This page tracks remote pharmacist openings that are location-eligible for Mississippi.
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168 Jobs
107 Companies
Elevating Specialty Pharmacy
• Oversee daily operations related to Specialty Pharmacy refill management and inbound pharmacy call operations • Develop and implement scalable operational strategies that enhance service delivery, productivity, and patient support outcomes • Lead and facilitate strategic discussions with regional and senior leadership teams to identify challenges, develop solutions, and drive continuous operational improvements • Monitor and manage budgets, ensuring operational performance targets are met while maintaining a patient-centered approach • Drive continuous process improvement initiatives by assessing workflows, identifying inefficiencies, and implementing best practices across the broader team • Leverage technology solutions (CRM platforms, automated refill systems, data analytics, and other technology that will drive efficiency and scalability) • Provide visibility and career advancement opportunities through leadership training, succession planning, and mentorship programs • Oversee and prioritize work across multiple sites with responsibility for 75+ employees • Build, inspire, and develop a highly performing, engaged team by providing clear direction, motivation, and professional growth opportunities • Ensure consistent adoption of best practices across all EC operations, driving alignment with Shields Health Solutions' mission and values
Cencora is a leading pharmaceutical solutions organization centered on improving the lives of people and animals everywhere. With 46,000+ global team members, we have the opportunity to make a positive impact on healthcare in communities everywhere. Our team members are empowered to activate their careers through a collective of tools and resources designed to support individual career interests and aspirations. We value our listening culture that actions real outcomes and our team members appreciate and recognize one another for contributions that are making a meaningful global impact. No matter what your role is here, the work we do together has meaning. When you join our team, you become a crucial part of a greater purpose. We’re committed to supporting you personally and professionally, so we can achieve more together at the center of health. Protect yourself from job scams: Recruitment scams are on the rise. To protect yourself, we urge you to be vigilant and follow these guidelines > https://careers.cencora.com/us/en/job-scams
Role Description Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Responsibilities: - Responsible for creating a patient profile in the pharmacy information system. - Enters necessary prescription plan information in the patient profile for processing and adjudicating patient’s prescriptions. - Responsible for entering all new patient prescription information into the pharmacy information system. - Addresses insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients and pharmacists. - Participates in achieving business goals and metrics for the Ambulatory Pharmacy. - Retrieves and prepares the medication for pharmacist review and verification. - Prepares inventory reports for pharmacist review to purchase. - Submits, receives, and places inventory in stock. - Answers inbound telephone calls and triages calls as appropriate based upon the nature of the call to the appropriate staff. - Assists with the reviews and handling of all adjudicated prescription claims to ensure appropriateness of reimbursement, co-pay and related financials and, if needed, as directed, follows up all such claims deemed inappropriate. - Assists Pharmacist by providing required information for therapeutic consults with patients. - Intervenes with Pharmacy Benefit Manager Companies to resolve plan and patient specific adjudication issues. - Supply and monitor ambulatory dispensing robotic technology. - Actively participates by delivering medications and pharmaceutical supplies to patients as outlined by the concierge prescription program. - Performs related duties as assigned. Qualifications - Normally requires a minimum of two (2) years directly related and progressively responsible ambulatory pharmacy experience; bachelor's degree program preferred. - Pharmacy technician certification with a national technical certification organization, such as Pharmacy Technician Certification Board (PTCB) or other comparable national certification required. - State pharmacy certification is acceptable if core competencies are equal to or better than national certification requirements. - Employees holding a Trainee license must upgrade to a Technician license before the expiration of their Trainee license. Requirements - Ability to communicate effectively both orally and in writing. - Ability to work quickly and accurately under time and volume constraints. - Strong interpersonal skills. - Ability to resolve patient issues quickly and creatively in order to improve customer satisfaction. - Familiarity with pharmaceutical products, services and drug interactions. - Strong organizational skills; attention to detail. - Good analytical skills. Benefits - Compensation, benefits, and resources that enable a highly inclusive culture. - Traditional offerings like medical, dental, and vision care. - Comprehensive suite of benefits focusing on physical, emotional, financial, and social aspects of wellness. - Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. - Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. Company Description Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis.
Orlando Health is a nonprofit healthcare provider with a network of facilities throughout Orlando, Florida. The provider’s network of facilities consists of specialty hospitals f
Role Description The Referral Coordinator supports Clinical teams, Patients and Family Members by managing referrals and/or authorizations for the Medical Group. They are responsible for processing Internal and External referrals and authorizations from orders prescribed by the provider in the Electronic Health Record (EHR) system within the Outpatient Ambulatory setting. Responsibilities - Completes entry of referrals and/or authorizations into EHR. - Coordinates follow-up care with the referral as the referral expires. - Responsible to schedule various appointments associated with the referral, diagnostic testing, and surgical procedures. - Ensures financial information and insurance has been verified. - Ensures Primary Care provider is accurate based on payer guidelines. - Updates patient insurance information in EHR systems as needed. - Initiates the referral and authorization process for visits and services. - Works closely with nursing and medical staff to facilitate optimal patient care. - Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments. - Coordinates with other departments as needed to facilitate patient’s visit. - Coordinates with Patients when necessary to complete referral. - Provides peer to peer training and new hire preceptor. - Provides patient with referral information for physicians and facilities. - Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each visit or service. - Maintains working knowledge of ICD-10 and CPT codes. - Maintains current knowledge of referral and authorization requirements based on payer specific guidelines. - Demonstrates a basic knowledge of third party reimbursement requirements and regulations. - Exhibits competency in the use of registration systems, electronic verification tools, and Web-based resources. - Serves as a resource for the department of referring provider options. - Understands the importance Orlando Health places on providing exemplary customer service. - Performs job in a manner that helps meet customer service goals. - Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times. - Contributes suggestions for improving workflow and productivity. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. - Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs. - Basic understanding of how the referral role affects the Organization’s Initiatives and goals. - Maintains compliance with all Orlando Health policies and procedures. Qualifications - High school graduate. - Medical Terminology. - Three (3) years of directly related work experience. - Experience in processing physician office and/or hospital referrals. - Proficient in Windows Microsoft Office based products (Word, Excel, and Power Point). - Proficient in PC/Windows experience. Benefits - Health/Dental/Vision/Life Insurance. - Student loan repayment. - Tuition reimbursement. - FREE college education programs. - Retirement savings. - Paid paternity leave. - Fertility benefits. - Back up elder and childcare. - Pet insurance. - PTO/Holidays. - More for full time and part time employees.
• Collects and reviews all data to the degree authorized by the SOP of the program. • Coordinates services with the specialty pharmacy and national account manager. • Maintains frequent phone contact with pharmacy staff and manufacturer client. • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. • Provides training and support to inter-departmental associates. • Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate. • Independently and effectively resolves complex accounts with minimal supervision. • Demonstrates an understanding of complicated data issues. • Handles complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. • Exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results of pending shipments and incomplete data sets. • Networks with key contacts outside own area of expertise. • Acts independently to determine methods and procedures on new or special assignments. • Performs related duties and special projects as assigned. • Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled. • Performs other related duties as assigned.
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• Coordinating prior authorizations, insurance verifications, medication approvals, and medical service approvals • Working closely with providers, pharmacies, insurance companies, and internal clinical or billing teams to obtain required approvals • Resolving authorization issues, and maintaining complete documentation • Frequent computer use, phone communication, insurance portal access, and coordination with multiple departments • This position typically reports to their Regional Manager, DOD Operations Manager, or Project Manager
• 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.
Concentra is an Equal Opportunity Employer M/F/Disability/Veteran. Concentra is committed to protect patient data and to ensure privacy of personal and medical information. Every Concentra colleague has the responsibility to adhere to data protection principles. If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
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.
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• Provide expert insights related to medications, pharmacy products, and patient care. • Participate in a brief pre-production call to align on project goals and expectations. • Collaborate with our production crew during filming sessions. • Communicate recommendations clearly and responsibly for a consumer audience.
Role Description The Pharmacy Technician, Order Processing plays an important role in delivering medication and pharmaceutical care in communities. This includes developing close relationships with patients in communities we serve and assisting the pharmacists in accurately preparing and delivering prescription medication. - Manage inbound calls and make outbound calls related to setting up orders, working with medical providers, patients, and other pharmacy staff to ensure patients receive their medication in a timely manner. - Input patient data and prescription information into pharmacy information management system. - Assist the Pharmacist in filling prescription orders, as permitted by the State Boards of Pharmacy. - As permitted by applicable state laws, take verbal prescription orders from licensed prescribers and transfer prescriptions between dispensing pharmacies. - Review patient insurance coverage status and adjudicate claims for patient orders. - Enter prescriptions in pharmacy system. - Maintain knowledge of and abide by applicable pharmacy laws and regulations. - Communicate with all customers (patients, clinics, caregivers, physicians) in a pleasant and professional manner. Qualifications - High School diploma, GED or equivalent, or equivalent work experience, preferred. - 1-2 years of experience in mail order or retail pharmacy setting, preferred. - Registered or Certified Pharmacy Technician, preferably in a retail, mail order, or specialty pharmacy, preferred. - Active state or national certification in good standing. - Insurance billing experience, preferred. Requirements - Applies acquired knowledge and skills to complete standard tasks. - Readily learns and applies new information and methods to work in assigned area. - Maintains appropriate licenses, training and certifications. - Works on routine assignments that require some problem resolution. - Works within clearly defined standard operating procedures and/or scientific methods. - Adheres to all quality guidelines. - Works under moderate degree of supervision. - Work typically involves regular review of output by work lead or supervisor. - Refers complex unusual problems to supervisor. Benefits - Medical, dental and vision coverage. - Paid time off plan. - Health savings account (HSA). - 401k savings plan. - Access to wages before pay day with myFlexPay. - Flexible spending accounts (FSAs). - Short- and long-term disability coverage. - Work-Life resources. - Paid parental leave. - Healthy lifestyle programs.
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