Amerita jobs

Full-time Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 9am-5:30pm Eastern Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 9am-5:30pm Eastern Time Weekend on-call once every 3 weeks Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$26.00 per hour

Soleo Health is seeking a Vice President Sales Development to support our long-term growth by shaping sales strategy, developing top talent, and helping guide our organization toward stronger customer engagement and market expansion. Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Vice President of Sales Development will lead the design, implementation, and oversight of comprehensive training programs for our national sales force in the infusion and specialty pharmacy space. This role will enhance sales effectiveness and drive measurable business outcomes through training initiatives tailored to the complexities of home and ambulatory infusion therapies. This role possesses a deep understanding of learning principles and a proven track record in developing impactful onboarding and continuous learning programs for sales teams. This role requires a strategic thinker with a hands-on approach, capable of empowering sales professionals to confidently and compliantly navigate the clinical, operational, and reimbursement landscapes unique to specialty pharmacy. The VP of Sales Development will collaborate cross-functionally with sales leadership, marketing, clinical operations, and compliance to ensure training programs align with business goals, patient care standards, and regulatory requirements. Responsibilities Include: Design and deliver a comprehensive sales training strategy that supports both new hire onboarding and continuous learning for tenured sales representatives. Create engaging, modular training content across a variety of formats (live, virtual, e-learning, on-demand, microlearning). Tailor training programs to the nuances of specialty pharmacy, including disease states, infusion products, clinical education, reimbursement models, payer landscapes, and patient access services. Partner with Sales, Operations, Clinical, Marketing, Compliance, and HR to ensure training materials are up-to-date, compliant, and aligned with brand and business goals. Collaborate with sales leadership to assess skill gaps and develop targeted training initiatives to improve performance and drive revenue growth. Support product launches, service enhancements, and territory realignments with the appropriate training content and execution plans. Own the development and maintenance of a scalable sales training curriculum and knowledge library. Ensure training content reflects current trends in infusion therapy, regulatory changes, payer requirements, and specialty distribution models. Implement tools to measure the effectiveness of training programs, using key performance indicators (KPIs) and sales outcomes. Analyze training feedback and performance data to optimize content and delivery methods. Recommend and implement enhancements to improve knowledge retention and skill application in the field. Utilize a Learning Management System (LMS) or training platform to manage, track, and report on training activities. Incorporate interactive tools, gamification, role-play, and simulations to reinforce learning in real-world sales scenarios. Host and coordinate annual and semi-annual Sales Universities. Requirements Bachelor's degree required; master's degree or advanced certification in Training & Development, Instructional Design, or a healthcare-related field preferred. Minimum of 7-10 years of progressive experience in sales training, preferably within healthcare, pharmaceutical, or specialty pharmacy sectors. In-depth knowledge of specialty pharmacy, infusion services, and complex selling environments. Experience building training content from scratch and delivering both classroom and virtual learning experiences. Strong understanding of adult learning theory, instructional design methodologies, and sales enablement best practices. Excellent presentation, facilitation, and communication skills; comfortable speaking in front of large and small groups, including executive leadership. Highly organized with a strong ability to manage multiple projects and deadlines independently. Proficient in Microsoft Office Suite, LMS platforms, and other training technologies (e.g., Articulate, Adobe Captivate, Canva, etc.). Strong business acumen, emotional intelligence, and a collaborative working style. Previous experience working in a specialty pharmacy or infusion company. Familiarity with disease states and therapeutic areas such as immunology, neurology, hematology, or rare disorders. Knowledge of CMS, payers, reimbursement processes, prior authorization, and patient support programs. Experience supporting national or multi-regional sales teams About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now Hiring, Hiring Now, Immediately Hiring, Hiring Immediately, Sales Development, Infusion Sales Development, Infusion Pharmacy Sales Development Salary Description $150k-$175k

Job DescriptionDescription: Soleo Health is seeking a Patient Access Supervisor to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! The hours are Monday-Friday 8:30-5 Eastern. Acute home Infusion experience required. Soleo Health Perks: Competitive Wages & Incentive Pay 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: Under the direction of the Regional Manager of Patient Access, the Supervisor of Patient Access provides day-to-day oversight of the Patient Access team. This includes administering policies, business processes, quality standards, and performance measurement criteria of the Patient Access team. Responsibilities include: Provides daily support/guidance to direct reports. Oversees and conducts team staffing, coaching, accountability, annual reviews, and performance improvement plans. Evaluates workload and adjusts staffing to fit program needs by assigning referrals and delegating tasks to team members. Assist, as needed with workload tasks such as benefit verification, prior authorization, reauthorization/reverification and patient calls to ensure turnaround times are met Serves as a point of escalation for calls requiring a higher degree of expertise or discretion to resolve customer issues. Conducts candidate sourcing (with HR recruitment), interviews, hiring, and onboarding. Facilitates intradepartmental communications to national intake and branch staff. Analyze referral trends, new products, specialty product shortages, access solutions. Participates as a member of cross functional workgroups, teams, and committees as assigned. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership. Completes all necessary managerial tasks for direct reports including hiring, training, holding meetings, addressing performance issues, and approving payroll. Schedule: Must be able to work Full-time, Remote, Monday-Friday 8:30-5 Eastern, 40 hours per week Weekend on-call rotation Requirements: At least 3 years of acute home infusion therapy experience Associate's degree in healthcare administration, business, or a related field; Bachelor's degree preferred. Previous medical and pharmacy benefit experience is required. At least 3 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines. Ability to interpret payor contract fee schedules based on NDC and HCPCS units. Ability to effectively handle multiple priorities within a changing environment. Intermediate skill level in Microsoft Word About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Authorization coordinator, Insurance, Referrals, intake coordinator, healthcare eligibility, benefits verification coordinator, Patient Intake Coordinator, Patient care coordinator, medical receptionist, intake specialist, referral coordinator, patient access coordinator, patient service, patient coordinator, hiring immediately, now hiring, intake manager, intake supervisor, lead clearance, lead intake, Hiring Immediately, Hiring Now, Immediately Hiring, Now Hiring

Job DescriptionDescription: Soleo Health is seeking a Reimbursement Contract Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages Paid Parental Leave Options 401(k) with a match Great company culture Referral Bonus Annual Merit Based Increases No Weekends or Holidays! Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) options Paid Time Off Education Assistant Program The Position: The Reimbursement Contract Specialist supports Reimbursement Contract Management with research throughout the payor contract review process and in addition, provides guidance/trainings to stakeholders on existing and new payor contract information. This requires management of internal resources pertaining to contract reimbursement information within the company intranet site and a high level of written and oral communication with a broad range of stakeholders. Assists Reimbursement Contracts Manager in review of payor contracts and amendments. Provides consultation, education and training on payor contract requirements to Intake and Reimbursement teams. Provides timely and accurate information regarding payor reimbursement methodologies, rates and policies to stakeholders. Manages payor contract, reimbursement related resources and other payor-related documents on company intranet site. Prepares reports and assists with special projects. In collaboration with leadership, investigates payment variances for payor contract non-compliance. Schedule: Typical business hours, 8:30-5p Remote Requirements: At least 4 years of experience with Home Infusion therapies and associated HCPC codes Must have experience with and thorough understanding of Payor Contracts (e.g. for audits, rate review/negotiation or reimbursement language review) Reimbursement experience (RCM related): Auditing/root cause analysis, financial analysis, Home Infusion billing (medical) or similar Advanced knowledge of medical insurance plans: Managed Care Organizations, Commercial, Medicare Advantage, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA) Experience in creation of training material or procedures (SOPs) with ability to disseminate information regarding newly executed contracts to large groups Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing/fee schedules High level of organization required, with proficiency in the Microsoft suite of products, with an emphasis on Excel and PowerPoint About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: contract specialist, contract administrator, contracts manager, reimbursement specialist, auditing, analyst, contract, payor, negotiater, training, billing specialist, intake manager, clearance manager, lead, trainer, now hiring, hiring immediately

Shift Expected Shift: 9a-530 pm PST Monday - Friday (there is flexibility in this if you want to start a little earlier or later). Two days of training and pick up of equipment onsite in Pasadena. Once training is complete, will be working fully remote. Must be vaccinated to be Onsite. Education/License: Masters. MSW required If MSW is not obtained, LCSW will be considered acceptable Required Qualifications: 2 years recent (within the last 3 years) full-time equivalent experience Summary of Requirements: Required Basic computer skills required. Preferred: Epic experience is a huge plus. Job Description: Title: Case Manager Continuing Care REQ SPECIFIC MUST HAVES: Exceptional customer service, be able to think on their feet, get along well with the team, and have ability to look at a case holistically. Be willing to learn if needed about the medical pieces. Be willing to reach out to team members for support. Write basic care plans: such that, if exercise is required, will list walk 4x a week for 30 minutes, schedule follow up appointments with specialty doctor every 6 weeks (as reference by doctor in chart), etc. Bigger picture thinking and recognize when something is emergency. Knowledge of managed care is great. Will be supporting Medical/Medicare population. Great listening skills and be able to pivot and think of next best questions to ask the patient, etc.

Requirements Graduate of an accredited school of nursing; Bachelor's in Nursing (BSN) preferred Current RN licensure in good standing as required by the state(s) of practice (will require multiple individual state licenses) Minimum of 5 years in nursing practice within relevant fields such as home infusion, specialty infusion, or critical care, with a minimum of 2 years in an operations or management role. Strong knowledge of healthcare operations, EHR and IT interfaces. Excellent written and verbal communication, with proficiency in MS Office (Word, Excel, PowerPoint). Advanced certifications (e.g., CRNI, IgCN) are a plus. Ability to manage multiple complex projects in a fast-paced clinical environment. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Nursing, clinic, clinical, IV, patient care, CPR, Acute, outpatient, pharmacy, Emergency room, ICU, home care, internal medicine, GI, neuro, rheumatology, adult, registered nurse, PACU, chronic, home health, CRNI, ER, blood products, IVIG, step down, Regional Nurse Supervisor, Nurse Supervisor, Infusion Nurse Supervisor, Home Infusion Nurse Supervisor, Regional Nurse Manager, Nurse Manager, Infusion Nurse Manager, Home Infusion Nurse Manager, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring, Vascular Access, IV Infusion Therapy, IV Infusion, IV Therapy

Requirements High school diploma (or equivalent) required Registered/Certified Pharmacy Technician (CPhT), or as required by the BOP Minimum experience working as a technician in the pharmacy IV room of a hospital. Prior technician experience with a home infusion company preferred Current registration and ACPE requirements are met Excellent customer service skills Excellent sterile compounding technique Basic to intermediate efficiency with Microsoft Excel, Word and Outlook About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Hiring now, now hiring, hiring immediately, immediately hiring, IV Compounding Pharmacy Technician, IV Compounding, Sterile Compounding, Aseptic Technique, Cleanroom/ISO Class 5 hood, IV Hood, Laminar airflow workbench, USP 797 compliance, USP 800 compliance, Parenteral admixture preparation, TPN, Chemotherapy admixture, Specialty Infusion Therapies, Hospital inpatient pharmacy, compounding pharmacy technician, IV admixture technician, pharmacy cleanroom operations, Hospital IV Compounding, Pharmacy Technician, Certified Pharmacy Technician, PTCB Certification, Pyxis, Omnicell, CPR+, Alayacare #INDTECH

Job DescriptionDescription: Soleo Health is seeking a Patient Accounts Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion therapy experience required. Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Patient Account Specialist is responsible for the billing and collection activities for Soleo Health's Patient Accounts Receivable. The Patient Account Specialist will work with branch Intake and Reimbursement teams to manage the Patient Accounts Receivable including balances for copay/deductibles, Soleo Assistance, self-pay patients and manufacturer co-payment programs. Responsibilities include: Review billing statements for patient balances remaining after third party payments have been received and posted and Generate and distribute Patient Collection Reports to the field identifying delinquent patient accounts Communicates with patients regarding overdue balances, billing concerns and/or payment arrangements Monitor Soleo's collection agency portal and provide requested information as needed Prepare necessary adjustments to patient balances after all collection efforts have been exhausted Reviews Soleo Assistance Applications for final approval or denial Create and submit manufacturer co-payment claims in a timely manner Manage the Mfg Co Pay A/R for prompt collections Maintain positive relationships with Mfg Co-Pay Programs Create patient invoices for missing pumps as identified by the Pump Management Team and tracks them through the collections process Research and prepare patient refund requests when necessary Researches patient correspondence and return mail Documents notes in a clear and concise fashion in Company software system Identifies issues/trends and escalates to Manager when assistance is needed Provides exceptional customer service to internal and external customers Ensures compliance with federal, state, and local governments, third party contracts and company policies Other duties as requested Schedule: Monday-Friday 830a-5p, Pacific time Zone preferred Requirements: Knowledge of home infusion therapy billing practices required 1 year of Medical and Billing Collections experience required High School Diploma or GED required Knowledge of HCPC-coding and medical terminology Excellent math and writing skills Experience providing customer service to internal and external customers Excel and Outlook experience required CPR+ system experience preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: billing specialist, collection specialist, accounts receivable, specialty pharmacy, now hiring, hiring immediately

Requirements RN Degree, BSN Preferred Advanced certification in specialty areas of practice (e.g., CRNI, ONS, IgRN) preferred but not required. On-Call Requirement: This position requires participation in an on-call rotation, nights and weekends included, providing as-needed support outside of regular business hours to address urgent issues and ensure continuous operations. Administrative Oversight: Responsible for providing administrative oversight, including monitoring of workflows, ensuring compliance with policies, and managing resources efficiently to meet organizational objectives. Emergency Availability: Must be available to respond promptly to emergencies, ensuring rapid and effective resolution of issues to minimize impact on operations. Availability during non-standard hours, including nights, weekends, and holidays, as required by the nature of the emergency. Minimum 3 years nursing experience with background in infusion therapy preferred. Current nursing license for applicable home state Experience in ICU and/or Cardiac Care preferred. Proficient with Microsoft Outlook and Microsoft Office Suite. Valid state issued driver's license with no significant restrictions on that license. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Nursing, clinic, clinical, IV, patient care, CPR, Acute, outpatient, pharmacy, Emergency room, ICU, home care, internal medicine, GI, neuro, rheumatology, adult, registered nurse, PACU, chronic, home health, Hospice, Acute Care, Critical Care, CRNI, ER, blood products, IVIG, Biologics, TPN, step down, now hiring, hiring now, immediately hiring, hiring immediately, Vascular Access Nurse, Infusion, Specialty Infusion Pharmacy, IV Therapy, IV Infusion, Home Infusion, IV Therapy Administration, Home Infusion Therapy, Specialty Infusion Nursing, Specialty Infusion, RN Clinical Liaison, Infusion Nurse Liaison, CPR+, Alayacare

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: We are seeking an experienced Subject Matter Expert (SME) in Specialty Pharmacy Operations to support our internal teams and prospective clients in building, optimizing, and scaling high-performing specialty pharmacy programs. The ideal candidate will have extensive hands-on experience running a specialty pharmacy, deep knowledge of accreditation standards, operational best practices, and strategies to drive financial and clinical performance. This role will serve as a trusted advisor and educator, helping shape internal product development, go-to-market strategies, and customer engagement models. Key Responsibilities Operational Expertise & Education Serve as the internal and external expert on all aspects of specialty pharmacy operations. Educate internal teams and clients on accreditation requirements, renewals, and compliance best practices (e.g., URAC, ACHC). Train teams on core patient management workflows, including: Benefits verification and eligibility management Prior authorization submission and follow-up Financial assistance and copay program navigation Patient counseling and ongoing clinical support Revenue Cycle & Business Performance Provide guidance on revenue cycle management (RCM) processes, including claim submission, denial management, and payment optimization. Develop and recommend strategies to improve reimbursement, minimize revenue leakage, and enhance financial outcomes. Advise on performance metrics, benchmarking, and reporting frameworks. 340B & Payer Strategy Advise on effective 340B capture strategies, contract pharmacy models, and compliance considerations. Support payer and manufacturer engagement strategies that align with specialty therapy access and reimbursement goals. Strategic & Commercial Support Collaborate with product management and commercial teams to define differentiated service offerings and value propositions. Contribute to the development of go-to-market strategies for new products and services within the specialty pharmacy vertical. Participate in client presentations, proposals, and solution design sessions as a trusted subject matter expert. Qualifications Experience: Minimum of 8-10 years of progressive leadership experience in specialty pharmacy operations, preferably in both payer and provider settings. Education: Bachelor's degree in Pharmacy, Healthcare Administration, or related field (PharmD or MBA preferred). Expertise Deep understanding of accreditation standards (URAC, ACHC). Proven experience managing patient access programs, benefits verification, prior authorization, and patient support workflows. Strong knowledge of revenue cycle management processes and financial performance levers. Familiarity with 340B program operations and capture optimization. Skills Excellent communication and presentation skills, with the ability to translate complex operations into actionable insights. Collaborative and strategic thinker, capable of influencing internal stakeholders and external clients. Proficient with specialty pharmacy management software, workflow tools, data analytics platforms and Salesforce.com. CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Soleo Health is seeking a Program Manager of Pharma Relations to lead key pharmaceutical partnerships and ensure seamless program delivery and success. Join us in Simplifying Complex care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Program Manager is responsible for managing the success of the relationships with assigned customers in order to achieve the goals and objectives identified by the customer and Soleo Health and its affiliates. Responsible for building long-term relationships between the customer, Soleo Health, and other professional organizations and third-party vendors (Data Aggregators, Hub Providers, contracted vendors, etc.). The complexity of the solution, product, or services offered is variable and can range from simple to moderately complex account management and client partnership. Internal and External Client Relationship Program Development including implementation coordination Program Oversight and Management Contractual Agreements, Storage and Adherence Quarterly Business Review preparation and execution Responsibilities include: Own client relationship and act as the point of contact for all program services, projects and operational performance issues. Develops lasting relationships that foster client ties. Interacts with clients and project sponsors, stakeholders and various project members to ensure that specified business needs are met; assists in the post-implementation analysis to ensure that requirements are fulfilled. Assists in the development, refinement, validation or ensures completion of all projects; seeks insights from the program that are of value to the customer and communicates those insights; manages various work plans to ensure project commitments are met on time. Collaborate and implement on mutually agreed upon written policies and procedures (Business Rules Document(s) (“BRDs”) and process flows in connection with the program alongside the partner. Provide support ensuring that business requirements are identified, understanding of expectations of each party, and establishment of agreed upon milestones and delivery dates are met. Analyzes program processes and makes recommendations for improving efficiency, resulting in expense reduction both internally and for external clients. Effectively communicates relevant project information to superiors. Delivers engaging, informative, well-organized presentations. Manage project development from initiation to closure. Collaborate with internal and external stakeholders to track and report on project milestones and provide status reports. Responds, resolves and/or escalates issues in a timely fashion. Applies comprehensive knowledge and/or engages the appropriate subject matter experts to gain a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects. May contribute to the development of policies and procedures. Collaborates on technical solutions to a wide range of difficult problems. Solutions are innovative and consistent with organization objectives Completes work independently receives general guidance on new projects Work reviewed for purpose of meeting objectives. Lead and support strategic meetings with Pharma partners onsite or virtually, summits or vendor partnership meetings, quarterly business reviews (QBR's) and meetings for program success. Responsible for gathering input and compiling information received from key subject matter experts to create customer specific customization for responses, business reviews, and meetings. Evaluates operational issues to determine how competitive and current it is with the latest trends in the industry. Completes all required duties, projects and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership. Schedule: Monday-Friday 8:30am-5pm Requirements Bachelor's degree in Business Administration, Project Management, Healthcare, or a related field (required). Advanced degree (preferred). A minimum of 5-7 years of experience in a health care related field A minimum of 4 years of experience in account management in a health care related field Experience working with third-party vendors (e.g., Data Aggregators, Hub Providers) and managing contractual agreements. Proven track record of managing projects from initiation to closure, ensuring milestones and deliverables are met. Experience preparing and delivering Quarterly Business Reviews (QBRs) and similar client-facing presentations. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now hiring, hiring now, hiring immediately, immediately hiring, Specialty Pharmacy Services, Biopharma Client Services, biotech, market access, hub services, Salary Description $62k-$70k

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: Responsible for the overall case coordination for all client's patients. Responsibilities Provide support to specialty pharmacy teams/clients, and their operations including but not limited to completing prior authorization documentation, scheduling medication delivery and pick-up, retrieval, and distribution of various documents, and assisting patients in obtaining financial assistance all within mandated timeframes Providing an exceptional customer service experience each day in a phone-based environment Perform claim adjudication and auditing duties such as prior authorizations, billing, and eligibility checks (requires outbound phone calls to patients) Working through current case queues to problem-solve patient care issues Serving as a liaison between the clinical pharmacists and other medical professionals on the patient's behalf Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to CarepathRx Placing welcome calls to newly on-boarded patients and working to establish a trusted point of contact Placing outbound calls to patients to create, maintain or update their medication profiles Serve as backup support for times of higher patient call volume Effectively assist with patient questions over the phone Maintain complete, organized, and accurate files for all patients relating to coordination of services: case management, pharmacy, and patient delivery, and any information/data significant to the overall patient care coordination Responsible for the initial computer input of data on all patients and prior documentation relating to case coordination. Informational data should be from the point of patient notification through verification of benefits, initiation of care, the first day of therapy follow-up, completion of services, discharge, and cessation of communication Strict adherence to all Policies & Procedures ensuring that case coordination of patient therapy and staff involved in their respective processes are complying with stated guidelines, and accreditation standards and maintaining a current working knowledge of all areas Identification and resolution of all case coordination complaints, concerns, or deficiencies with written documentation being given to the respective manager Provide excellent internal and external customer service, maintaining a service orientation in all interpersonal relations that conveys a positive, professional image always Always maintain the confidentiality of patients and their personal information Perform other duties as directed by supervisor and manager Skills & Abilities Strong computer knowledge with working skills in Windows, Excel, Word, and other related programs Good verbal and written communication skills Comfortable working in a phone-based environment Ability to work independently and as a team Self-motivated and goal-oriented Ability to utilize computer equipment, and technology and work within multiple software programs to receive medication authorizations, clarifications, and/or transfers Excellent interpersonal skills that would allow the coordination of multiple contacts and personalities, while maintaining all efforts to advocate on behalf of patient care Ability to demonstrate organizational skills in a fast-paced, sometimes unstructured environment Qualifications High school diploma or equivalent Registered Pharmacy Technician in AL, FL, TN, MT, OH, TX, or NY National Certified Technician License preferred (PTCB) Willingness to become a registered Pharmacy Technician in multiple states Minimum of 2 years of healthcare/specialty pharmacy experience Strong clinical and medical terminology knowledge preferred Knowledge of basic pharmacy terminology, evaluation, and pharmaceutical law Must be flexible with work schedule Ability to perform in a remote setting that requires sitting at a desk 90% of the time CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Full-time Description Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care! Must be able to work 8:30am-5pm Eastern Time Zone Monday-Friday. Soleo Health Perks: Competitive Wages Flexible schedules 401(k) with a match Referral Bonus Paid Time Off Annual Merit Based Increases No Weekends or Holidays Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) options Education Assistant Program The Position: The Clinical Review Coordinator works closely with all departments to research and provide accurate and timely clinical review on complex, patient cases to ensure that approval is secured and to mitigate risk of technical and clinical denials. The Clinical Review Coordinator attempts to resolve denials by utilizing nationally recognized criteria for appeal submission. Responsibilities include: Completes prior authorization reviews in a timely manner through their clinical expertise evaluating patient clinicals and payer clinical criteria to determine if the service meets medical necessity of the payer Reviews and comprehends patient progress notes, lab reports, infusion summaries, imaging reports, and plan of care. Identifies appropriate medical documentation that satisfies payer medical policy criteria. Request additional clinical information when needed to render a decision and/or determine next steps Assists with creation of clinical support packets to be used for the initial prior authorization and/or subsequent appeals In cases of authorization denials, constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts. Creates and maintains, a library of clinical support resources to include templates for appeals, journal articles, other reference tools that can be used to support medical necessity. When existing resources are unavailable search for supporting clinical evidence to support appeals. Provides program support by staying current on the top payer covered services, medical necessity requirements and formulary details. Also, must be proficient in locating payer resources related to medical policies. Assist with post service insurance denials & appeals Participates in outcome programs including but not limited to data entry, reporting functions, and patient calls with necessary to complete denial support tasks Provides inter-departmental training to increase teams' knowledge for top disease states and specialty drugs, clinical requirements, and prior authorization & appeal best practices Schedule: Must be able to work Remote, 8:30am-5pm Eastern Time Zone Monday-Friday Must have experience with denial support, clinical reviews, and appeals for Infusions Requirements Bachelor's degree in healthcare field or 3 years in a qualified position Preferred experience with patients with specialty infusion needs and challenges Excellent communication skills (written, oral, and presentation), excellent customer service and interpersonal skills Flexible communication style, highly motivated team player with excellent listening skills Able to handle stress to meet identified program objectives and manages time effectively Self-starter that takes responsibility, is comfortable with accountability and results oriented Competent in the use of Word, Excel, and Power Point Must be able to communicate effectively with all levels of organization within Soleo Health. Must enthusiastically support Soleo Health's philosophy and goals. About Us:Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now Hiring, Hiring Now, Immediately Hiring, Hiring Immediately, Clinical Review Coordinator, Infusion Clinical Review Coordinator, Patient Access, Patient Access Clinical Review Coordinator, Denial Support Clinical Review Coordinator, Appeals Clinical Review Coordinator, Home Infusion, Specialty Infusion Salary Description $65,000 - $80,000 per year

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: The Business Unit Specialist is responsible for the set up and accuracy of patient management system revenue cycle related files. This role involves coding inventory, loading and/or verifying set up for payers, contracts and fee schedules in addition to other projects as assigned. The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Must possess strong project management skills, solid analytical and problem-solving skills, and have meticulous attention to detail. Responsibilities Evaluates and documents department needs and all aspects of business processes both operational and financial, including current process analysis; and proposed revisions to optimize business processes. Assist in designing and executing solutions that meet System's/Divisions' strategic objectives Assures quality of information technology solutions and system upgrades through business case and application-level testing; validates test results to initial business needs. Work with Information Services staff to design, test and deploy appropriate hardware solutions, connectivity requirements and interface solutions, as appropriate. Play a key role in month end close operations. Builds and maintains system maintenance files, i.e., fee schedules, inventory set up/pricing, new payers, etc. Provide documentation and training as needed. Provide service according to the expectations of policies/procedures and standards developed around the revenue cycle department. Manage routine & special projects which may require oversight of other departments' work and coordination of a wide variety of functions. Develop and maintain working relationships with Revenue Cycle departments, and external contacts as appropriate. Maintain policies and procedures of the team / department as needed. Identify departmental needs and report to management as appropriate Meet deadlines and turnaround times set by department leadership. Provide guidance to peers and serve as reference point for questions as needed. Skills & Abilities Good computer skills are a given, with expert industry knowledge. Must possess strong project management skills, solid analytical and problem-solving skills, and have meticulous attention to detail. Able to communicate technical information to non-technical people. Must possess strong project management skills, solid analytical and problem-solving skills, and have meticulous attention to detail. Requirements Bachelor's degree in data management, Information Systems, Economics, Mathematics, Statistics, or a related field or at least five years relevant industry experience. Experience in health care insurance or health care. CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Job DescriptionDescription: Soleo Health is seeking a Client Support Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Client Support Manager (CSL) serves as a key resource for managing contracted client relationships, including Soleo's narrow network and Site of Care Programs. The CSL communicates with internal and external stakeholders, primarily via phone or email, to resolve payer-related contractual and communication issues promptly and accurately. This role reports to the Patient Access department and ensures compliance with payer program requirements. Responsibilities include Maintain relationships with assigned payer organization personnel in a customer service capacity. Support Soleo Health's contracted clients as assigned. Communicate effectively with payers via email, phone, letter, or portal. Collaborate with the assigned Payor Director or Senior Director. Serve as Manager between payers and Soleo departments. Manage daily communications with designated health plans. Handle direct referral processes and respond to case managers within required timeframes. Follow up on payer initiatives and program requirements. Use Soleo software to review account notes and pricing. Send updated logs as required by payers. Act as primary contact for assigned payer initiatives. Support contract implementation and ensure compliance. Prepare and submit client reports by due dates. Complete ad hoc reports and projects as requested. Assist with reimbursement projects and address client billing inquiries. Adhere to Soleo Health policies, procedures, and standards of conduct. Attend mandatory annual training courses. Report known or suspected violations of policies or standards. Perform other related duties as assigned. Schedule: Monday-Friday 8:30am - 5:00pm Requirements: Home infusion and/or specialty pharmacy required Bachelor's degree in business administration, Healthcare Administration, or a related field (preferred), or equivalent relevant experience 2-4 years of experience in healthcare, managed care, customer service, or client account management Experience with payor relationships and working within healthcare contracts, credentialing, and re-credentialing processes Familiarity with case management procedures, referral processes, and billing/reimbursement systems Experience using healthcare management software and online portals for payor and referral management Must have organizational, written, communication and interpersonal skills Proficient in Microsoft Office and other applications including Word, and Excel About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: payor support, payor relations, intake, prior authorization, benefit verification, lead, supervisor

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: Reporting to the Senior Vice President - Customer Success, the Vice President is responsible for maximizing a client base and strengthening existing relationships within an assigned territory. The individual will achieve defined sales targets within an agreed expense budget while demonstrating a strong understanding of the specialty pharmacy sector. The ideal candidate is an experienced and well-connected hospital and health system specialty pharmacy professional, tasked with growing this segment of the business. Primary targets include hospitals and health systems seeking to build a specialty pharmacy or enhance their strategy. Responsibilities Account Management & Sales Growth Open new accounts while maintaining relationships with existing ones. Qualify revenue potential and payor mix in new and existing accounts. Achieve quarterly and annual sales effectiveness and individual/team goals. Utilize company databases/tools to identify key accounts and maximize referral potential. Maintain and document an effective call cycle for follow-ups, detailing, and competent account management. Extensive documentation and updates in SalesForce will be required. Collaboration & Communication Collaborate with Operations and internal teams to deliver seamless and patient-focused messages to accounts. Effectively communicate and set realistic goals with internal stakeholders for all existing customer and prospect expectations. Build and maintain relationships with hospitals and health systems. Strategic & Operational Initiatives Formulate and execute MBOs (Management by Objectives) as directed by Sales Leadership. Attend sales meetings, training programs, conventions, and in-services. Provide feedback on competitive activities and contribute to developing sales strategies. Assist the Business Development team Reporting & Territory Management Complete timely sales and expense reports Conduct a minimum of 10-12 quality sales calls weekly with key decision-makers. Utilize CRM (SalesForce) tools for organized account profiling and management. Efficiently plan and control regional budgets. Participate and perform other duties as assigned by leadership. Skills & Abilities Strong understanding of specialty pharmacy. Excellent verbal and written communication skills. Proficiency in MS Office Suite (Excel, Word, PowerPoint) and CRM systems (e.g., Salesforce). Analytical skills for territory reporting and account assessment. Highly organized, solution-oriented, and capable of multitasking. Persuasive, motivational, and adaptable to change. Exceptional time management and problem-solving skills. Knowledge of sales processes and healthcare/pharmaceutical products (preferred). Requirements Bachelor's degree (preferred) or equivalent healthcare experience. 4-6 years of relevant experience in pharmaceutical, specialty pharmacy, or healthcare sales. Proven track record in outside sales, customer service, and business development. Ability to travel nationwide at 50% or greater CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Soleo Health is seeking a Therapy Care Specialist to support our Dublin, OH Specialty Infusion Pharmacy. Join us in Simplifying Complex Care! This role is hybrid. Infusion or specialty pharmacy experience required. Must be a licensed pharmacy technician in Ohio. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Therapy Care Specialist will work with SoleoRx TCMC model and utilize national and local resources to facilitate high quality care of a patient with specialty pharmacy needs. The Therapy Care Specialist will work under the supervision of a Pharmacist to oversee logistics of a patient's dispense and prescription maintenance, assessment data capture, and serves as the point person to coordinate patient care across all layers of the patient care continuum while on service with Soleo Health. Responsibilities include: Act as single point of contact for specialty patients and as liaison with Soleo branch personnel to coordinate timely medication dispense and delivery Works under supervision of specialty pharmacist and/or branch pharmacist to capture assessment data, ascertain patients supply needs, and schedule new and refill medication deliveries Run daily and weekly pharmacy reports as needed Answer phones and warm transfer call to appropriate location, monitor incoming faxes, and monitor TCMC refill queues Send orders to physicians for signature Work with intake/reimbursement staff to maintain active patient insurance coverage and actively pursue authorizations and re-authorizations with the auth/billing staff at the branch level Documentation of all patient interaction and care coordination in the designated system of record for clear and consistent communication Complete therapy specific training as required Hours: Monday-Friday 8:30am - 5:00pm Saturday rotation once a quarter Hybrid in Dublin, must be able to come onsite Requirements Prior experience in home infusion, compounding and/or specialty pharmacy required High School Diploma or equivalent Registered Pharmacy Technician required Prior customer service/patient services experience Basic to intermediate efficiency with Microsoft Excel, Word and Outlook About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: pharm tech, CPHT, PTCB, Clinical Support Coordinator Specialist

Full-time Description Soleo Health is seeking a Reimbursement Contract Manager to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Significant specialty pharmacy or home infusion experience required. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Reimbursement Contracts Manager is responsible for supporting the intake and reimbursement teams in the area of commercial contracting and government programs. This position involves research of payor contracts and other published information, publication and maintenance of resource documents and communication with provider relation teams to resolve contract and/or regulation non-compliance. Responsibilities include: Review payor contracts for intake and reimbursement contract terms (e.g., timely filing, clean claim payment terms) and for comprehensive fee provisions/fee schedules common billable services (e.g., per diems, nursing and drugs) Work with Managed Markets team to address any missing or unfavorable intake and reimbursement contract terms Provide comprehensive analyses of missing or unfavorable intake and reimbursement contract terms to VP of Reimbursement and CFO or their respective designees Provide payor education to intake and reimbursement teams, including reimbursement trends and policies Create, maintain, and manage all Intake and Reimbursement contract resource documents. Cultivate and maintain effective working relationship with contracted and non-contracted insurance Provider Relations personnel Work with Provider Relations personnel to address intake and reimbursement trending issues (e.g., claim denials, non-compliance with contract terms) Identify opportunities for cost savings and cash collections through payer reimbursement analysis/trends Be a contributor to internal and external departmental conversations regarding payers, contracts and industry knowledge Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning Other duties as assigned by manager Schedule: 8:30a-5pm typical business hours with overtime as needed Requirements Bachelor's Degree or a minimum of 5 years of Reimbursement/Account Management experience with injectable or infused drugs, or medical device products that require reimbursement support. High school diploma (or equivalent) required Significant specialty pharmacy or home infusion experience required Demonstrated proficiency in working on Medicare, Medicaid, or Managed Care reimbursement issues at the provider and payer levels Possess exceptional verbal and written communication skills, along with problem solving and organizational skills Strong business, analytical, administrative, and team building skills are essential About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: now hiring, hiring immediately, reimbursement manager Salary Description $68k - $86k per year

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: The Collections Specialist is responsible for managing third-party billing and collections, ensuring timely and accurate payment of claims, and processing payer appeals. This role involves investigating denials, processing rejections, and identifying root causes of payment issues, with the goal of resolving discrepancies and maximizing reimbursement. The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Experience with ICD-10, CPT-4, HCPCS, and Medicare billing is preferred. Responsibilities Understand Third Party Billing and Collection Guidelines. Identify root cause of issues and demonstrate recommendations for corrective action steps to eliminate future occurrences of denials. Meet quality assurance, benchmark standards, and maintain productivity levels as defined by management. Contact payer, or patient as appropriate. Documents all collections activity in patient collections notes. Documents work performed/action taken on AR Reports. Process all Payer appeal requests within the time frame required by the Payer. Reviews claim processing to determine proper payment has been issued. Request and process all approved adjustments. Processes rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer. Reviews patient information in appropriate system to determine why the claim is unpaid, if an adjustment is valid, and whether additional approval is required. Ability to identify errors, correct claims and reprocess for reimbursement. Ability to read and interpret an EOB for accurate understanding of claim processing. Knowledge of claims investigation and reviewing payer contracts for reimbursement. Performs other duties as assigned. Skills & Abilities Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence. Helpful, knowledgeable, and polite while maintaining a positive attitude. Interpret a variety of instructions in a variety of communication mediums. Knowledge of Home Infusion. Knowledge of insurance policies, reimbursement practices, as well as claim processing requirements. Knowledge of medical billing practices and of medical billing reimbursement. Maintain confidentiality and practice discretion and caution when handling sensitive information Multi-task along with attention to detail. Ability to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division. Self-motivation, organized, time-management and deductive problem-solving skills. Work independently and as part of a team. Collections or medical billing experience with basic understanding of ICD10, CPT4, HCPCS, and medical terminology is preferred. Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial. Medicare knowledge of billing requirements specific to DMEMAC. HCN360 and CPR+ knowledge preferred. Knowledge of Microsoft 365 products, including but not limited to Outlook, Teams and Excel. Strong customer service skills. Requirements High school graduate or equivalent. Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary. CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire . CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.