Shields Health Solutions

Implementation Specialist

• Drive key workstreams within large-scale implementation projects
• Partner with hospital leaders and cross-functional teams to execute program launches
• Build project plans, track progress, and keep teams aligned
• Facilitate meetings and push decisions forward
• Evaluate workflows and help design more efficient processes
• Support system implementations and coordinate across IT, operations, and clinical teams

Implementation Manager

Pharmacist

• Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug-level assessments aligned with evidence-based standards.
• Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
• Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
• Support quality-improvement and REMS initiatives.
• Provide recommendations to operations by supporting teammates as needed with complex prior authorizations, improving workflows, educating patients, and maintaining ongoing clinical development.

Clinical Pharmacy Specialist, HIV

Analyst

• Turn claims and pricing data into insights that drive access and revenue growth
• Support and evolve payer access strategies across partner sites
• Build clear, compelling deliverables for internal leaders, clients, and payer partners
• Own and manage multiple high-impact workstreams simultaneously
• Partner cross-functionally to execute initiatives and solve complex, ambiguous problems

Payor Analyst

• Conduct comprehensive clinical reviews, monitor patient adherence, and recommend evidence‑based therapeutic adjustments to improve outcomes across oncology and other specialty disease states.
• Lead daily workflow, ensure regulatory compliance, oversee support staff, resolve insurance and authorization barriers, and drive productivity and process‑improvement initiatives.
• Deliver direct clinical interventions, coordinate with healthcare teams, contribute to protocol development and research, and maintain ongoing professional education to support high‑quality patient care.

Clinical Pharmacist

Financial Planning and Analysis

• Produce site-level financials (heavy involvement in monthly P&Ls, baseline analyses, gross margin analyses, budgets, QBR support as needed, etc.) in a cadenced manner
• Track granular economic factors in the business and how changes may affect our forecasts, margins and financials and communicate timely throughout the organization
• Maintain detailed analyses of the financials, standard reporting packages and provide support to core business partners with ad hoc requests
• Assess and analyze each customers’ detailed revenue and cost of goods sold information to optimize revenue growth and gross margin opportunity
• Access and retrieve information and data from various systems and reporting tools. Collaborate with IT and others to develop improvements to systems, automate process flows and reports to facilitate distribution of actionable data
• Review monthly results and provide summative analysis to management and core business partners in a timely manner
• Collaborate cross-functionally, to identify, scope and monitor growth opportunities and initiatives (both revenue and margin)
• Support operations teams and core business partners with thoughtful financial insights and proactively communicate to business partners
• Develop data-driven business cases and evaluation criteria for growth and efficiency-oriented initiatives
• Build financial and operational metrics and dashboards to report key insights
• Support other FP&A workstreams as needed (examples: ERP and operational data integration, quarterly board materials, investor materials, month-end close process)

FP&A Analyst

Manager

• Serve as a trusted advisor to hospital partners by interpreting and applying accreditation standards in practical ways
• Lead accreditation readiness efforts, including gap analyses, policy development, and survey preparation
• Guide clients through mock audits, corrective action planning, and ongoing compliance efforts
• Develop tools, templates, and processes that support scalable and sustainable compliance
• Collaborate with leadership and cross-functional stakeholders to align on approach and priorities
• Deliver training and provide ongoing education on accreditation standards
• Identify risks, recommend solutions, and drive continuous improvement across quality programs
• Act as a subject matter expert on URAC and ACHC standards

Clinical Accreditation Manager

• Coordinate and process medication refills, including data entry and claim adjudication
• Place outbound refill calls and assist patients through the refill request
• Respond to and resolve inbound patient and provider inquiries
• Clarify prescription orders with pharmacists or clinical staff
• Maintain and update patient and prescription data in software systems
• Spot trends, recommend improvements, and support process-improvement initiatives
• Partner with cross-functional teams to deliver a seamless patient experience
• Maintain confidentiality and uphold high-quality service standards

Pharmacy Technician, Refill Calls

Operations

• The Infusion Operations Associate will support the implementation and growth of Infusion services across a site or sites; serve as a generalist and/or flex resource based on need
• Participate in various activities to promote the development, quality, and coordination of Infusion services across many stakeholders and functions; develop a plan to improve, streamline, and increase the efficiency and effectiveness of the Infusion program
• Support oversight of Medical Intake Coordinators and other resources aligned to Infusion program; develop processes for tracking referrals, prior authorizations and appeals, and patient engagement
• Participate in discussions to help identify and solve for root causes of presented opportunities and/or causes of denied claims; develop workflow solutions to optimize patient care and engagement
• Participate in the development, implementation and evaluation of policies and procedures; assist Operations teams with the development of new policies and procedures and assure timely review and revision of procedures as the program expands.
• 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

Infusion Operations Specialist

Clinical Pharmacy Specialist – Licensed

• Provide integrated support to patients and physicians by providing a "hands-on" approach to improve the quality of patient care. • Develop personalized relationships with patients and prescribers to improve medication adherence and promote evidence-based care. • Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations. • Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care. • Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states. • Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes. • Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate. • Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate. • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates. • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies. • Productivity monitoring and reporting weekly stats for growth development. • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol. • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied. • Supervising communication of support personnel compliant with HIPPA rules and regulations; • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA. • Direct communication with other health professionals as necessary regarding patient care; • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals; • Manage, organize, and update relevant data using database applications; • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards; • Assist with research projects and peer reviewing articles as needed. • Identify trends, resolves problems; recommend improvements; implements change; • Actively participates in process improvement initiatives; • Protects organization's value by keeping information confidential; • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations; • Willing to do whatever is necessary for the betterment of the Company; • Other duties as assigned;

Clinical Pharmacist, North Carolina License Required

• Provide integrated support to patients and physicians
• Developing personalized relationships with patients and prescribers to improve medication adherence and promote evidence-based care
• Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals
• Develop and refine disease and drug specific clinical protocol
• Monitor ongoing patient adherence across all sites and disease categories
• Recommending alternative therapeutic drug regimens and disease specific treatments
• Clinical interventions including comprehensive pharmacist consultation, motivational interviewing/coaching, medication reconciliation
• Identifying and resolving insurance related issues

Clinical Pharmacist – MA License Required

• Provide integrated support to patients and physicians
• Develop personalized relationships to improve medication adherence
• Review and interpret clinician's patient care notes
• Develop and refine disease and drug specific clinical protocol
• Monitor ongoing patient adherence across disease categories
• Evaluate EMR for medication adherence and optimize outcomes
• Recommend alternative therapeutic drug regimens
• Monitor and evaluate therapies for side effects
• Conduct medication therapy management (MTM)
• Implement clinical interventions and improvement initiatives
• Maintain compliance with local, state and federal drug laws
• Supervise support personnel compliant with HIPPA rules
• Participate in education programs and train pharmacy staff

• Handle inbound pharmacy calls and place outbound patient refill calls
• Guide patients through the complete medication refill process
• Coordinate prescription refills including data entry and pharmacy claim adjudication
• Perform prescription status checks and resolve adjudication issues
• Serve as a liaison between patients, pharmacists, clinicians, payors, and internal teams
• Clarify prescription orders with pharmacists and/or clinicians as needed
• Identify medications requiring special handling (e.g., refrigerated or hazardous)
• Accurately manage and update patient and prescription data across systems
• Identify trends, resolve recurring issues, and recommend process improvements
• Maintain strict confidentiality of sensitive patient and healthcare data
• Participate in training, professional development, and quality initiatives
• Maintain schedule flexibility to meet health system partner needs (8-hour shifts, Monday through Friday between 7am and 7pm EST, weekends as needed)

Certified Pharmacy Technician – Refill & Medication Adherence

• Proactively grow the specialty pharmacy patient population by identifying patients that are eligible to fill with a Shields Partner Pharmacy.
• Complete patient benefits investigations.
• Perform benefits investigation.
• Utilize multiple approved tools to identify insurance coverage.
• Research within patients' medical records for current medication regimen.
• Complete benefits investigation with approved Pharmacy Dispensing Systems.
• Document clearly and concisely all outcomes of benefits investigation in documentation tool.
• Collaborate with team members to provide an integrated approach of quality patient care.
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
• Identify trends, resolve problems; recommend improvements; implement change.
• Actively participate in process improvement initiatives.
• Act as a value-added business partner to stakeholders throughout the organization.
• Protect organization's values by keeping information confidential.
• Other duties as assigned.

Implementation Manager

Clinical Pharmacy Specialist, HIV

Payor Analyst

Clinical Pharmacist

FP&A Analyst

Clinical Accreditation Manager

Pharmacy Technician, Refill Calls

Pharmacy Technician, Refill Calls

Infusion Operations Specialist

Clinical Pharmacy Specialist – Licensed

Clinical Pharmacist, North Carolina License Required

Clinical Pharmacist – MA License Required

Clinical Pharmacist

Certified Pharmacy Technician – Refill & Medication Adherence

Benefits Investigations Pharmacy Technician