• The POD Pharmacist helps develop and implement Monogram’s medication therapy management (MTM) program • Perform timely written member medication reconciliations and drug therapy action plans • Conduct telephonic consultations with medical providers when medication changes appear necessary • Work collaboratively with clinical care manager operations personnel to integrate medication management • Drive meaningful medication interventions that result in medical providers’ and members’ adhering to evidence-based medication guidelines • Review member care reports, clinical notes, and other medical records for medication action plan development • Serve as a pharmacist resource for Monogram field clinicians regarding medication use and Monogram MTM resources • Assist with the delivery of MTM training sessions aimed at building a standardized and effective MTM program for Monogram clinical staff • Monitor important medication availability and use trends for populations under Monogram’s care management • Participate in external and internal interdisciplinary care team case rounds or meetings and produce MTM related documentation

• Review and render Part D coverage determination and appeal requests. • Conduct comprehensive medication reviews via telephone for members enrolled in the MTM program. • Participate in pharmacy quality improvement projects aligned with Medicare Star Ratings. • Maintain appropriate records of all clinical reviews, coverage determinations, and consultations in accordance with CMS timelines.

Role Description The Referral Management Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentra’s policies, procedures and applicable regulations. The Referral Management Coordinator processes referrals requests and authorizations while working closely with physicians, employers and payors. Customer service is a top priority in order to achieve a positive impact on the cost and quality of care rendered to injured employees. - First point of escalation for all case related issues requiring guidance - Responsible for daily completion of assigned patient referrals, while meeting production requirements - Reviews, processes and supports Specialist referral requests by Concentra sites as defined by the market - Obtains authorization for Specialist referrals and schedules appointments accordingly - Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable - Provides all necessary information such as medical records, prescriptions, etc. to payor - Communicates with stakeholders, payor, employer, and patient as appropriate - Records all appropriate information via OA/CR module of OccuSource per Concentra policy - Builds relationships with provider, employer and payor communities - Identifies trends or patterns in missed capture and opportunities to gain capture; communicates these ideas and trends to Lead and Supervisor - Handles calls according to the call guidelines of the department - Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions Qualifications - High school diploma or GED equivalent - Associated Degree from an accredited college preferred - Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.) - Experience with Worker's Compensation preferred - Proficiency with scheduling/insurance verification software - Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility - The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies - Familiarity with Microsoft Excel, Outlook, Word - Excellent communication skills and ability to communicate (both written and orally) effectively with colleagues at all levels of the organization - Must display proper business etiquette and be skilled in the arts of diplomacy and tact - Excellent time management skills including the ability to multitask and prioritize in a fast-paced environment - Ability to build and maintain productive business relationships - Exemplary ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions - Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism - Excellent writing and documentation skills - Strong attention to detail - Ability to work independently - Ability to handle special projects - Ability to handle multiple tasks, projects, duties, and priorities, when assigned Requirements - Must be a current Texas Resident - Must remain a Texas Resident during the duration of employment within the Referral Department - Must be able and willing to travel to a local Concentra to complete new hire orientation Benefits - 401(k) Retirement Plan with Employer Match - Medical, Vision, Prescription, Telehealth, & Dental Plans - Life & Disability Insurance - Paid Time Off & Extended Illness Days Offered - Colleague Referral Bonus Program - Tuition Reimbursement - Commuter Benefits - Dependent Care Spending Account - Employee Discounts

Role Description The Pharmacy Technician will support the IVC, Authorization, and Enteral Feed teams within the Specialty Pharmacy and Infusion department at CarepathRx. This role helps facilitate patient access to medications and enteral nutrition services by completing insurance verification, obtaining prior authorizations, coordinating refills and supplies, and serving as a liaison between patients, providers, dietitians, and internal teams. The technician helps ensure timely therapy delivery, resolves coverage barriers, and supports ongoing patient care through proactive communication and coordination. Qualifications - National pharmacy technician certification is required. - 2+ years of experience as a Pharmacy Technician. - Experience with prescription processes, including entry, adjudication, refills, and renewals. - Ability to remain flexible and adaptable while performing a variety of duties and responsibilities. - Ability to work independently and manage responsibilities with limited oversight. - Strong communication skills, including effective email and phone communication. - Open availability for emergency assistance, as needed. - Excellent interpersonal skills and the ability to collaborate with patients, providers, pharmacists, and healthcare team members. - Proficiency with office technology tools, including Microsoft Office, internet applications, and email. - Experience with Google G-Suite is preferred. Requirements - Verify patient insurance eligibility and confirm that medications and therapies are covered and payable. - Research and resolve claim rejections, coverage issues, and billing discrepancies. - Obtain and manage new and renewal prior authorizations, including medical and pharmacy authorizations for knee injections and Botox therapies. - Process Specialty Financial Responsibility Letters (FRLs) and monitor test claims. - Notify patients and providers when medications cannot be dispensed due to denied authorizations, missing information, therapy changes, or other barriers, and coordinate appropriate next steps. - Cancel orders when coverage issues cannot be resolved after all available options have been exhausted. - Process enteral nutrition refill requests and verify active prescriptions and insurance coverage before fulfillment. - Contact patients to clarify refill needs, address concerns, and identify any therapy-related issues. - Collaborate with dietitians to manage backorders, formula substitutions, patient-reported side effects, and therapy concerns. - Coordinate shipment of enteral supplies through McKesson or SPI facilities. - Conduct proactive refill outreach before refill due dates to support continuity of care. - Schedule pump pickups and coordinate the return of Chartwell equipment when therapy is complete. Benefits - Comprehensive health coverage from day one, including medical, dental, and vision coverage. - Competitive holiday, paid time off, and overtime compensation. - Tuition reimbursement. - Robust 401(k) plan with company match. - Hourly rate of 20 - 30 USD / hourly, depending on relevant factors, including experience and geographic location. - Eligibility to participate in an annual bonus plan. - Minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.