
ExactCare
Remote Jobs
A national medication management and long-term pharmacy provider for people with complex, chronic needs
81 Jobs
Engagement Technician
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Providing an exceptional customer service experience each day in a phone-based environment. • Answering a high volume of inbound calls from current patients and serve as an ExactCare expert to resolve their questions. • Placing outbound calls to patients to create, maintain or update their medication profiles. • Effectively assist 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. • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. • Collect on patient balances when patient has 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. • Enter a high volume of data; processing prescription information with speed and accuracy. • Placing welcome calls to newly onboarded patients and establish a trusted point of contact. • Partner 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. • Embody AnewHealth’s Core Values in all communications and interactions.
Pharmacy Benefits Specialist
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Answer telephone inquiries in a pleasant, professional, and efficient manner assuring exceptional customer service • Document all incoming calls and dialogue in the claims adjudication software • Educate clients on plan policies, benefits, and procedures • Resolve client drug benefit concerns of a medical, financial, or technological nature • Initiate and facilitate prior authorization requests • Make outbound calls to pharmacies and plans to facilitate completion of JIRA tickets • Review after hours calls log-complete any follow up as needed • Submit JIRA tickets for compound prescriptions • Submit JIRA tickets to resolve NDC issues (pricing issues, missing NDCs) • Stay current on plan and benefit structures, pharmacological updates, and Medicare Part D guidelines • Accept other duties as assigned; including but not limited to direct member reimbursement, processing, manual claims, reporting, and researching rejected claims • Ensures that HIPAA guidelines are followed in every communication with clients • Embody AnewHealth’s Core Values in all communications and interactions
Manager, PACE Marketing
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Serve as the primary marketing lead supporting PACE growth initiatives and ensure consistent market presence • Translate enterprise marketing strategy into PACE-specific campaigns and activation plans • Identify and close execution gaps to ensure initiatives move from idea to activation • Maintain alignment across Growth, Account Management, and Clinical teams • Develop and manage a PACE-specific content roadmap aligned to growth priorities • Lead creation of high-impact content such as case studies, thought leadership, and sales enablement materials • Ensure consistent brand voice and positioning across all PACE-facing materials • Partner with internal SMEs to translate clinical and operational expertise into market-facing content • Set and monitor social media KPIs, including engagement quality, follower growth among target personas, click-through rates, amplification, and contribution to inbound traffic and pipeline. • Partner with Account Management to support client engagement and retention initiatives • Provide tailored communications, presentations, and campaign support for accounts • Deliver rapid-turn marketing support for field-driven needs
Business Analyst
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Evaluate complex operational challenges, identifying root causes, and delivering data-driven recommendations that improve business performance • Analyze complex operational performance, identify root causes of business challenges, and develop actionable recommendations to improve efficiency and outcomes • Design, develop, and maintain dashboards, scorecards, reports, and data visualizations that provide meaningful insights into key performance indicators (KPIs) and operational trends • Utilize SQL and business intelligence tools to extract, validate, analyze, and interpret data from multiple systems while ensuring data integrity and reporting accuracy • Monitor labor productivity, workforce utilization, and operational efficiency metrics to identify opportunities for process improvements and resource optimization • Partner with operational leaders and business stakeholders to understand reporting needs, define analytical requirements, and develop scalable reporting solutions • Present analytical findings, performance trends, and strategic recommendations to leadership in a clear, concise, and actionable manner • Evaluate business processes and recommend improvements that enhance operational performance, reduce costs, and support organizational goals • Develop and maintain reporting documentation, business definitions, and analytical processes to promote consistency and data governance • Collaborate with technical teams to improve reporting logic, data structures, and business intelligence capabilities • Support strategic initiatives through data analysis, performance measurement, and continuous process improvement
Clinical Pharmacist
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Ensuring clinical accuracy and execution of patient prescriptions • Verification of hard copy and digital Rxs • Communication with healthcare professionals, patients and technicians via phone and email • Supervision and execution of incoming and outgoing prescription transfers • Ensure all legal, privacy and compliance requirements are met • Embody AnewHealth’s Core Values in all communications and interactions. • Other duties as assigned.
Certified Pharmacy Technician – Part Time
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Providing an exceptional customer service experience each day in a phone based environment. • Enter a high volume of data; processing prescription information with speed and accuracy. • Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers. • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. • Requiring outbound calls to patients. • 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 patient’s behalf. • Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare. • Maintaining patient records with strong attention to detail and confidentiality. • Accurate retrieval of all prescription information and verifying through doctor calls. • Placing welcome calls to newly on-boarded patients and establish a trusted point of contact. • Placing outbound calls to patients to create, maintain or update their medication profiles. • Serve as backup support for times of higher patient call volume. • Effectively assist with patient questions over the phone. • Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base. • Embody AnewHealth’s Core Values in all communications and interactions.
Senior Business Analyst
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Lead the analysis of complex operational challenges, business opportunities, and enterprise-level initiatives to identify trends, risks, opportunities, and improvement opportunities • Conduct advanced data analysis, root cause analysis, forecasting, and scenario modeling to develop strategic recommendations that improve operational performance, customer experience, and financial outcomes • Partner with senior leaders and cross-functional stakeholders to evaluate business strategies, measure organizational effectiveness, and support data-driven decision-making • Design, develop, and govern executive-level dashboards, scorecards, KPI frameworks, and reporting solutions that provide visibility into operational, financial, and workforce performance • Lead the development, enhancement, and adoption of business intelligence solutions that improve reporting efficiency, automation, and analytical capabilities • Utilize advanced SQL analysis and data validation techniques to evaluate complex datasets across multiple systems and ensure accuracy, consistency, and integrity of reporting • Partner with technical teams to improve data models, reporting structures, data governance practices, and enterprise data quality standards • Establish and maintain documentation standards, business definitions, reporting methodologies, and analytical best practices to promote consistency and scalability • Analyze workforce productivity, labor effectiveness, utilization, and operational efficiency metrics to identify opportunities for cost reduction, process improvement, and resource optimization • Develop performance measurement frameworks and provide strategic recommendations that improve operational effectiveness while maintaining quality and service standards • Serve as a primary analytical partner to senior leaders by presenting insights, trends, risks, and recommendations through executive-level reporting and data storytelling • Translate complex analytical findings into clear business insights, strategic priorities, and actionable recommendations for stakeholders at all levels • Provide mentorship, guidance, and subject matter expertise to Business Analysts by supporting analytical approaches, reporting methodologies, and professional development • Champion a culture of continuous improvement by identifying opportunities to enhance analytical capabilities, reporting processes, and team effectiveness
Pharmacy Support Specialist – Tues-Fri 2-1030pm, Sat 9-530
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Provides enrollment support for new PACE enrollees • Communicates pharmacy benefit information to network pharmacies contracted with facilities where CareKinesis PACE participants reside • Coordinate facility discharges to assure medication reconciliation is complete and delivery to home is back in place • Provides help desk support to network pharmacies • Education PACE staff regarding CareKinesis and network pharmacy processes for facility participants • Makes outgoing calls to gather/confirm information necessary to process customer requests or otherwise contribute to pharmacy operations • Coordinates and sets up couriers to ensure timely medication delivery • Makes outgoing calls to ensure the participants have received their delivery • Embody AnewHealth’s Core Values in all communications and interactions • Other duties as assigned
Certified Pharmacy Technician – Call Center
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Providing an exceptional customer service experience each day in a phone-based environment. • Answering a high volume of inbound calls from current patients and serve as an ExactCare expert to resolve their questions. • Placing outbound calls to patients to create, maintain or update their medication profiles. • Effectively assist 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. • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. • Collect on patient balances when patient has 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. • Enter a high volume of data; processing prescription information with speed and accuracy. • Placing welcome calls to newly onboarded patients and establish a trusted point of contact. • Partner 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. • Embody AnewHealth’s Core Values in all communications and interactions.
HR Business Partner
ExactCareA national medication management and long-term pharmacy provider for people with complex, chronic needs
• Execute day to day operational tasks that support our team in the creation and delivery of an exceptional employee experience • Partner with and support functional groups and leaders across multiple teams • Anticipate needs, diagnose problems and then identify and drive appropriate solutions • Collaborate across the full cycle of HR • Communicate changes in company personnel policies and procedures to ensure compliance • Develop trusted relationships, credibility and influence across the organization • Participate in investigations and resolutions of employee relations issues • Answer routine questions regarding company policies • Ensure regulatory compliance with legal requirements • Take initiative to find solutions where clear-cut procedures do not exist • Monitor the 'pulse' of the employees to ensure high employee engagement • Carry out all job responsibilities according to the company's core values
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