Shields Health Solutions

Pharmacist

• Provide integrated support to patients and physicians by providing a "hands-on" approach to improve the quality of patient care.
• Review and interpret clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals.
• Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care.
• Monitor ongoing patient adherence across all sites and disease categories.
• Evaluate EMR to review drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals.
• Recommend alternative therapeutic drug regimens according to guidelines as appropriate.
• Monitor and evaluate therapies for side effects or other medication related issues.
• Conduct medication therapy management (MTM).
• Perform clinical interventions including comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation.
• Monitor productivity and report weekly stats for growth development.
• Oversee tech's daily activities and verification for accuracy on delivery coordination slips and prior authorizations submitted.
• Identify and resolve insurance related issues, recognizing situations for financial assistance.
• Supervise communication of support personnel compliant with HIPPA rules and regulations.
• Maintain current registration and all remote pharmacist activity according to regulations.
• Direct communication with other health professionals regarding patient care.

Clinical Pharmacist

• Provide integrated support to patients and physicians by providing a hands-on approach to improve the quality of patient care.
• Help advance quality pharmacotherapy care by actively assuring the provision of safe, efficacious, and cost-effective drug therapy.
• Collaborate closely with the hybrid ACP team to maximize full suite of therapy management (TM) clinical services within supported clinics.
• Perform in-person and/or virtual/phone assessments on disease state management and drug therapy education stratified based on medication risk level and approved clinic protocol.
• Focus to identify, resolve, and prevent medication-related problems.
• Offer additional services to overcome identified barriers to medication compliance and any other obstacle related to adherence.
• Monitor and evaluate medication regimens to ensure clinical criteria are met, including therapeutic goals, adverse effects, and drug interactions.
• Identify opportunities for drug therapy optimization and provide recommendations for medication cost savings initiatives when applicable.
• Participate in quality improvement initiatives by actively participating in clinical outcome studies, REMs compliance/reporting, and ACP-related process improvement projects.
• Optimize resources and workflows with supporting roles handling complex prior authorizations/appeals by providing clinical justification for medication approval, including supporting literature and rationale.
• Collaborate with healthcare providers, including assigned clinic physicians, specialists, and onsite clinic pharmacists, to ensure seamless medication management and coordination of care.

Ambulatory Clinical Pharmacist

Operations

• Ensure Patient Outreach Coordinators consistently communicate with patients compliantly and convey the culture of kindness and value of the hospital-based pharmacies
• Coach Patient Outreach Coordinators on calling best practices, conversational techniques including how to listen, understand, respond, and confirm patients’ concerns about their care, pharmacy needs, and socioeconomic situations
• Complete audits of team in DialPad, TelemetryRX application, Electronic Medical Records, and other required systems to ensure effective communications with patients, efficient workflow, and compliant conversations with potential patients of hospital partner pharmacies
• Work with a high sense of urgency to manage, monitor, and facilitate any issues and/or escalations related to Outreach Coordinators with hospital partners
• Establish efficient workflows between Patient Outreach Coordinators, Onboarding Specialists and liaison team via collaboration with clinical integration team, on site managers, and Patient Outreach Management
• Manage all aspects of ADP, PTO, and Time Reports for team members
• Provide front line supervision and ongoing coaching and performance management to Patient Outreach Coordinators
• Monitoring and acting all forms of communications between Patient Outreach and other clinical and operational teams as needed
• Manage Telemetry application, email, Microsoft teams communications up to company policy
• Work with on site management at hospital partners for any collaboration calls, such as quarterly calls, kick off calls, as needed calls
• Patient Outreach team meetings: creating agendas, running meeting, follow up
• Hospital Management meeting: calls with on site manager to review current status, identify areas for improvement, and areas of success
• Record keeping/notes of all collaboration calls and team meetings
• Providing guidance/assistance/troubleshooting in daily tasks for Patient Outreach team members as requested by Patient Outreach Coordinators and Onboarding Specialists
• Review and address any concerns with Patient Outreach team, and hospital partners as needed
• Provide insight to various teams across company for growth and development opportunities as needed
• Work with various teams for special projects
• Report on hiring needs based on implementation roll outs
• Assist in interviewing, and onboarding new Patient Outreach Coordinators and Onboarding Specialists including coordinating access requests and trainings
• Investigate research needed for data analytics team, contracting team as needed
• Report to Manager of Patient Outreach

Specialty Pharmacy Outreach Operations Supervisor

Business Development Rep

• Lead and own the creation of detailed analyses, financial models, and pitch materials for new health system partners and new business opportunities.
• Work closely with sales and clinical leaders to develop a partnership strategy based on health system needs and financial data.
• Serve as part of the client-facing deal team, presenting financial and strategic analyses to health system leadership.
• Support the execution of new business and strategic initiatives for senior leadership.
• Perform comprehensive and in-depth competitor, new business, and industry research.
• Organize and prioritize critical issues and required information for the leadership team to facilitate efficient decision making.
• Work with cross-functional teams to support new partnerships and provide client-oriented solutions.

Business Development and Strategy Associate

Bilingual

• Handle inbound pharmacy calls and conduct proactive outbound refill and engagement calls in English and Spanish
• Educate and guide patients through the end-to-end medication refill process
• Coordinate prescription refills, including data entry and pharmacy claim adjudication
• Perform prescription status checks and resolve adjudication or coverage issues
• Serve as a liaison between patients, pharmacists, clinicians, payors, and internal support teams
• Communicate with pharmacists and clinicians to clarify prescriptions and resolve discrepancies
• Identify medications requiring special handling (e.g., refrigerated or hazardous) and ensure proper protocols
• Accurately document and maintain patient, prescription, and communication records across multiple systems
• Identify repeat issues and trends, escalating opportunities for workflow or process improvement
• Maintain strict confidentiality and compliance with HIPAA and healthcare privacy standards
• Participate in ongoing training, quality assurance activities, and professional development
• Maintain schedule flexibility to support health system partner needs

Spanish Bilingual Certified Pharmacy Technician – Refill & Medication Adherence

Human Resources

• Act as a trusted resource for employees and managers, offering guidance on a broad range of HR topics including disciplinary actions, performance management, attendance, PTO usage, medical and personal leave, and policy compliance.
• Conduct fair, impartial investigations into workplace concerns such as harassment, discrimination, and policy violations, ensuring a respectful and compliant work environment.
• Lead the investigative process by interviewing involved parties, analyzing evidence, documenting findings, preparing objective reports, and recommending appropriate corrective actions.
• Serve as a culture ambassador, consistently seeking opportunities to enhance employee engagement and foster a positive, inclusive workplace.
• Support the communication, interpretation, and administration of company policies and practices, ensuring clarity and consistency across the organization.

Clinical Pharmacist

Ambulatory Clinical Pharmacist

Specialty Pharmacy Outreach Operations Supervisor

Business Development and Strategy Associate

Spanish Bilingual Certified Pharmacy Technician – Refill & Medication Adherence

Human Resources Generalist