Role Description Are you passionate about serving patients in an inspiring work environment alongside talented people? Get moving with OCR! With over 50 years in business, we are the premier provider of orthopedic care in Colorado, Wyoming, and Nebraska. Our organization continues to grow and we are looking for individuals who share our mission. The Authorization/Benefits Coordinator primarily manages all aspects of the surgical benefits process including: - Verifying patient benefits - Contacting patients regarding eligibility and payment - Entering surgical charges and receipts - Following up on aging receivables - Resolving any issues related to this process This position works closely with insurance coordinators to develop knowledge, communicate changes or adjustments, and resolve issues with patient accounts. This position will have options for remote work and has the potential to work out of other OCR locations. Qualifications - High school diploma or equivalent is required. - Minimum 1 year experience in the insurance or medical industry or equivalent experience with collections in a business/accounting department. - Knowledge of medical terminology preferred. Requirements - Determines patient out-of-pocket expenses using estimates provided by surgery authorization personnel and patient insurance plan. - Notifies patients of determined expenses and establishes payment arrangements per guidelines and department protocols. - Provides prompt support for check-in personnel regarding insurance eligibility issues. - Maintains complete, accurate and up-to-date notes in patient account regarding surgical benefits and pre-authorizations. - Responds to insurance companies’ requests for information in a prompt and professional manner. - Corrects errors in assigned accounts and communicates other account errors to the respective Insurance Coordinator. - Identifies problem accounts on a timely basis and communicates them to supervisor for further action. - Follows up on all denials, claim suspensions, and severe reductions in reimbursement promptly. - Demonstrates consistent collection work by monitoring patient accounts for payment of surgical agreements. - Routinely audits coding and demographical data on visit tickets to ensure the accuracy of claims. - Acts as backup for surgery authorization personnel on an as needed basis. - Communicates all concerns, risk management issues, breakdown in protocol and constructive criticisms to supervisor. - Other duties as assigned. Benefits - Medical, Dental, & Vision coverage - Life and AD&D Insurance - Short- and Long-term disability coverage - Retirement savings and profit-sharing plan participation - Employee Assistance Program - Paid Holidays & Paid Time Off - Company-sponsored events - Annual merit increases *Benefit eligibility is dependent on employment status, and a waiting period may apply.

Role Description We are looking for a Clinical Program Pharmacist to join a strong team of clinicians, data scientists, and engineers to develop and maintain Arine’s software platform and to help optimize patient outcomes for our clients. As a Clinical Program Pharmacist, you will be a part of building a product that helps clinicians provide expert level medication therapy consultation to patients and their providers. You will collaborate closely with Engineering, Product, Implementation, Client Success, and Data Analyst teams to improve Arine’s software platform, and will be expected to supervise and maintain the clinical quality of our product content, as well as assist in clinical program development. You will serve as a liaison for patients and outside providers on product enhancements as the platform expert, and have a direct impact on patient care through the delivery of our core enterprise by keeping continually abreast of new developments in the fast-moving drug field while being aware of emerging patterns, treatment guidelines, and best practices. All team members foster cooperative working relationships with clients and colleagues by communicating effectively, being respectful, and accepting feedback professionally. Additionally, all members act to meet patient needs and learn new skills to achieve quality customer service and patient care. The Clinical Program Pharmacist receives assignments and functions under the supervision of Clinical Program Pharmacist Leads as well as the VP of Clinical Programs to carry out and supervise direct patient care responsibilities and program development. Qualifications - Doctor of Pharmacy (PharmD) from an accredited college/university - Licensed by a Board of Pharmacy and in good standing - Completion of a PGY-1 residency or equivalent experience - Ability to review and assess the appropriateness of medications with respect to age and disease-state specific considerations - Knowledge of chronic disease states, such as diabetes, heart failure, COPD, asthma, cardiovascular disease, hypertension, dyslipidemia, HIV, ESRD, anxiety, depression, bipolar disorders, and thought disorders - Knowledge of the influence of patient’s age, sex, concomitant disease states, concurrent drug therapy, foods and diagnostic procedures on drug activity and disposition - Knowledge of local, state, and federal regulatory requirements related to areas of functional responsibility - Ability to understand and translate clinical guidelines and technical specifications into program design - Has knowledge of prescription and non-prescription drugs and their indications, efficacy, dosage, mechanisms of action, major contraindications and potential side effects - Willingness to be taught/learn new skills - Proven ability to work within technical environments and manage structured data using SQL, Excel, or logic-based tools - Ability to interpret pseudocode and apply systematic logical reasoning to navigate complex technical workflows - Ability to sit at a computer terminal for extended periods of time, with no restrictions for keyboarding - Ability to organize and set priorities which accurately reflect the relative importance of job responsibilities - Excellent communication skills with clients and internal team - Ability to apply judgment and make informed decisions in order to work independently and meet deadlines - Ability to work effectively within a team and foster effective working relationships and build consensus Requirements - Respond to questions from providers, internal and external users, client success, and leadership as the platform subject matter expert - Triage bugs for urgency and priority - Improve clinical algorithms, workflows, and performance metrics based on new quality measures and clinical guidelines - Communicate effectively in both written and oral formats to help interpret and resolve clinical issues or collaborate on new solutions with various stakeholders including but not limited to engineering, product, clinical care team, and clients - Develop intervention strategies to optimize medication utilization, achieve quality measures, and other established goals - Conduct user acceptance testing of clinical outputs - Assist in preparation of customer demonstrations and test new clinical content within the Arine Platform - Comply with all company policies and state and federal rules and regulations Benefits - Dynamic role and the opportunity to contribute to the company's growth and shape its future - Unparalleled learning and growth prospects, collaborating closely with experienced Clinicians, Engineers, Software Architects, and Digital Health Entrepreneurs - Salary range for this position is: $135,000-140,000/year

• Partners with Pharmacy executive team to drive business strategy and business development through insights and analysis • Overall responsibility for Pharmacy program design, development, execution and performance • Market surveillance, understanding of market demands and client pain points to ensure robust and competitive offering of Pharmacy programs, services, and solutions • Provides analysis of financial performance, pharmacy business growth forecasts, business pipeline projections, and new solution value modeling • Partners with VP of Growth, State Sector Leaders, and Account General Managers for analysis of bid pipeline and development of state strategies • Supports state needs through RFP and bid proposals in support of the Pharmacy Center of Excellence organization • Aligns proposal requirements to business execution plans • Manages and optimizes vendor contracts • Drives key initiatives in support of strategy, pharmacy growth, and business development • Reports status of key initiatives and aligns resources across the organization for delivery of key strategies • Supports executive team in development of growth plans and market strategies • Drives development of strategy materials and presentations • Drives analysis in support of business development projects and senior leadership key initiatives • Supports analysis for Pharmacy segment P&L management • Supports Pharmacy executive team on Rx cost optimization strategies • Delivers analysis and support for business cases for new investments • Helps drive 3rd party business development • Leads industry relations and partnerships in support of GainwellRx • Serves as an industry expert on GainwellRx, interfacing with external clients, vendors, and business partners • Collaborates across account teams, sales teams, product teams, and other shared service functions • Drives new ideas, partners with states on new concepts, and works with teams to deliver models to support them

• Provide front line staff guidance • Ensure effective and efficient delivery of Pharmacy call center services • Respond to physician and pharmacy network provider inquiries • Review member claims history • Educate and assist pharmacy network providers