Job description
At Shields Health Solutions, we pride ourselves on our culture of inclusion, kindness, acceptance, and the difference we make in patients’ lives every day. We are tremendously proud to consistently be certified as a ‘Great Place to Work’ several years in a row; we’ve been recognized as a Fortunes Best Workplaces in Healthcare™, Millennials™, and Women™; and a Becker’s Healthcare Top 150 Workplace.
Patients are at the heart of everything we do. We are committed to improving lives by ensuring seamless access to specialty medications, better health outcomes, and an enhanced care experience. That’s why more health system leaders trust us to deliver personalized support and comprehensive solutions that make specialty pharmacy more accessible for the patients who need it most. Through our proven Shields Performance Platform, we help drive the financial sustainability of health systems while prioritizing best-in-class outcomes that patients deserve. With a team of leaders in specialty pharmacy, a track record of success partnering with over 80 health systems, and an unwavering dedication to measurable results, we empower health systems to transform their specialty pharmacy into a driver of growth—ensuring every patient receives the best possible care.
As Shields Health Solutions continues to experience rapid growth and expand our partnerships with leading health systems across the country, we’re actively hiring to support our mission. Our expanding footprint means more opportunities to make a meaningful impact in patients’ lives—so we’re looking for passionate, driven individuals to join our team and continue to grow with us.
Job Purpose:
Provides integrated off-site support to patients, pharmacists and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services.
Job Duties:
- Provide “legendary” care to hospital patients by providing a full suite of custom medication management services
- An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support
- Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care
- Handle all medication needs of patients
- Grow the specialty pharmacies patient population by strictly adhering to Shields’ programs and processes with enthusiasm and purpose
- Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider
- Review the patients need for financial assistance and secure financial assistance when needed and available
- Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required
- Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups; refill prescription, etc.
- Secure prescription renewals
- Communicate directly with patients to assist them in the awareness of their medications
- Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication
- Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids
- Answer, resolve and triage inbound inquiries
- Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up
- Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards
- Actively participate in process improvement initiatives;
- Protect organization’s value by keeping information confidential;
- Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations
- Other duties as assigned.
Education/Experience:
Required Licensure/Certification: We are seeking experienced pharmacy technicians who are registered with a State and certified as a CPhT. Should additional state licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements
Years of Experience: Required 2-3 years, preferred 4-5 years’ experience as a Pharmacy Technician
Skills: Strong interpersonal communication skills, exceptional phone skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other programs, adapt to Shields’ unique model / tools and able to extract relevant information; strong organizational skills a must
Traits: Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off
Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data
Specialties Experience and knowledge in working in one or more of the following disease states a plus: transplant, hepatitis C, infectious disease (including HIV), diabetes, MS, oncology
Job Salary:
An employee in this position can expect a salary rate between $64,350 and $70,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law.
California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
