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 or APRNs with at least 1 year of experience in Hormone Replacement Therapy (HRT) 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 or APRN license in a minimum of 8 U.S. states. - Active, unrestricted DEA license. - Ability to prescribe and manage controlled substances in compliance with federal and state regulations. Requirements - 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. What You'll Do - 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. Work Environment - Remote Flexibility: Work from home with scheduling options that fit your availability. Minimum of 30 hours weekly required. - Focused Practice Model: This is a specialized hormone and wellness platform. You will not be handling random urgent care visits or unrelated cases. - Operational Support: Administrative, tech, and compliance infrastructure are in place so you can focus on patient care. - Growth Environment: Join a high-growth telehealth organization expanding nationwide.

• Remote order entry and CPOE order evaluation and verification • Assure acquisition or renewal of all pharmacy staff licenses • Performs as staff pharmacist as needed • Physician and nursing consultations • Clinical medication dosing services • Review and monitoring of profiles and lab values for therapeutic outcomes • Coordinates access to medications according to facility policy and procedures, and in compliance with state and federal laws and regulations.

Role Description - Complete insurance verification and eligibility checks. - Collect and accurately document initial pre-certification/authorization information if available. - Initiates the process of obtaining a required referral/authorization if not obtained. - Work assigned Epic work queue, following the department’s workflow process on appropriately transferring, deferring, or removing orders from the work queue. - Proactively communicate issues involving customer service and process improvement opportunities to management. - Maintains excellent public relations with patients, patients’ families, and clinical staff. - Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. - Maintains knowledge of and reference materials for Medicare, Medicaid, and third-party payer requirements guidelines and policies. - Update the patient, physician's office, and any necessary parties regarding responses and outcomes of the prior authorizations. - Act as a liaison between physician's office, patient, and pharmacy benefit manager to initiate and resolve appeals, as needed. - May identify and assist patients with access to internal and external financial assistance programs. - May communicate to the patient and/or physician's office when authorization is not obtained, or services are not covered, and explains the potential financial responsibility. - Coordinates with patient, clinical team, and assistance programs to secure reimbursement or alternative covered options. - Manages incoming and outgoing calls, which may include other Advocate team members, departments, patients, insurance plans, and/or copay foundation/assistance programs. Qualifications - High School Graduate Requirements - Typically requires 1 year of experience in health care, insurance industry, pharmacy, or medical background. - Demonstrate ability to identify and understand issues and problems. - Ability to problem solve in a high profile and high stress area. - Mathematical aptitude, effective communication, and critical thinking skills. - Ability to prioritize and organize workload. - Excellent verbal and written communication skills. - Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser, and telephony systems. Benefits - Paid Time Off programs. - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits such as adoption assistance and paid parental leave. - Defined contribution retirement plans with employer match and other financial wellness programs. - Educational Assistance Program.

• Conduct clinical evaluations of medication therapy and review prior authorization requests using PDL criteria • Facilitate peer-to-peer discussions with providers regarding prior authorization decisions • Collaborate with prescribers and internal teams on clinical consultations and targeted interventions • Support call center operations by providing clinical guidance and assisting with provider/member communications • Serve as a subject matter expert for pharmacy-related questions across the organization • Contribute to quality improvement initiatives and program enhancements • Maintain clinical expertise and collaborate with cross-functional teams on pharmacy best practices • Provide input on drug utilization reviews and formulary management • Support Medicaid Drug Rebate Program operations and assist with state pharmacy audits • Deliver training to pharmacy providers and contribute to reporting and administrative activities