have a tight-knit culture based on an outward mindset and are growing quickly.
Provide expert opinions to APS and its clients regarding the clinical value of drugs to payers and how they will be perceived and managed.
Conduct drug information research to understand payer lines of business and perceptions of new drugs and indications.
Prepare Word documents, PowerPoint slides, or other formats describing commercial viability and payer coverage management for new business development.
Advantage Point Solutions (APS) is a pharmaceutical consulting agency that partners with manufacturers and payers to deliver groundbreaking formulary and contracting strategies. With over 20 years of experience, the team of knowledgeable professionals focuses on creating value for both sides of the market.
Lead, coach, and develop a team of up to 10 FTEs to drive performance and service excellence.
Monitor workflows, evaluate productivity, and provide real-time guidance to Pharmacy Liaisons.
Collaborate with cross-functional teams to enhance patient interactions and operational efficiency.
Shields Health Solutions is a healthcare company that provides specialty pharmacy services to improve patient outcomes. They foster a collaborative and patient-focused culture, supporting team development and operational excellence.
Serve as a point of contact for patients, families, and healthcare providers to address medication-related problems and answer pharmacotherapy questions.
Ensure accurate, efficient, and compliant medication distribution and fulfillment using proprietary software, including proper documentation and billing.
Oversee pharmacy technicians, review prescriptions, and maintain compliance with state and federal regulations, including HIPAA and quality standards.
AnewHealth is a leading pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, the company was established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare and serves more than 100,000 people across all 50 states.
Remote order entry and CPOE order evaluation and verification
Clinical medication dosing and review of patient profiles and lab values
Physician and nursing consultations to ensure continuity of care
Cardinal Health is a distributor of pharmaceuticals, medical products, and provider of performance and data solutions for healthcare facilities. With over 50 years of experience, they are a large employer of acute-care pharmacists in the US and foster an inclusive workplace.
Review and evaluate medication orders for accuracy, appropriateness, and safety.
Provide medication counseling to patients, addressing questions and concerns.
Collaborate with healthcare providers to develop and monitor medication therapy plans.
Shields Health Solutions provides pharmaceutical care services, specializing in therapy management programs for patients with conditions like diabetes and weight management. The company focuses on remote collaboration with healthcare professionals to ensure safe and effective medication therapies.