AnewHealth

Role Description This position performs technical and specialized Capstone functions. The Coding Team Supervisor oversees the coding services' organizational, developmental, and functional integrity, ensuring staff compliance, development, and education. The manager is responsible for the security and accuracy of the patient record, which requires remaining current with software and network security issues. The Coding Team Supervisor coordinates and supervises day-to-day operations within the coding team under the direct supervision of the Sr. Manager of Risk Adjustment. Responsibilities - Manage activities of 10 or more professional medical coders to ensure compliance with departmental policies, standards, procedures, and applicable regulatory requirements. - Assist staff, as needed, to complete work and ensure all expected standards are optimally working. - Problem-solving, troubleshooting, and appropriately escalating issues to higher level management (Sr Manager of Risk Adjustment) as necessary. - Develop and coordinate educational and training programs regarding coding elements such as appropriate documentation, accurate coding, coding trends found during chart reviews, third-party audit findings, internal quality reviews, and annual coding updates. - Collaboration with other Capstone teams to provide as-needed and quarterly education to clients. - Determine efficient workflows and prioritize caseload to ensure fair work distribution. - Monitor and assess the performance of coding staff to ensure accurate code assignment and timely completion of coding tasks. - Collaborate with the Sr Manager of Risk Adjustment to deliver performance improvement and/or corrective action related to performance, attendance, and conduct. - Provides direction and mentoring of coding staff to ensure their understanding of coding principles and correct coding initiatives. - Perform clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that apply to Medicare Risk Adjustment reimbursement initiatives. - Perform reviews for prospective and retrospective audits and RADV audits when necessary. - Provide feedback and process improvement recommendations to appropriate health plan operations departments, participate in workgroups/committee meetings, and process improvement solutions as required. - Advise Sr Manager of possible trends in inappropriate utilization and other quality issues. - Participate as requested in department meetings, client calls, and performance evaluation and management. - Provide floating coding coverage to fill in for PTO, backlogs, and irregular projects as permissible. - Reviews bulletins, newsletters, and periodicals and attends workshops to stay abreast of current issues, trends, and changes in the laws and regulations governing medical ICD-10 CM coding and documentation. - Performs other duties and responsibilities as required. - Completes miscellaneous projects for Capstone as assigned or requested. - Maintains professional license and certifications and attends training conferences/webinars as necessary to keep abreast of the latest trends in the field of expertise. - Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) requirements. Qualifications - Associate’s degree or formal training beyond high school is required. - Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association or, Certified Professional Coder (CPC), or Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT). - Bachelor’s degree in related field is preferred. - 5+ years of professional work experience in a health plan setting. - 5+ years of professional experience of risk adjustment coding experience. - Strong knowledge of Clinical Documentation Improvement. - Strong knowledge of Hierarchical Condition Categories (HCC). - Knowledge of or experience in Medicare Advantage plans. - Strong experience in managed health care systems, PACE, or Medicare. Skills & Abilities - Knowledge and experience using current computer technology, and a strong knowledge of Microsoft 365 Applications; ability to easily adapt to new systems. - Excellent written and verbal communication skills, and professionalism when working with clients. - Ability to read, comprehend and analyze provider contracts. - Ability to summarize complex issues and communicate them in a way that is clearly understandable by clients. - Ability to solve problems under pressure by making immediate decisions while on the phone/in-person. - Detail oriented and able to prioritize workload. - Strong computer skills and ability to navigate spreadsheets, reports, documents and database and proprietary software. - Ability to manage multiple priorities and work independently. - Skilled in problem resolution and root cause analysis. - Skilled in establishing and maintaining effective working relationships, with internal and external customers. - Ability to demonstrate resourcefulness and resolve issues in a timely manner. - Ability to work independently with minimal supervision. - Ability to communicate professionally, clearly, and effectively, verbally and in writing. - Ability to prioritize effectively. Physical/Mental Demands This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. Schedule This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. This is a remote position. Benefits - Medical/dental/vision coverage effective 1st of the month following date of hire. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays.

Role Description The Onboarding Specialist will grow ExactCare’s patient base throughout the United States by promoting and educating patients on our medication management solutions through phone-based medication assessments, registering patients for our services. The Specialist will build relationships with patients through exceptional customer service, strong education of ExactCare solutions, and acting as a go-between the patient and their ExactCare pharmacy team. - Conduct a health and medication review with the patient that includes a thorough review of their list of medications and administration instructions and collecting key health information. - Responsible for accurate data entry of a patient’s prescription information to ensure the patient will receive the appropriate medications. - Responsible for achieving key performance metrics as set forth by the management team. - Create positive first impression of AnewHealth/ExactCare and the unique services we provide. - Educate facilities, institutions and patients about ExactCare. - Manage the patient assessment process to grow business and maintain referral relationships. - Maintain accurate records and prepare reports for the consistency of information to be shared with the ExactCare team. - Call on prospective patients daily and schedule them for telephonic reviews and conduct patient follow-up calls. - Participate in daily team huddles, attend training sessions and other ad-hoc meetings as needed. - Open lines of communication with management team. - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. Qualifications - Associate’s degree in a related field, or equivalent experience to justify an exception. Requirements - 1+ year of pharmacy customer service experience. - Certified Pharmacy Technician preferred. Skills & Abilities - Excellent problem-solving ability. - Energetic and compassionate phone skills required. - Highly motivational and possesses persuasion skills. - Team oriented and the ability to help others succeed. - Very organized with strong attention to detail. - Excellent with multitasking. - Self-Starter with little to no supervision needed. - Excellent communication skills; oral, written, facilitation and presentation. - Proficient in MS Office suite. - Passion to help people and enrich their lives. Physical/Mental Demands This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. May be necessary to work extended hours as needed. Expected Hours of Work This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. This is a remote position. Benefits - Medical, dental, and vision coverage effective 1st of the month following date of hire. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays.

Role Description The Onboarding Coordinator is the first impression of our ExactCare service for our prospective patients by scheduling, tracking, and monitoring the assessment schedules for our Onboarding Specialists. These initial scheduling calls will be essential to the overall success of our team as they will be the initial consultation with the prospective patient. The Onboarding Coordinator will be educating patient referrals on who we are, what we do, and how we make their lives better. - Call on prospective patients daily and schedule them for assessments with our Onboarding Specialists. - Handle inbound calls from both patients and referral sources. - Accountable for daily and weekly goals for assessments scheduled. - Communicate effectively with patients. - Work independently and also as a key member of the entire team. - Maintain constant contact with referral sources, Onboarding Specialists, and other internal associates. - Place scheduled assessments on the Onboarding Specialist calendar. - Document all calls, tasks, and appointments in Salesforce. - Create a positive first impression of AnewHealth/ExactCare and the unique services we provide. - Monitor and track daily assessments, assemble marketing materials, and conduct quality assurance calls. - Participate in daily team huddles, attend training sessions, and other ad-hoc meetings as needed. - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. Qualifications - Associate’s degree in a related field, or equivalent experience to justify an exception. - Previous sales, marketing, or customer service experience. - Preferred: Previous outbound/inbound call center or scheduling experience, including cold calling. - Knowledge of sales processes, healthcare products, and industry, preferred. - Energetic yet compassionate phone skills required. - Great problem-solving ability. - Highly motivational and possesses persuasion skills. - Ability to stay extremely organized. - Capable of prioritizing and multi-tasking. - Self-starter with little to no supervision needed. - Excellent communication skills; oral, written, facilitation, and presentation. - Proficient in MS Office Suite, Salesforce, or similar software. - Passion to help people and enrich their lives. Requirements - This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. - Must be able to commute to multiple site locations within assigned territory. - May be necessary to work extended hours as needed. - This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. - This is a remote position. Benefits - Medical, dental, and vision coverage effective 1st of the month following date of hire. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays.

Role Description The Operations & Performance Manager, Lead Generation is responsible for owning and optimizing the technology, data, and performance behind lead generation campaigns. This role focuses on configuring, monitoring, analyzing, and improving lead acquisition programs using demand generation platforms, validation tools, and analytics to maximize lead quality, conversion, and ROI. This role is ideal for someone who is highly analytical, technically sound, and comfortable working hands‑on in lead generation platforms to diagnose issues, test improvements, and continuously optimize campaign performance. Responsibilities - Lead Generation Technology Ownership - Own and optimize lead generation platforms and integrations (e.g., Leadspedia, TrustedForm, marketing automation tools) - Configure lead routing, validation rules, compliance checks, and source tracking - Monitor lead flow, system health, and data integrity across platforms - Partner with technology, analytics, and compliance teams to ensure systems are scalable, compliant, and reliable - Campaign Performance Analysis & Optimization - Analyze campaign performance across sources, partners, and channels to identify trends, issues, and opportunities - Evaluate lead quality, conversion rates, cost per lead, downstream performance, and ROI - Actively adjust campaign settings, filters, validation rules, and sourcing strategies based on results - Design and execute structured tests (e.g., source mix, validation thresholds, routing logic) to improve outcomes - Data, Reporting, & Insights - Build and maintain reporting that provides clear visibility into lead performance and campaign effectiveness - Investigate performance anomalies and data discrepancies, identifying root causes and solutions - Translate data into clear recommendations for campaign, sourcing, and technology changes - Support leadership with actionable insights to guide investment and prioritization decisions - Cross‑Functional Collaboration - Work closely with Marketing, Growth Analytics, and Compliance to align lead generation efforts with business needs - Ensure clear definitions and expectations around lead quality, acceptance criteria, and feedback loops - Support continuous improvement of lead handoff and downstream performance tracking - Process & Continuous Improvement - Identify opportunities to improve lead generation workflows, automation, and governance - Document processes, configurations, and best practices to support scale and consistency - Stay current on lead generation technology capabilities, industry trends, and compliance considerations - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. Qualifications - Education: Bachelor’s degree in Marketing, Analytics, Business, Information Systems, or related field (or equivalent experience) - Experience: - 7+ years of experience in demand generation, performance marketing, or lead operations - Hands-on experience managing and optimizing lead generation platforms (e.g., Leadspedia, TrustedForm, or similar tools) - Experience in healthcare, insurance, financial services, or other regulated industries - Experience working closely with compliance, legal, or risk teams - SQL, advanced Excel, or BI tool experience (e.g., Power BI, Tableau) a plus - Skills & Abilities: - Strong analytical skills with experience interpreting performance data and making data-driven decisions - Comfort working with complex systems, data flows, and performance diagnostics - Technical problem solving - Data analysis and performance optimization - Attention to detail and system thinking - Continuous testing and improvement mindset - Strong cross-functional communication - Autonomous execution Requirements - This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. - Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. Benefits - Comprehensive benefit package for full-time employees that includes medical/dental/vision - Flexible spending - Company-paid life insurance and short-term disability - Voluntary benefits - 401(k) - Paid Time Off and paid holidays - Medical, dental and vision coverage are effective 1st of the month following date of hire

Role Description The Strategic Account Manager is responsible for overseeing enterprise account management within the assigned channel, driving company growth by building strategic relationships and expanding partnerships with existing contracted and high-potential organizations. This role will be a crucial individual contributor for the team and must bring strong collaboration and communication skills. The Strategic Account Manager will partner with key decision-makers in leadership, effectively demonstrating the value of AnewHealth’s solutions, increasing referrals, and driving year-over-year growth across assigned accounts through relationship building, education, strategic programs and other initiatives. Responsibilities - Develop and implement strategies, tactics, and solutions to ensure the overall success and year-over-year growth of assigned accounts across all regions. - Partner with leadership to understand specific needs, inform strategy, and identify potential service expansion opportunities. - Stimulate, surface, and shape demand for AnewHealth’s solutions within the target market. - Collaborate with internal teams to drive maximum utilization and engagement within assigned organizations. - Track key performance indicators to monitor referral volume, program utilization, market penetration, and outcomes. - Conduct client visits (virtual and in-person) to maintain strong partnerships, address evolving needs, and uncover opportunities. - Attend and participate in industry conferences and events to build relationships, represent AnewHealth, and share our value proposition with prospective and current partners. - Share insights and feedback from client interactions to help refine and improve internal workflows and service delivery. - Support onboarding and implementation efforts for new health plan clients and referral programs. - Stay current on healthcare policy, payor trends, and managed care initiatives to guide account strategy. - Ensure HIPAA and all applicable regulatory guidelines are followed in all communications and activities. - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. Qualifications - Required: Bachelor’s degree in Business Administration, Sales, or other health related field. - Required: 7+ years of experience in account management and/or sales ideally with post-acute health care organizations (e.g. home health, hospice, PACE, LTAC), Medicare Advantage, Medicaid, or other managed care organizations. - Familiarity with the health system, including management workflows, risk-bearing models, and payor-provider collaboration. - Full understanding of the health market partnerships, including key thought leaders and how to best connect/align with them. - Effective verbal and written communication skills to clearly convey ideas, manage change, and deliver value. - Experience engaging with both clinical and administrative stakeholders at all levels within payer organizations. - Proficient in Salesforce (or other CRM systems) and Microsoft Office Suite. - Self-starter with strategic planning ability and strong organizational skills. - Able to manage multiple priorities in a fast-paced, evolving environment. - Embodies AnewHealth’s core values and mission-driven approach. Requirements - This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. - Travel will be determined at the discretion of the Strategic Account Manager and client needs. Travel may be required for client meetings, conferences, or Growth team events. Estimated travel is approximately 25%, but may vary depending on partnership activity and client or business priorities. Benefits - Medical, dental, and vision coverage effective 1st of the month following date of hire. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays.

Role Description The Supervisor, Patient Engagement Center roles were created in tandem of ExactCare's shift to a unified team with the Centers of Excellence. This individual will lead Pharmacy technicians and specialists in our inbound call center. They will work alongside the Pharmacy Managers to drive and support department efficiencies. In this role, the expectation is to act as a leader. This includes, but is not limited to, living by example and supporting company and department goals. As well, the Supervisor of Patient Engagement will demonstrate their ability to drive results and achieve a consistent standard of work from the pharmacy team. Responsibilities - Supervise the day-to-day operations of our engagement call center with accountability to key performance indicators such as service and quality. - Evaluating performance and providing feedback. - High attention to detail. - Demonstrate a positive work environment and the ability to resolve issues. - Showcase the capacity to effectively multi-task and delegate assignments based on department workload. - Ability to prepare, monitor, and follow up with workflows, scheduling, and other activities. - Demonstrate superior written and verbal skills to collaborate with internal partners. - Execute continuous improvement initiatives. - Ability to lead teams through a fast-paced and evolving environment. - Other leadership duties assigned. Qualifications - 1+ years of prior supervisory experience required. - Previous call center experience preferred. - Proven track record of leading teams in a fast-paced environment. - Goal-oriented and ability to work independently. - Exceptional verbal and written communication. - Exceptional attendance record and ability to be flexible. - For internal candidates, no active performance management or corrective action. Requirements - Shift: Sunday - Thursday, 9:00 am - 5:30 pm ET. - This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. - Must be able to commute to multiple site locations within assigned territory. - May be necessary to work extended hours as needed. - This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. - Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Benefits - Comprehensive benefit package for full-time employees that includes medical/dental/vision. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays. - Medical, dental, and vision coverage are effective 1st of the month following date of hire.

Title: Clinical Pharmacist - ATM CPN (Thursday to Monday) Location: NJ - Remote Full time Job Description: AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details Under the direction of the Director or Manager the pharmacist assumes responsibility for the pharmacotherapy outcomes of patients through knowledge and skills coupled with innovative technology and the packaging and distribution of medications. Responsibilities - Serves as a point of contact for the patient and their family, other pharmacists (internally or externally), clients, and/or other healthcare providers to address medication related problems (MRPs), other medication or health-related issues, and/or answer questions regarding pharmacotherapy needs, medication dispensing, issues, and suggestions. Explains care plan options and the use, side effects, and contraindications of medications dispensed, either verbally and/or via written records, stored within proprietary software. Ensures that patient care decisions and actions as well as coding/billing are properly documented using proprietary software system. - Ensures accurate, efficient, timely and compliant medication distribution and fulfillment for patients using proprietary software. - Plans, implements, and maintains procedures for assessing, compounding, packaging, and labeling medications, according to policy and legal requirements, to ensure quality, security, and proper disposal. Oversee Pharmacy Technicians to ensure appropriate medication reconciliation, physician order entry, inventory management, medication storage and security conditions, and medication labelling and packaging as well as compliance to company policies and procedures and regulatory guidelines. - Provides timely review, preparation/compounding, and final approval for prescription orders and dispensed medications ensuring the correct drug, dosage form, directions, quantity, days’ supply, number of refills and packaging/labelling, including ancillary warnings, is entered into the appropriate patient profile, and dispensed to the correct patient. Works to ensure proper and compliant billing and record keeping of medications dispensed and shipped. - Uses professional judgment to provide timely, accurate and appropriate pharmaceutical care appropriately assessing new medication requests and refills making recommendations, in writing or via telephone to care providers to enhance patient outcomes and/or safety as needed in relation to care plans, changes, issues, and education. - Ensures compliance to state and federal laws and applicable rules and regulations as well as internal policies and procedures required for pharmacy practice. Reports and works to rectify or prevent any incidents of QAs, HIPAA violations, Fraud, Waste and Abuse or other problems or violations. - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education - BS in Pharmacy, PharmD preferred. - A current, active license in the state residing in and must obtain a NJ state license within 180 days of hire. Experience - Required: 2+ years of experience required in pharmacy distribution and packaging, with exposure to geriatrics and/or chronic care management. - Experience or strong interest in clinical pharmacogenomics is preferred. - Ability to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. - Strong technical and computer skills to navigate proprietary and other pharmacy software and the initiative to propose suggestions to improve operations and proprietary system development and enhancements. - Demonstrated experience with problem-solving, conflict resolution, and project management skills. - Detail oriented and organized with the ability to work with a sense of urgency, work under pressure, multi-task, and achieve deadlines without sacrificing quality. - Strong analytical skills with good clinical judgement and decision making including (1) the ability to effectively and efficiently identify and rectify medication-related problems, and (2) assess patients using verbal and/or visual cues, when appropriate. - Knowledge of state and federal laws and regulations, including HIPAA and Fraud, Waste, and Abuse. Skills & Abilities - Proficient with MS Office Suite. - Excellent communication skills, both verbal and written. - Ability to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. - Strong technical and computer skills to navigate proprietary and other pharmacy software and the initiative to propose suggestions to improve operations and proprietary system development and enhancements. - Demonstrated experience with problem-solving, conflict resolution, and project management skills. - Detail oriented and organized with the ability to work with a sense of urgency, work under pressure, multi-task, and achieve deadlines without sacrificing quality. - Strong analytical skills with good clinical judgement and decision making including (1) the ability to effectively and efficiently identify and rectify medication-related problems, and (2) assess patients using verbal and/or visual cues, when appropriate. - Knowledge of state and federal laws and regulations, including HIPAA and Fraud, Waste, and Abuse.Possesses high level of integrity - Quality-oriented - Innovative - Steadfast Physicals/Mental Demands: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. Schedule: 11:30am - 8:00pm ET Thursday to Monday This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Rotating holiday schedule required. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Title: Clinical Pharmacist (11:30AM - 8PM, EST) Location: NJ - time type Full time Remote job requisition id R-108574 Job Description: AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Pharmacist assumes responsibility for the pharmacotherapy outcomes of patients through knowledge and skills coupled with innovative technology and the packaging and distribution of medications. Responsibilities - Serves as a point of contact for the patient and their family, other pharmacists (internally or externally), clients, and/or other healthcare providers to address medication related problems (MRPs), other medication or health-related issues, and/or answer questions regarding pharmacotherapy needs, medication dispensing, issues, and suggestions. - Explains care plan options and the use, side effects, and contraindications of medications dispensed, either verbally and/or via written records, stored within proprietary software. - Ensures that patient care decisions and actions as well as coding/billing are properly documented using proprietary software system. - Ensures accurate, efficient, timely and compliant medication distribution and fulfillment for patients using proprietary software. - Plans, implements, and maintains procedures for assessing, compounding, packaging, and labeling medications, according to policy and legal requirements, to ensure quality, security, and proper disposal. - Oversee Pharmacy Technicians to ensure appropriate medication reconciliation, physician order entry, inventory management, medication storage and security conditions, and medication labelling and packaging as well as compliance to company policies and procedures and regulatory guidelines. - Provides timely review, preparation/compounding, and final approval for prescription orders and dispensed medications ensuring the correct drug, dosage form, directions, quantity, days’ supply, number of refills and packaging/labelling, including ancillary warnings, is entered into the appropriate patient profile, and dispensed to the correct patient. Works to ensure proper and compliant billing and record keeping of medications dispensed and shipped. - Uses professional judgment to provide timely, accurate and appropriate pharmaceutical care appropriately assessing new medication requests and refills making recommendations, in writing or via telephone to care providers to enhance patient outcomes and/or safety as needed in relation to care plans, changes, issues, and education. - Ensures compliance to state and federal laws and applicable rules and regulations as well as internal policies and procedures required for pharmacy practice. Reports and works to rectify or prevent any incidents of QAs, HIPAA violations, Fraud, Waste and Abuse or other problems or violations. - Embody AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. - This position may require weekend/on-call and holiday shifts. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education - BS in Pharmacy, PharmD preferred. - A current, active license in the state residing and obtain a NJ state license with in 6 months of hire. Experience - 2+ years of experience required in pharmacy distribution and packaging, with at least some exposure to geriatrics and/or chronic care management. - Experience or strong interest in clinical pharmacogenomics is preferred. Skills & Abilities - Ability to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. - Strong technical and computer skills to navigate proprietary and other pharmacy software and the initiative to propose suggestions to improve operations and proprietary system development and enhancements. - Demonstrated experience with problem-solving, conflict resolution, and project management skills. - Detail oriented and organized with the ability to work with a sense of urgency, work under pressure, multi-task, and achieve deadlines without sacrificing quality. - Strong analytical skills with good clinical judgement and decision making including (1) the ability to effectively and efficiently identify and rectify medication-related problems, and (2) assess patients using verbal and/or visual cues, when appropriate. - Knowledge of state and federal laws and regulations, including HIPAA and Fraud, Waste, and Abuse. Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Role Description As a Corporate Trainer, you will play a pivotal role in enhancing workplace performance and fostering employee development across AnewHealth Fulfillment Centers. You will design and implement training programs tailored to diverse learning styles, manage key aspects of onboarding and curriculum development, and lead initiatives to address organizational skill gaps. This role combines creativity, strategic planning, and collaboration to support our workforce's growth and align training programs with company values. Responsibilities - Facilitate training sessions ranging from short workshops to comprehensive multi-day programs - Collaborate with key stakeholders across AnewHealth to design technical training lessons, standard operating procedures (SOPs), and onboarding guides - Create high-quality training materials, such as job aids, manuals, and e-learning modules, adapted to on-site learners and site-specific workflows - Ensure training materials are clear, concise, and aligned with the company brand - Continuously evaluate and refine training programs to enhance effectiveness and sustainability - Conduct organization-wide assessments to identify skill and knowledge gaps - Lead enhanced orientation programs for new employees, offering mentorship and personalized learning support - Partner with cross-functional teams to brainstorm and set course goals Qualifications - 2+ years of pharmacy technician patient care and/or fulfillment experience, including familiarity with systems and technologies in use - Proven experience as a Corporate Trainer or similar role, with experience delivering remote and hybrid training sessions - Leadership experience in developing training roles or department-specific training initiatives - Certified Pharmacy Technician Requirements - Strong instructional design skills, including the ability to make digital learning interactive and engaging - Familiarity with Pharmacy Technician licensing requirements and renewal processes - Excellent written and verbal communication skills, with the ability to convert complex technical information into clear, compelling content - Strong organizational skills, including the ability to prioritize activities and deliverables in a high-growth, fast-paced environment - Proficiency with Microsoft Office and Teams - Willingness to learn and apply cross-COE knowledge Physicals/Mental Demands This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. Schedule This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel Position may require occasional travel for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. Benefits - Medical, dental, and vision coverage effective 1st of the month following date of hire - Flexible spending - Company-paid life insurance and short-term disability - Voluntary benefits - 401(k) - Paid Time Off and paid holidays Company Description AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Role Description Pharmacy Technicians in our Patient Engagement Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services. They will work in a call center environment, spending their time speaking with patients, doctors, and facilities on the phone. - Fielding inbound phone calls and making outbound calls to patients. - Navigating multiple pharmacy software systems to support various stages of patient care/contact. - Providing an exceptional customer service experience each day in a phone-based environment. - Answering a high volume of inbound calls from current patients and resolving their questions. - Placing outbound calls to patients to create, maintain, or update their medication profiles. - Assisting with patient questions over the phone. - Working through current case queues to problem solve for patient care issues. - Serving as a liaison between the clinical pharmacists and other medical professionals on patients’ behalf. - Performing claim adjudication and auditing duties such as prior authorizations, billing, and eligibility checks. - Collecting on patient balances when patients have an amount due. - Maintaining patient records with strong attention to detail and confidentiality. - Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications, or transfers. - Accurate retrieval of all prescription information and verifying through doctor calls. - Entering a high volume of data; processing prescription information with speed and accuracy. - Placing welcome calls to newly onboarded patients and establishing a trusted point of contact. - Partnering with technicians and pharmacists to ensure that new patients are successfully onboarded to ExactCare. - Performing in a high volume, fast-paced environment to support ExactCare’s nationwide patient base. - Embodying AnewHealth’s Core Values in all communications and interactions. - Other duties as assigned. Qualifications - High school diploma / GED. - Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate. - Must maintain a pharmacy technician registration with State Board of Pharmacy. - Must be 18+ years of age. - Prior experience in a pharmacy setting. - Comfortable working in a phone-based environment. - Ability to work independently. - Self-motivated and goal-oriented. - Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone. - Thorough drug knowledge. - Pharmacy billing knowledge. - Knowledge of appropriate processes in taking prescriptions, clarifications, and transfers. - Ability to utilize computer equipment, technology, and work within multiple software programs. - Strong prioritization and organizational skills. - Maintain a high degree of confidentiality. - Passion to help people and enrich their lives. - Ability to overcome objections. - Ability to think critically and document pertinent details in a compliant manner. Requirements - This is a full-time position with an expectation to work an average of 40 hours per week. - Availability outside of normal business hours to meet customer expectations on an ad-hoc basis. - Schedules are set to accommodate the requirements of the position and the needs of the organization. Benefits - Medical, dental, and vision coverage effective 1st of the month following date of hire. - Flexible spending. - Company-paid life insurance and short-term disability. - Voluntary benefits. - 401(k). - Paid Time Off and paid holidays.