• Utilization management pharmacists are responsible for reviewing each plans policy to determine if coverage can be granted for a medication • Provide clinical support and oversight for all utilization management (UM) activities • Responsible for finalizing all denials of clinical prior authorization requests • Supports the Coverage Review Department (CRD) as a clinical resource for drug therapy questions • Applies critical thinking to achieve proper clinical decisions when performing clinical reviews • Utilizes multiple systems and other clinical resources to achieve proper decisions in Utilization Management reviews • Works and maneuvers within a queue system that prioritizes clinical reviews • Makes clinical decisions quickly and at times decides and acts with limited information • Works and collaborates with a multi-disciplinary clinical team to provide a customer centric experience

• Under the direct supervision of the Department Business Administrator, coordinate the pharmacy’s financial assistance programs • Demonstrate special skills, knowledge, and task completion not required by other pharmacy technicians • Support operations ensuring patients receive the lowest out of pocket expense possible • Research data, work with Outpatient clinic staff, connect patients with appropriate assistance • Assist in applications, process prescriptions, communicate with billing, and follow up with patients • Maintain and improve program workflows and expansion

Role Description AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. This is not a generalist telehealth role. This is for experienced nurse practitioners who understand hormone therapy and want to practice at a high level. The Opportunity: - Seeking experienced, licensed Nurse Practitioners with at least 1 year of Hormone Replacement Therapy (HRT) experience for both men and women. - Part-time and full-time availability. - Providers work remotely and deliver high-impact care through a structured, technology-enabled telehealth model. Qualifications - Active NP license in a minimum of 5-10+ U.S. states. - California, Texas, New York, and Colorado licenses are in demand. - Active, unrestricted DEA license. - Ability to prescribe and manage controlled substances in compliance with federal and state regulations. - Minimum 1 year of hands-on Hormone Replacement Therapy experience. - Experience treating both male and female patients. - Comfort managing testosterone therapy, estrogen/progesterone therapy, adjunct wellness medications, and ongoing lab monitoring. - Strong understanding of endocrine health, preventative care, and optimization protocols. Requirements - Conduct structured virtual consultations for men and women seeking hormone optimization and wellness care. - Review labs, diagnose hormone imbalances, and develop evidence-based treatment plans. - Initiate and manage HRT protocols, including appropriate prescribing and follow-up. - Provide patient education on risks, benefits, and long-term care strategies. - Maintain thorough, compliant documentation within telehealth platforms. - Collaborate with a clinical and administrative support team to ensure a seamless patient experience. Benefits - Remote flexibility: Work from home with scheduling options that fit your availability. - Focused practice model: Specialized hormone and wellness platform without handling random urgent care visits or unrelated cases. - Operational support: Administrative, tech, and compliance infrastructure in place to focus on patient care. - Growth environment: Join a high-growth telehealth organization expanding nationwide.

• Operate within pharmacist-led clinical programs focused on chronic disease, quality improvement, and medication optimization. • Activate on provided lists of eligible patients by outreaching, enrolling, and engaging patients. Maintain engagement through education, outreach, and follow-up. • Conduct Medication Reconciliation, Medication Therapy Management (MTM), and Comprehensive Medication Reviews (CMR). • Provide telephonic patient education on medication use, adherence, self-management, and escalation of care. • Provide specific actionable medication recommendations and collaborate with providers, using technology and direct communication, to support practice adoption and medication management. • Support other clinical programs to provide periodic consultation on pharmacy related issues affecting patients • Drive medication adherence to address quality gaps • Collaborating with the IDT—which includes primary care physicians, health coaches, and nursing staff—to develop patient-specific clinical action plans, reconcile medications, and make necessary adjustments to medications. • Accelerate adoption of clinical insights by providers by driving uptake of actionable drug-related recommendations. • Provide clinical feedback to enhance decision support logic, usability, and impact. • Collaborate with Regional Medical Officers, Market Medical Directors, Practice Transformation Managers, care teams, and practices. • Support consistent clinical standards, workflows, and messaging across markets. • Support ideation and development of initiatives related to specialty medications, high-cost drugs, and pharmacy optimization programs. • Partner with pharmacy and medical leadership on drug strategy aligned with value-based care goals. • Document all clinical activity accurately and in accordance with state and federal regulations and HIPAA requirements, using provided platforms and technologies • Serve as a pharmacy information resource for providers and internal clinical teams. • Remain current on clinical guidelines, quality measures, and pharmacy best practices.