Provide medication management for individuals, including medication reconciliation, dose optimization, and medication adherence counseling. Collaborate with the interdisciplinary care team to develop individualized care plans that align with evidence-based guidelines. Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type.
Supports the clinical team through collaboration with prescribers and beneficiaries. Provides medication therapy management (MTM) services via triage of inbound calls. Documents services/activities in appropriate databases/software to ensure compliance.
Centene is committed to helping people live healthier lives by providing access to high-quality healthcare, innovative programs and a wide range of health solutions.
Process incoming and outgoing transfer requests, verifying all patient and prescription data.
Coordinate patient profiles with appropriate pharmacy support and services, providing an exceptional customer service experience each day.
Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks.
AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs.
Oversees daily operations in the specialty pharmacy call center.
Leads workflow optimization and staff professional development through direct supervision.
Assists with execution of strategic initiatives pertaining to call center specialty pharmacy operations.
Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves.
Identifying and engaging with healthcare providers involved in HIV diagnosis and treatment.
Driving disease state related education and ensuring that IDN/FQHC-level treatment practices align with the latest evidence.
Collaborating with the US commercial team to ensure that engagement aligns with medical objectives and needs.
Gilead Sciences, Inc. is a research-based biopharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need.
Provide integrated support to patients and physicians, taking a hands-on approach to improve patient care quality.
Develop personalized relationships with patients and prescribers to enhance medication adherence and promote evidence-based care.
Monitor patient adherence across sites and disease categories, focusing on oncology and other specialty-specific conditions.
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment.
The Medical Science Liaison / Senior Medical Science Liaison functions as a highly trained, field-based, scientific expert. They will facilitate and build scientific relationships and collaborations with the medical/scientific community. Provide educational, scientific, and research support for the SOBI rare disease portfolio of products in the hematology franchise.
At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies.
Oversee a team of pharmacy technicians in the prior authorization process. Analyze data and provide recommendations to maximize team agility and performance. Generate and deliver reports on technician metrics to stakeholders.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans.
The Pharmacy Network Pricing Associate is responsible for price modeling of reimbursement, assessing Maximum Allowable Cost pricing strategy as well as the execution, implementation, and optimization of current, new and future network or pricing innovation. Assists in creation and maintenance of complex MAC modeling and process development to establish quality assurance, and execution to achieve departmental goals. Work alongside cross functional teams to support the development of reimbursement strategy, execution of network pricing, and perform pharmacy analytics reporting and modeling that fall under the Maximum Allowable Cost (MAC) Management umbrella.
SmithRx is a rapidly growing, venture-backed Health-Tech company that aims to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector.