Infusion Operations Specialist

🕒 May 28

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

Healthcare Insurance • Pharmaceuticals • SaaS

Shields Health Solutions is a company that specializes in providing integrated specialty pharmacy solutions. They focus on eliminating disruptions in patient care by offering a comprehensive model that bridges the gap between patients and the specialty medications they need. Shields Health Solutions partners with healthcare providers and drug manufacturers to optimize the impact of specialty pharmacy services. Their approach leverages a clinical model, expert care teams, and a proprietary technology platform to improve patient access to specialty drugs, while reducing the overall cost of care. Shields Health Solutions aims to enhance patient experiences and health outcomes through their innovative solutions in specialty pharmacy integration.

📋 Description

• Support onboarding and training of new hires supporting Infusion services, including Medical Intake Coordinator, Medical Billing Specialist, and Nursing Coordinator; host Medical Billing Training (Week 4) • Serve as Stabilizer and/or support stabilization (Weeks 5 and 6) of new hires into clinics and/or workflows • Conduct frequent audits on people, processes, and workflows to uphold quality and compliance standards as well as ensure consistency across the team • Work with Operations and Implementation teams to develop workflows and recommend enhancements to improve as necessary; support day-to-day operations, new clinic implementations and other growth initiatives • Develop and refresh written training materials and/or job aids when needed specific to site, initiative, and/or role; perform both gap and quality analyses regularly to ensure materials are current and relevant based on changing factors • Support ongoing development of team through one-on-one sessions, refresher workshops, and creation of educational material/job aids/presentations; monitor team productivity • Support creating weekly outline and gameplan to ensure all activities, tasks, and to-dos are completed on time; monitor communications in real time to catch or prevent any issues • Launch new clinics as the in-seat resource until permanent resource is identified, hired and trained • Provide transitional coverage support for FMLA, voluntary / involuntary transitions, and other coverage gaps (including short- and long-term PTO) • Provide education and serve as subject matter expert about the Shields/Health System Infusion Care Model to clinic leadership, staff, patients and other stakeholders • Compile, monitor, analyze, audit and present data to internal teams and make recommendations as needed; monitor outlined key metrics and KPIs on regular basis to improve operational and financial performance • Engage and partner with Regional leaders and participate in team meetings, discussions, and initiatives to establish “one team” identity • Facilitate communication between multiple teams and proactively share information pertaining to new initiatives, best practices, changes in the way we do things proactively • Assist in identifying gaps in the onboarding and training process, as well as other opportunities to support development and growth of our team • Problem solve and collaborate with other members of the team when schedules, priorities, and needs of the business are not in sync • Support development of meeting agendas with team, clinics, and other key stakeholders (internal and external); support outline/recap of next steps • Participate in interview process • Perform other tasks and responsibilities at the discretion of their direct manager and/or leadership of the site they are actively supporting

🎯 Requirements

• High school diploma or equivalent • Active Pharmacy Technician certification/licensure (preferred) • 3–5+ years of healthcare experience; at least 3 years as a Pharmacy Technician preferred • 1+ year in a leadership or supervisory role; 3+ years preferred • 3+ years of experience supporting infusion services, including referral coordination and medical reimbursement • Strong communication and interpersonal skills • Solid math skills, including dose calculations and estimating patient out-of-pocket costs • Excellent time management and organizational skills • Knowledge of infusion pre-certification processes and differences between specialty infusion and standard outpatient pharmacy • Familiarity with specialty infusion medications, J-codes, and HCPCS coding (preferred) • Understanding of Medicare, Medicaid, and commercial payer requirements for infusion and home care services • Proficiency with EMR and pharmacy systems (e.g., Epic, Cerner, CPR+, Epic WAM)

🏖️ Benefits

• Health insurance • Retirement plans