Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Examine patients and their medical records Order and study diagnostic tests (blood tests, X rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family member

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Obtains patient histories and vital signs and records accurately in the electronic medical record Prepares patients for examination and treatment and documents chief complaints Retrieves laboratory and radiology test results and instructs patients regarding medications and treatment per clinician's instructions Stocks supplies and prepares exam rooms and instruments for e

Market Monitoring Build out and develop analytics monitoring (and ideally forecasting) competitor pricing strategies across both traditional competition and market disruptors Monitor and forecast trends of drug acquisition costs over time Monitor and forecast trends of brand drug costs over time Assess, evaluate and predict the impact of market events (new drugs to market

Data Analysis and Modeling Utilize advanced SQL techniques to query and manipulate large datasets from multiple sources Perform data cleansing, transformation, and aggregation to prepare data for analysis Develop and maintain complex data models to support analytical reporting and decision making Be the go to source for SQL coding and data wrangling, including mentoring a

Lead and accountable for a team Pharmacy Technicians, Team Leads and Clerks to process Specialty prescription orders through Fulfillment and Inventory Operations (15 20 employees) Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results Leads Pharmacy staff by recruiting, selecting, orienting, and training employees P

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Screen and assess patients for common mental health and substance abuse disorders Provide treatment for a variety of mental health conditions using treatment approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence based methods Systematically track treatment response and monitor patients for changes in clinical symptoms and tr

Lead and motivate a team of Clinical Consultant Pharmacists to deliver results Provides mentoring / coaching for Clinical Consultants in order to enhance employee engagement, promote professional development and maintain high levels of staff satisfaction Assist in the recruitment, on boarding and mentoring of new Clinical Consultant team members Determine and manage clini

Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For