Job Closed

This listing is no longer active.

Shields Health Solutions logo
Shields Health Solutions

Elevating Specialty Pharmacy

Infusion Operations Specialist

OperationsOperationsFull TimeRemoteSeniorTeam 501-1,000Since 2011H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

17 days ago

Salary

0

Seniority

Senior

High School3 yrs expEnglish

Job Description

Infusion Operations Specialist

Shields Health Solutions

• 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

Job Requirements

  • High school education or equivalent required
  • Current certification and/or licensure as a Pharmacy Technician required
  • 3-5+ years health care experience required; 3+ as a pharmacy technician required
  • 1+ years in a supervisory or leadership role required; 3+ years preferred
  • 3+ years’ experience with infusions, coordinating and subcontracting referrals, infusion and medical reimbursement required; experience must include medical pre-certification, benefits investigation, prior authorization, and financial assistance; 2+ years of experience specific to home infusion preferred
  • Strong interpersonal skills, strong verbal and written communication skills
  • Strong mathematical skills, including calculating doses, out of pocket costs based on benefits
  • Strong time management skills
  • Understands the pre-certification process for specialty/non-specialty infusions; knowledge and understanding of nuances of infusion therapy v. “standard” outpatient specialty pharmacy
  • Knowledge of infused specialty medications preferred; knowledge of common home infusion J-codes and HCPC codes (including per diem and nursing) preferred
  • Experience with major and local medical plans preferred; strong knowledge of Medicare and Medicaid regulations and commercial insurer criteria for payment of infusion and home care services
  • Highly proficient in navigating various systems including: EMR’s (e.g., EPIC, Cerner), and dispensing systems (e.g. CPR+, EPIC WAM) etc.

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.

Related Categories

Related Job Pages

More Operations Jobs

Datavant logo

Embedded ROI Processor

Datavant

Connecting the world’s health data to improve patient outcomes.

Operations17 days ago
Full TimeRemoteTeam 201-500Since 2017H1B Sponsor

Role Description The EMR Remote Processor serves as a key member of the EMR Remote team. This position is responsible for processing Release of Information (ROI), specifically medical record requests in a timely and efficient manner, ensuring accuracy and individual metrics are met. The role includes: - Verifying and analyzing data to affect the efficient and effective retrieval of charts in accordance with the core business function of Ciox Health. - Safeguarding and protecting the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information. - Ensuring all releases of information are in compliance with the request, authorization, company policy, and HIPAA regulations. Duties and responsibilities include: - Enter accurate data when assigned by team lead. - Remote processing of electronic medical records through various EMR systems as directed. - Ability to work with minimum supervision responding to changing priorities and role needs. - Report any technical difficulties that you may experience as soon as they occur. - Meet required metrics for your role - CPH (Charts Per Hour) & Attendance. - Actively participate in all training that is assigned to you by your supervisor. - Maintain high standards of Confidentiality to safeguard and protect Patient’s Right and comply with all company and facilities policies and HIPAA regulations. - Read all documentation and follow written instructions provided to ensure compliance and accurate job completion. - Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed, or any site difficulties. - Support a service environment that focuses on quality processes. - Ensure that deadlines are met and respond to emails and other requests for information timely. - Adhere to company policies. - Perform other duties as assigned. - Work effectively with co-workers in a constructive and positive manner. - Listen to and objectively consider ideas and suggestions for improvement. Qualifications - Six months data entry experience required. - High School Diploma/GED required. - Experience in a healthcare environment or release of information setting is strongly preferred. - Demonstrate ability to address problems constructively to find acceptable solutions. - Demonstrate accuracy and attention to detail. - Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook). - Excellent organizational skills. - Excellent detail-orientation and accuracy with high volume environment. - Adaptable to changing business environment. - Demonstrated ability to work within a diverse group of individuals and collaboratively in a matrixed, cross-departmental remote environment. Requirements - Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. - The estimated base pay range per hour for this role is: $15 - $18.32 USD. - To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. - This job is not eligible for employment sponsorship. Benefits - Datavant is committed to a work environment free from job discrimination. - We are proud to be an Equal Employment Opportunity employer. - All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

United States
$15 - $18 / year
Job Closed
Recorded Future logo

Manager, Global Billing Operations

Recorded Future

Securing Our World with Intelligence

Operations17 days ago
Full TimeRemoteTeam 501-1,000Since 2010H1B Sponsor

• Own global billing operations, ensuring accurate and timely invoice generation aligned with contract terms, pricing structures, and booking policies • Manage the end-to-end invoicing lifecycle post-Closed Won, including billing setup, validation, and delivery • Ensure alignment across Salesforce, contract terms, and NetSuite to minimize downstream errors and revenue impact • Serve as the primary escalation point for complex billing issues, disputes, and exceptions • Lead collections processes, including AR aging, follow-ups, and dispute resolution • Monitor and drive performance against key metrics such as DSO, past due balances, and collection effectiveness • Ensure timely and accurate cash application and reconciliation • Own and continuously improve billing and AR processes to driving scalability and efficiency • Identify and implement automation opportunities across systems and workflows • Partner with Deal Desk and RevOps to a seamless transition from deal structure to billing execution • Ensure billing and AR processes are SOX-compliant and audit-ready • Lead, mentor, and develop a high-performing Global Billing Operations team

District Of Columbia
$92K - $137.5K / year
Operations17 days ago
Full TimeRemoteTeam 201-500Since 2005H1B No Sponsor

Role Description Are you a problem-solver who believes that great service is the best retention strategy? As a Performance Operations Specialist, you will serve as the primary point of contact for our high-volume portfolio of emerging dealer partners. Reporting into the VP, Performance Operations, your mission is to provide high-quality, scalable support that ensures our dealers remain active, healthy, and satisfied with the TrueCar platform. In this role, you are focused on performance, stability, and retention. You will act as a subject-matter expert, using a tech-touch model to provide technical guidance and best-practice training at scale. You will leverage AI-driven workflows and automated processes to ensure every dealer in your portfolio is technically sound and sees the value in their investment, playing a critical role in reducing churn across a healthy dealer network. How you will contribute to TrueCar’s success: - Establish and maintain business rapport with a range of contacts at assigned Dealerships (buyer/signer, implementer, stakeholder, etc.), including the highest level in each organization (e.g., General Manager). - Assist with outbound outreach campaigns via phone and email to drive key organizational priorities, such as pricing updates, program compliance, or system migrations, ensuring their accounts remain optimized and aligned with TrueCar’s marketplace standards. - Manage and triage our inbound email and phone queues, maintaining a high level of responsiveness and ensuring our dealer partners receive the support they need to succeed. - Proactively monitor account health indicators to identify opportunities to step in to fix CRM lead flow issues, inventory feed errors, and pricing inaccuracies before they become reasons for a dealer to cancel. - Monitor, tweak, and refine automated communication sequences and AI-driven engagement processes to ensure they remain accurate, human-centric, and effective for a high-volume audience. - Leverage 1-to-many communication tools (webinars, group training, and AI automated outreach) to ensure your book of business understands how to maximize TrueCar’s products and services successfully. - Build your product expertise to troubleshoot performance issues, correct technical errors, and strengthen the partnership through solution-based service. - Ensure every dealer interaction and technical resolution is meticulously documented in Salesforce, providing the company with a clear picture of our lower-tier partner segment. - Work alongside the Dealer Performance team to flag accounts that may be ready for a higher tier of service or require a more dedicated sales touch. Qualifications - Proven inside sales and/or service account management or equivalent experience. - Experience managing, meeting, and exceeding goals and objectives. - Ability to multi-task and handle multiple priorities simultaneously while meeting assigned deadlines. - Demonstrated proficiency with communication skills (written, verbal, and presentation) required. - Proficient in managing high volumes of accounts within Salesforce (or other CRM); comfortable working with AI-driven productivity tools (nice to have). - Ability to interpret and share client performance reporting (visuals through tools like Tableau). - A mindset geared toward process optimization and an interest in refining automated workflows to improve dealer engagement. - A background in customer success or high-level support, where your success was measured by satisfaction and retention. - Proven ability to manage a large volume of accounts. - Strong written and verbal communication skills, with a focus on maintaining a personal touch in an automated and scalable environment. Requirements - Hourly pay range: $31.25 - $33.65. - TrueCar does not accept unsolicited agency submissions. - If you are based in California, we encourage you to read this important information for California residents linked here.

United States
$31 - $34 / hour
Job Closed
Pearl logo

Healthcare Applicant Operations Specialist

Pearl

Pearl provides tools for overqualified and overlooked jobseekers. Come find your next opportunity.

Operations17 days ago
Full TimeRemoteTeam 1-10H1B Sponsor

Role Description As an Applicant Operations Specialist, you will provide high-level administrative and operational support to healthcare executives. This role exists to ensure executives can focus on patient care, strategic initiatives, and leadership priorities by managing schedules, communications, and coordination tasks. You will work closely with healthcare staff and leadership, handling sensitive information in a regulated environment. The role is execution-focused, detail-oriented, and requires strong judgment, discretion, and proactive problem-solving. Candidates who thrive are highly organized, dependable, and comfortable supporting multiple stakeholders simultaneously in a fast-paced remote setting. Your Impact - Directly improve executive efficiency by managing time-sensitive priorities and administrative workflows. - Reduce scheduling conflicts, improve communication flow, and support smooth patient-related coordination. - Ensure compliance with healthcare privacy standards to protect sensitive patient and organizational data. - Enable healthcare leaders to focus on strategic decisions and high-quality patient outcomes. - Maintain operational consistency and professionalism across workflows. Core Responsibilities - Executive Administrative Support – 50% - Manage and maintain multiple executive calendars, scheduling meetings and resolving conflicts proactively. - Coordinate internal and external meetings, prepare agendas, and manage executive correspondence. - Co-lead and support high-level projects by tracking timelines, follow-ups, and deliverables. - Prepare reports, presentations, and executive documentation as needed. - Ensure executives are aligned on priorities, deadlines, and scheduling requirements. - Patient & Healthcare Coordination – 30% - Support executives with patient scheduling and related coordination requirements. - Liaise with healthcare staff to align priorities and ensure smooth communication. - Assist with organizing information related to patient care workflows while maintaining accuracy. - Coordinate follow-ups and maintain responsiveness across patient-related administrative tasks. - Help ensure operational continuity between leadership and healthcare support teams. - Confidentiality & Compliance – 20% - Ensure adherence to HIPAA and healthcare data privacy standards in all administrative tasks. - Handle sensitive patient and business information with discretion and professionalism. - Maintain secure documentation and follow compliance-related processes consistently. - Support accurate recordkeeping and compliance-driven operational workflows. Qualifications - 2+ years of experience in healthcare operations, patient intake, telehealth, or patient-facing support roles. - Experience supporting executives in a healthcare or regulated environment. - Working knowledge of HIPAA and healthcare compliance standards. - Excellent organizational, time management, and written/verbal communication skills. - High level of discretion, reliability, and attention to detail. - Ability to manage multiple priorities and stakeholders simultaneously. - Tech-savvy and confident navigating digital systems and scheduling platforms. - Strong problem-solving and proactive coordination skills. Nice-to-Haves - Background in US healthcare administration. - Familiarity with EHR/EMR systems. - Experience supporting multiple executives simultaneously. - Experience working in startup or high-growth healthcare environments. - Exposure to operational project coordination or workflow management. Tools Proficiency - Required: - Google Workspace (Docs, Sheets, Calendar) - Email and calendar management tools - Video conferencing tools (e.g., Zoom) - Team communication tools (e.g., Slack) - Preferred: - EHR/EMR systems - Project or task management tools (e.g., Asana, Notion) Benefits - Competitive Salary: Based on experience and skills - Remote Work: Fully remote—work from anywhere - Performance Bonus: Based on data accuracy, reporting timeliness, and overall sales efficiency - Team Incentives: Recognition for maintaining 100% CRM hygiene and on-time reporting - Generous PTO: In accordance with company policy - Health Coverage for PH-based talents: HMO coverage after 3 months for full-time employees - Direct Mentorship: Guidance from international industry experts - Learning & Development: Ongoing access to resources for professional growth - Global Networking: Connect with professionals worldwide Our Recruitment Process - Application - Screening - Skills Assessment - Top-grading Interview - Client Interview - Job Offer - Client Onboarding Ready to Join Us? If this role aligns with your skills and goals, apply now to take the next step in your journey with Pearl.

PST (UTC-8)