
501 - 1000 employees
Founded 2011
💼 Consulting
📦 Logistics
🏥 Healthcare
Consulting • Logistics • Healthcare
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.
🕒 August 4
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501 - 1000 employees
Founded 2011
💼 Consulting
📦 Logistics
🏥 Healthcare
Consulting • Logistics • Healthcare
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.
• Provide service for inbound pharmacy phone calls and/or place outbound patient refill calls • Assist patients through the entire refill process • Respond to patient requests and inquiries regarding prescription drug plan coverage and pharmacy fulfillment • Support health system needs and check prescription status • Assist pharmacies with electronic prescription drug claim adjudication and resolve error messages • Provide knowledgeable and courteous assistance to members, providers, and pharmacy team members • Serve as a point of contact between patients, pharmacies, liaisons, clinical providers, and internal functional areas • Coordinate medication refills, including data entry and pharmacy claim adjudication • Answer, resolve, and triage inbound inquiries • Clarify prescription orders with pharmacists and clinicians • Identify medications requiring special storage or handling • Manage, organize, and update data using database applications • Improve productivity, quality, operational issues, and customer-service standards • Identify trends, resolve problems, recommend improvements, and implement change • Participate in process improvement initiatives • Act as a business partner to organizational stakeholders • Protect confidential information • Maintain knowledge through educational opportunities and professional resources • Perform other duties and responsibilities as assigned
• State registration as a pharmacy technician required • National CPhT certification or equivalent strongly preferred but not required; national certification required at hire if the candidate’s state has no state registration • 1–3 years of pharmacy technician and claims adjudication experience • High school diploma or GED required • Experience managing refills, specialty pharmacy, clinical care teams, or working remotely preferred but not required • Strong interpersonal communication and exceptional phone skills • Comfortable proactively engaging patients and contacting clinicians, payors, and pharmacies by telephone • Highly proficient in Microsoft Office, particularly Excel and Word • Ability to quickly learn other programs and adapt to Shields’ tools and model • Strong organizational skills • Ability to sit or stand with focus at a workstation for extended periods • Discretion and confidentiality when handling sensitive data • Must work with two company-required monitors • Must have high-speed, stable, and reliable internet • Must be willing and able to work overtime • Must have a distraction-free remote work environment • Ability to keep camera on for most meetings • Solid computer skills, including Outlook, Teams, Word, Excel, PowerPoint, internet, and web-based platforms • Data entry and computer skills evaluated through a pre-employment assessment
• Remote work arrangement • Two company-required monitors • Flexible scheduling to meet business needs • Overtime opportunities/requirement to support weekly fluctuations • Educational opportunities, professional publications, professional networks, and professional organizations • Equal employment opportunities • Inclusive hiring experience and accommodations during the application or interview process
Apply Now🕒 July 27
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