The Clinical Hub Lead is responsible for setting team goals, creating action plans, and monitoring performance metrics to ensure efficient processing of prior authorizations. They also provide leadership by delegating tasks, optimizing operational workflows, and fostering a collaborative team environment.
The Claims Specialist manages and resolves rejected pharmacy claims to ensure maximum payer reimbursement and timely billing. They also collaborate with the team to identify and resolve billing trends while maintaining accurate records for processing.
The supervisor will manage 3rd party claims processing, including setting associate goals, monitoring performance, and ensuring compliance with quality standards. They will also handle escalated calls, maintain standard operating procedures, and oversee staff training and attendance.
The Clinical Hub Supervisor manages team performance, conducts call quality assessments, and handles escalated customer service issues. They also coordinate team schedules and monitor operational queues to ensure timely processing of pharmacy authorizations.
Train, mentor, and support claims staff; review work quality, variances, and write-offs; and coordinate workload assignments and performance feedback. Monitor billing and payer requirements, resolve billing exceptions, identify financial risks, prepare reports, and recommend process improvements.
The Claims Specialist manages and resolves rejected pharmacy claims to ensure maximum payer reimbursement and timely billing. They also research and analyze billing trends while maintaining accurate records for processing.
Coordinate prior authorization requests by communicating with facilities, pharmacists, physicians, and prescription drug plans; obtain approvals and supporting information, document clinical justifications, and track requests. Research payment denials, resolve customer issues, support the RxAllow team, and meet productivity and compliance standards.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They also provide clinical recommendations to facility staff and maintain compliance with pharmacy laws and regulations.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They provide clinical recommendations to facility staff and document all communications with the healthcare team to ensure regulatory compliance.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They also provide clinical recommendations to facility staff and document all communications with the healthcare team.
The Pharmacist Consultant evaluates physician medication orders and conducts monthly drug regimen reviews to ensure clinical excellence and regulatory compliance. They provide recommendations for therapy changes and maintain clear documentation while collaborating with facility staff and prescribers.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents in long-term care facilities. They provide clinical recommendations to healthcare teams and maintain compliance with federal and state pharmacy regulations.
The Pharmacist Consultant evaluates physician medication orders and reviews drug regimens for long-term care residents to ensure clinical excellence and regulatory compliance. They also provide recommendations for therapy changes and maintain documentation of communications with healthcare teams and families.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They also provide clinical recommendations to care teams and maintain compliance with pharmacy laws and regulations.
The Principal provides strategic leadership and oversight for pharmacy professional practice, regulatory compliance, and Prescription Drug Monitoring Program (PMP) initiatives. They collaborate across departments to ensure adherence to state and federal laws, manage policy governance, and drive continuous quality improvement.
The Principal Pharmacy Professional Practice provides strategic leadership and oversight for enterprise pharmacy initiatives, regulatory compliance, and compounding standards. They collaborate across departments to ensure adherence to state and federal laws while driving patient safety and continuous quality improvement.
The Associate Vice President of Sales manages regional business line strategy to drive revenue growth and meet long-term care goals. They also collaborate with internal teams to execute growth initiatives, manage client relationships, and ensure successful business transitions.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They provide clinical recommendations to healthcare teams and ensure facility compliance with pharmacy laws and regulations.
The Pharmacist Consultant evaluates physician medication orders for appropriateness and conducts monthly drug regimen reviews for residents. They also provide clinical recommendations to facility staff and document all communications with the healthcare team.
The Senior HR Business Partner acts as a strategic advisor to leadership, driving integrated people strategies that align with business goals and operational excellence. They are responsible for leading organizational design, talent development, and change management initiatives while leveraging workforce analytics to improve business outcomes.
The Medicare D Biller acts as a primary liaison for the Clinical Hub, managing prior authorization requests and therapeutic interchange opportunities. They are responsible for researching payment denials, coordinating with healthcare facilities, and ensuring accurate documentation within EMAR systems.
The Senior HR Business Partner serves as a strategic advisor to leadership, driving integrated people strategies and organizational effectiveness. They are responsible for leveraging workforce analytics to solve complex challenges and leading large-scale change initiatives across the enterprise.
The eMAR Implementation Consultant manages the integration of eMAR systems by coordinating timelines and collaborating with stakeholders and vendors. They also provide ongoing technical product support and troubleshoot issues for new and existing customers.
The Director of Business Development leads customer acquisition strategies and growth initiatives within the Assisted Living market. They collaborate with cross-functional teams to execute sales plans, manage client relationships, and provide guidance to the Business Development Associate.
The Director of Business Development leads customer acquisition strategies and growth initiatives within the Assisted Living market. They collaborate with cross-functional teams to execute sales plans, manage client relationships, and provide guidance to the Business Development Associate.
Lead pharmaceutical procurement, inventory management, and buying strategies to optimize gross profit and ensure product availability for the Amerita business. Manage a centralized purchasing team and partner with finance and clinical leadership to align sourcing with margin and patient care goals.
The Account Executive is responsible for identifying and qualifying new business opportunities to achieve annual revenue goals within the pharmacy services sector. This includes negotiating contracts, managing the startup of new accounts, and maintaining strong customer relationships with healthcare organizations.
