• Process new prescriptions, refills, and discontinuations with a high level of accuracy. • Maintain complete and compliant patient medication profiles. • Respond to high-volume inbound calls from hospice partners, prescribers, and clinical staff. • Triage and resolve routine service inquiries, escalating complex issues appropriately. • Deliver exceptional customer service through clear communication and active listening. • Apply de-escalation techniques when supporting urgent or emotionally sensitive situations. • Meet service level, quality, productivity, and documentation standards. • Utilize pharmacy systems and internal tools to manage workflows and document activity. • Identify service issues and partner with operations leadership on resolution. • Participate in training, system updates, and continuous improvement initiatives.

Role Description The Ambulatory Clinical Pharmacist is responsible for providing patient care and advanced clinical pharmacy services in the ambulatory pharmacy space, including: - Referral based HOPD pharmacist managed clinics - Specialty pharmacy - Population health pharmacy services This role involves: - Collaborating with prescribers in the ambulatory setting - Providing direct patient care managing medication therapy - Ensuring effective communication with prescribers regarding identified medication related problems and potential solutions - Documenting patient interactions across various electronic medical record (EMR) platforms Qualifications - Current state Registered Pharmacist License - B.S. in Pharmacy or PharmD degree required - PGY-1 Pharmacy Practice Residency required (significant experience may be considered in lieu of residency) - Board certification (BCPS, BCACP, or equivalent) within 18 months of hire required - Strong verbal and written communication skills required - Strong customer service skills required - PGY-2 residency in ambulatory care or a related specialty preferred - Expertise in 340B program operations and compliance preferred - Proficiency in EPIC or similar EMR systems preferred - Advanced clinical knowledge in specialty areas such as diabetes, cardiology, pulmonology, rheumatology, or oncology preferred - Experience as a pharmacy residency preceptor in ambulatory pharmacy services preferred Requirements - Full Time Days (Remote) - Location: Olympia Fields, IL 60461 Benefits - Competitive compensation - Comprehensive benefits package - Paid time off - 401K retirement plan - Medical, dental, and vision coverage - Tuition reimbursement - Voluntary benefit options - Estimated compensation: $117k to $158k annually Company Description The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being.

Title: Prior Authorization Coord Location: Boston United States - Job ID:JR-110447 - Entity:Remote - Work Type:FULL TIME - Hours Per Week:40 - Shift:Day Job Description: SUMMARY Under supervision of the Manager Diagnostic Imaging Support Services, is responsible for the integrity of the pre-registration and prior authorization processes for outpatient radiological services within Brown University Health. Coordinates and arranges for all outpatient radiology orders to ensure patients have received financial clearance from insurance companies and troubleshoot as needed. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: - Instill Trust and Value Differences - Patient and Community Focus and Collaborate RESPONSIBILITIES PRINCIPAL DUTIES AND RESPONSIBILITIES - Registers patients prior to scheduled appointments to obtain updated account information for accurate insurance billing. - Confirms patient eligibility with insurance carriers/third party payors and obtains pre-authorization requirements in accordance with established medical policies. - Coordinates and ensures appropriate insurance authorizations are obtained and/or received in a timely manner. - Reviews, recognizes, and understands clinical documentation from patient records pertinent to obtaining prior authorization as necessary. - Analyzes orders, authorizations, and records for discrepancies that may affect insurance coverage and/or denial of claims. - Notifies and coordinates with ordering physicians and providers when peer-to-peer discussions are required to obtain prior authorization of services being denied by patients’ insurance. - Professionally communicates with various Brown University Health personnel to resolve billing issues, authorization denials, and financial clearance of patient appointments. - Provides mature, quality customer service to patients, their families, and/or their representatives. - Ensures all patients are financially cleared by insurance/third party payor prior to their scheduled appointments. - Performs other duties as assigned. MINIMUM QUALIFICATIONS BASIC KNOWLEDGE - High school diploma or equivalent required. - Knowledge of business systems, office procedures, computer skills, medical terminology, and health insurance processes/terminology including, but not limited to, CPT and ICD-10 coding. - Strong organizational skills, critical thinking, and focus to detail required to manage high volume of radiologic orders requiring prior authorization and/or financial clearance. - Analytical skills to evaluate effectiveness of work flow with the ability to make recommendations, develop, and adapt to changes as necessary. - Interpersonal skills necessary to provide effective communication with patients and other healthcare professionals within and outside of Brown University Health. EXPERIENCE - Two years of previous experience in health care environment with emphasis in health insurance billing and reimbursement, healthcare operations, database management, and patient/provider interaction. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS - Normal office environment; may experience some visual fatigue as a result of extended periods of work on the computer. INDEPENDENT ACTION - Performs independently within the department’s policies and practices. Refers specific complex problems to the supervisor when clarification of the departmental policies and procedures are required. SUPERVISORY RESPONSIBILITY - None. Pay Range $19.03-$31.39 Location Remote-Massachusetts - N/A Boston, Massachusetts 02108 Work Type M-F 9:30am - 6:00pm occasional weekends Work Shift Day Daily Hours 8 hours Driving Required No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

• Processing of Individual Case Safety Reports from all sources (post-marketing and clinical trials) in compliance with applicable regulations, PrimeVigilance procedures and in accordance with client specific requirements and timelines, focusing on triage, data entry, quality review and submissions workflow steps. • Reconciliation activities for all types of received reports