Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Customer onboarding Prescription requests Entry, billing, and submittal of the customer's order to fulfillment for delivery assist with operations support, training, and process improvements Contribute to updating Standard Operating Procedures (SOPs) and team content Creation/ routing of pharmacy orders through receipt Review and verification of members'/patients' prescri

Prescription requests Creation/ routing of pharmacy orders through receipt Review and verification of members'/patients' prescriptions Prep and scan documents, verify member/patient data submit prescription orders in computer system May contact members/patients/providers to validate data, request payment information and establish priority of order or delivery details Gene

Care Coordination Assist the provider/team with various care coordination activities in the nursing home and/or assisted living community (AL) RN works in collaboration with the nursing facilities/AL community to assist in coordinating transportation when appropriate Benefit Determination Assist the provider/team with benefit determination associated with Medicare part A,

Creates a great consumer and clinic partner experience and continually builds strong relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal questio

Build the future of data warehousing on the Azure Cloud/Snowflake Work closely with the client to build/expand our data warehouse solutions Serve as a key subject matter resource on complex and/or critical issues and business solutions Review work performed by others to deliver quality; provide recommendations for improvement Forecast and plan resource requirements Author

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Creates a great consumer and clinic partner experience and continually builds solid relationships with both groups to proactively meet their needs Serves as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal question

Follow up of outstanding A/R all payers and/or including self pay and/or including resolution of denials Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement Oversee workflow of the team to en

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage Complete applications for state and federal programs Review medical records and take all necessary actions to expedite benefit approval Adhere to company and legal standards regarding Protected Health Information (PHI), Personal

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big Data platform Identify gaps and opportunities for improvement of existing solutions Define and develop APIs for integration with various data sources in the enterprise Analyze and define customer requirements Assist in defining