Shields Health Solutions

• 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

• 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

Role Description Shields Health Solutions is looking to add a Business Development Associate to supplement its growing business development team. This will be a very hands-on and analytical role, touching every aspect of the business development process with high visibility to the Shields Executive Leadership Team and C-level executives at our hospital partners. We are looking for a self-starter and highly motivated individual to own work products from start to finish and make an immediate impact on the team. It is preferred that the candidate live in EST/CST time zones. - 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. Qualifications - Bachelor’s Degree or equivalent experience required. - 2-3 years of experience working in an analytically intensive field (investment banking, management consulting, corporate development) or business development operations experience at another high growth company. - Entrepreneurial attitude - willingness to roll up their sleeves and work alongside staff to make things happen quickly. - Self-starter who is able to work independently with limited oversight from managers. - Highly motivated and results-driven professional who thrives in a team-oriented environment. - Analytically oriented person who makes and defends decisions based on hard data. - Experience and interest in presenting to C-level executives. - Strong Excel and PowerPoint skills, including financial modeling and data visualization. - Outstanding written and verbal communication skills. - Healthcare experience or passion for the industry is a plus. - Professionals will likely travel 25% of their time, meeting with partners. Requirements - Range between $100,000 to $120,000. - In addition to offering annual bonus potential, salary determinations at the time of offer may vary based on multiple differentials including but not limited to: Specialized Skills, Training, Experience, Education. Benefits - California residents employed by or applying for work at Shields have certain privacy rights. Please review our California Workforce Privacy Notice and Privacy Policy. - By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. - Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• 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.

• 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;

Role Description Provides integrated off-site support to patients, pharmacists, and providers by providing a full-service approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize the hospital partner pharmacy to fully benefit from its superior patient care services. - Provide “legendary” care to hospital patients by providing a full suite of custom medication management services. - An off-site member of the clinic team providing prior authorization, financial assistance, patient medication onboarding services, and patient refill/renewal support. - Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care. - Handle all medication needs of patients. - Grow the specialty pharmacies patient population by strictly adhering to Shields’ programs and processes with enthusiasm and purpose. - Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider. - Review the patients need for financial assistance and secure financial assistance when needed and available. - Document patient information within the hospital EMR, Therigy and all Shields proprietary tools as required. - Ensure that patients remain on track with medication regimens - outbound therapy/medication adherence check-ups, refill prescription. - Secure prescription renewals. - Communicate directly with patients to assist them in the awareness of their medications. - Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication. - Identify supplies necessary for select medications such as sharps containers, needles/syringes, alcohol swabs, Band-Aids. - Answer, resolve and triage inbound inquiries. - Achieve operational objectives by inputting data, performing adjudication on test claims and preparing action plans for follow-up. - Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards. - Actively participate in process improvement initiatives. - Protect organization's value by keeping information confidential. - Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations. - Other duties as assigned. Qualifications - Strong interpersonal communication skills. - Exceptional phone skills, comfortable with proactively engaging patients telephonically. - Comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically. - Highly proficient in Microsoft Office particularly Excel and Word. - Able to quickly learn other programs, adapt to Shields’ unique model/tools and able to extract relevant information. - Strong organizational skills a must. Requirements - Energetic, highly motivated, team player with strong personal and communication skills. - Ability to sit and/or stand with focus at a workstation for a long period of time. - Discretion and confidentiality essential as position deals with highly sensitive and private data. - Experience and knowledge in working in one or more of the following disease states a plus: transplant, hepatitis C, infectious disease (including HIV), diabetes, MS, oncology. Education/Experience - Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. - Years of Experience: Required 2-3 years, Preferred 3-5 years’ experience as a Pharmacy Technician. - Education: High School Diploma or GED required. Job Salary An employee in this position can expect a salary rate between $64,350 and $70,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law.

Role Description Join our Shields team today! Shields Health Solutions is redefining patient care through health-system integrated specialty pharmacy. We’re hiring an Ambulatory Oncology Clinical Pharmacy Specialist who will play a hands-on role in elevating patient care at a nationally recognized Academic Medical Center. In this dynamic, patient‑centered position, you’ll build meaningful relationships with patients and providers while delivering high‑quality medication management. You’ll work remotely, collaborating directly with care teams and practicing under a Collaborative Practice Agreement (CPA) to conduct virtual patient assessments, order and monitor evidence-based treatment plans, optimize therapy, and resolve medication-related problems. Location: Remote (Role supports a Providence clinic in Washington State) Potential Locations: Providence Centralia Hospital, Providence Sacred Heart Medical Center, Providence Centralia Hospital Salary An employee in this position can expect a salary rate between $127,000 and $149,000 (Hourly Equivalent: Approximately $61.06 - $71.63 per hour, based on a 40-hour workweek.) plus bonus pursuant to the terms of an any bonus plan if applicable. The actual salary will depend on experience, geographic location, and other factors permitted by law. Benefits - $10,000 Sign-on Bonus - Salary + Bonus - Medical, dental, and vision insurance starting day one - 401(k) with match - 4 weeks PTO - 10 paid holidays - Paid parental leave - Short-term disability - Professional development - Access to employee resource groups and wellness programs What You’ll Do - 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. Qualifications - Hold a Doctor of Pharmacy (PharmD) - Must be licensed pharmacist in Washington - Candidate must meet one of the following qualifications: - Completion of a PGY2 Oncology Residency - Completion of PGY1 Ambulatory Care Residency and at least 3 years of experience as a clinical oncology pharmacist - Have at least 3 years of experience as a clinical pharmacist in oncology, including 1 year practicing under a Collaborative Practice Agreement (CPA) - Strong communication, organization, and tech skills - Empathy, integrity, and a team-first mindset

• 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

• Manage core home infusion RCM functions, including billing, follow-up, denial management, collections, cash posting, and AR resolution. • Oversee reimbursement workflows for both pharmacy and medical benefit claims, including coordination of infusion drug, nursing, supplies, and ancillary service billing as applicable. • Develop and maintain standard operating procedures, training materials, and internal controls to support consistent, compliant execution • Monitor and improve key performance indicators such as DSO, aging, clean claim rate, first-pass yield, denial rate, cash collections, write-offs, and authorization-related reimbursement leakage. • Lead payor-specific billing and follow-up strategies for commercial, Medicare, Medicaid, managed Medicaid, and other government and contracted payors. • Partner with intake, clinical, and authorization teams to ensure accurate patient onboarding, coverage verification, prior authorization, and financial clearance processes. • Ensure timely identification, escalation, and resolution of billing edits, denials, underpayments, and documentation deficiencies. • Review AR trends and develop action plans to accelerate collections and reduce preventable denials. • Collaborate with client finance teams on cash forecasting, month-end close support, bad debt analysis, and reserve considerations related to revenue cycle performance. • Maintain strong knowledge of home infusion reimbursement rules, including payer policy requirements, Medicare and Medicaid billing considerations, and site-of-care reimbursement dynamics. • Support implementation and optimization of billing systems, workflow automation, reporting tools, and process controls. • Supervise, coach, and develop RCM staff; establish productivity standards and accountability mechanisms across the team. • Serve as a cross-functional partner to contracting, operations, and compliance on reimbursement issues, audit responses, and process redesign initiatives. • Identify opportunities to improve net revenue realization, reduce margin leakage, and enhance the patient and referral source experience.

• Provide integrated support to patients and physicians • Review and interpret clinician's patient care notes • Develop and refine clinical protocols • Monitor ongoing patient adherence • Evaluate EMR for medication adherence • Recommend therapeutic drug regimens • Medication therapy management (MTM) • Clinical interventions including comprehensive pharmacist consultation • Productivity monitoring and reporting • Identifying and resolving insurance related issues • Communicating with support personnel compliant with HIPPA rules • Updating job knowledge by participating in educational opportunities