Leads pharmacy program quality assurance, compliance monitoring, and continuous improvement initiatives to ensure patient safety and operational excellence. Manages quality documentation, audit readiness, and CAPA processes while developing performance dashboards for stakeholders.
WellDyne
19 Remote Job Openings at WellDyne
Responsible for initiating and processing clinical prior authorization requests via telephone and email while maintaining accurate documentation. Coordinates with pharmacies, providers, and members to resolve authorization issues and ensure compliance with PHI laws.
Accurately interpret and enter prescription information into the processing system following pharmacy guidelines. Maintain patient confidentiality and perform quality checks to ensure order accuracy.
Accurately interpret and enter prescription information into the processing system following pharmacy guidelines. Perform quality checks and maintain patient confidentiality in accordance with HIPAA regulations.
Lead the design and development of technology-enabled pharmacy and patient support solutions for pharmaceutical manufacturers. Act as the primary bridge between business stakeholders, pharmacy operations, and software development teams to improve patient access and adherence.
Lead the strategic oversight of rebate operations, financial performance, and aggregation business to maximize value and ensure regulatory compliance. Partner with internal stakeholders and external vendors to drive operational excellence and support organizational growth.
The Account Executive manages the total service experience and strategic relationships for assigned accounts to ensure retention and growth. They act as a primary liaison between clients and internal teams to implement products and services while identifying upselling opportunities.
Respond to incoming phone calls to assist customers with pharmacy benefits and prescription order status. Use multiple systems to process orders and provide professional support to enhance customer satisfaction.
The Implementation Manager oversees client implementations and change management for pharmacy benefit management programs. This includes coordinating internal operational functions and ensuring a high-quality service experience for plan sponsors and members.
Oversee the onboarding of large, complex clients and manage the implementation of prescription benefit management and pharmacy services. Coordinate internal operational functions and lead strategic initiatives to ensure client expectations are exceeded.
The Rebate Analyst manages rebate payment calculations, reporting, and forecasting while ensuring compliance with client contractual obligations. They perform detailed manual calculations, support financial audits, and provide ad hoc analysis to support organizational financial planning.
The Senior Counsel provides legal support focusing on commercial contracts and regulatory compliance for pharmacy benefit management business lines. This includes advising business leaders on healthcare laws, managing outside counsel, and assisting with corporate development projects.
The Pricing Analyst analyzes competitor pricing and market expectations to determine ideal target prices for products. They are responsible for quantitative data modeling, P&L analysis for client renewals, and supporting RFP financial requests.
Responsible for managing billing functions for outsourced services and PBM processes within the Revenue Cycle team. The role involves evaluating billing processes for efficiency and developing analytics dashboards to track trends.
The Sales Consultant supports the growth team by managing the sales pipeline, qualifying prospects, and coordinating internal qualification meetings. They are responsible for developing proposal materials, managing RFPs, and ensuring a smooth transition from sale to implementation.
Responsible for the overall financial planning and analysis of HealthDyne, including budgeting, forecasting, and month-end reporting. The role involves leading analyst-level associates and partnering with Sales and Operations teams to drive value creation and financial stability.
The Pharmacy Reporting Analyst will design, develop, and maintain data management processes and custom analytic tools to support clinical and pharmacy leadership. They will also collaborate on RFP processes, track pharmacy savings, and provide consultative data analysis to support business growth and decision-making.
The Pricing Analyst will provide real-world evidence and analytics to support business bids and renewals using SQL and Excel. They will also identify stakeholder needs and seek opportunities to improve modeling and reporting processes.
The Clinical Program Manager is responsible for the oversight, development, and deployment of clinical programs and initiatives to improve patient outcomes. They will collaborate with cross-functional teams to manage clinical workflows, pilot new roles, and ensure adherence to quality and regulatory standards.