Case Manager Continuing Care
Health Care Consultants job in Pasadena, CA or remote
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.
Vice President, Data Platforms and AI
Remote job
Soleo Health is seeking a Vice President of Data Platforms and AI to architect and scale modern data platforms that power secure, reliable, and high-performance AI solutions and measurable business outcomes across the organization. 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 Data Platorms and AI will report directly to the Chief Information Officer (CIO) and is a critical executive technology leadership role within the organization. This position is instrumental in driving the strategic use of data to achieve organization goals and enhance business performance within the healthcare sector. This role will be responsible for developing, recommending, and implementing comprehensive data strategies that leverage advanced analytics and intelligent data management practices while ensuring compliance with healthcare regulations. Responsibilities Include:
Data Strategy Development: Formulate and execute a robust data strategy that aligns with the company's overall business objectives and healthcare industry standards. This includes identifying opportunities to use data to drive innovation, improve patient outcomes, and create a competitive advantage in the healthcare sector.
Governance and Compliance: Establish and enforce data governance policies to ensure data integrity, security, and compliance with healthcare regulations, including HIPAA (Health Insurance Portability and Accountability Act) and HITECH (Health Information Technology for Economic and Clinical Health) Act. Develop frameworks to manage data quality and consistency across the organization.
Healthcare Data Security: Implement robust data security measures to protect sensitive healthcare information. Ensure compliance with healthcare data privacy laws and regulations, safeguarding patient information from breaches and unauthorized access. Accountable to spearhead efforts to advance the business to become HITRUST (Helath Information Trust Alliance) certified.
Advanced Analytics and BI: Lead initiatives to expand the use of advanced analytics and business intelligence (BI) tools. Develop a comprehensive framework to support end-user BI analytics, ensuring easy access to data and intuitive tools. Support proactive decision-making in patient care and operational efficiency through predictive analytics, machine learning, and AI to unlock insights from healthcare data, and propagate best practices to ensure consistent and effective use of analytics tools across the organization.
Data Infrastructure Management: Lead the design and implementation of scalable data architecture and infrastructure tailored to healthcare applications, ensuring efficient data collection, storage, and retrieval across all business units while maintaining stringent data security protocols. Evaluate, expand, and promote the use of cloud hosting and the company Snowflake data lake environment.
Talent Management: Build and manage a high-performing data team, fostering a culture of continuous learning and innovation. Develop training programs and career paths to attract, retain, and grow top data talent with expertise in healthcare data management and compliance.
Cross-Functional Collaboration: Collaborate with other senior leaders to integrate data-driven approaches into all aspects of the healthcare business. Promote a data-centric culture and advocate for data-driven decision-making at all levels, emphasizing the importance of data in improving patient care and operational efficiency.
Technology and Vendor Management: Evaluate and implement cutting-edge data technologies and tools suitable for healthcare environments. Manage relationships with external vendors and partners to ensure the best solutions and services are being utilized, with a focus on healthcare-specific technologies and compliance requirements.
Performance Measurement: Develop and track key performance indicators (KPIs) to measure the effectiveness of data initiatives. Provide regular updates to the executive team on the progress and impact of data strategies, particularly in relation to patient outcomes, operational efficiencies, and compliance with healthcare regulations.
Schedule:
Monday-Friday 8am-5:30pm
Requirements
Bachelor's degree in Data Science, Computer Science, Information Technology, or a related field.
Advanced degree (Master's or PhD) preferred, particularly in Data Science, Business Administration, Healthcare Administration, or a related discipline.
Minimum of 10-15 years of experience in data management, analytics, and technology roles.
Extensive experience in the healthcare sector is ideal, including familiarity with healthcare data management practices, regulations, and standards.
Proven track record of developing and implementing data strategies that drive business performance and innovation.
Expertise in advanced analytics, including predictive analytics, machine learning, and AI.
Proficiency in business intelligence (BI) tools and platforms (e.g., Tableau, Power BI, Qlik).
Strong understanding of data architecture and infrastructure design tailored for healthcare applications.
Knowledge of data governance frameworks and best practices, including data quality management.
In-depth knowledge of healthcare regulations, including HIPAA, HITRUST, and HITECH.
Experience ensuring compliance with healthcare data privacy and security standards.
Proven ability to lead and manage a high-performing data team.
Experience in talent management, including developing training programs and career development paths.
Strong leadership skills with a focus on fostering a culture of continuous learning and innovation.
Ability to formulate and execute data strategies that align with business objectives and healthcare industry standards.
Visionary leader capable of driving transformational change and position the organization as a leader in data-driven healthcare innovation.
Excellent communication and interpersonal skills.
Ability to collaborate effectively with senior leaders and cross-functional teams.
Strong advocacy for data-driven decision-making and promoting a data-centric culture.
Experience evaluating and implementing cutting-edge data technologies and tools suitable for healthcare environments.
Proven ability to manage relationships with external vendors and partners to ensure optimal solutions and services.
Ability to develop and track key performance indicators (KPIs) to measure the effectiveness of data initiatives.
Experience providing regular updates to the executive team on the progress and impact of data strategies.
Certifications in data management or analytics (e.g., Certified Data Management Professional (CDMP), Certified Analytics Professional (CAP)).
Healthcare-specific certifications (e.g., Certified Healthcare Data Analyst (CHDA), Health Information Management (HIM) certification).
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,
Salary Description $165-$225k
Delivery Driver I
Redding, CA job
Lifemed (A Friesen Group Company)
Northern California's Premier long-term care pharmacy. Leading the way with compassion, reliability, and trust. We deliver pharmacy solutions to long-term care facilities throughout the North State.
Currently seeking a Per Diem/Supplemental Delivery Driver to help support our closed door pharmacy team with professionalism & a passion for customer service. Ideal candidate would be customer service oriented, have good time management, and have values that align with the company.
Per Diem Position: This is an as-needed role with no guaranteed set schedule or hours. Per diem employees are scheduled based on staffing needs and may be called in to fill shifts or cover absences. This position is ideal for candidates seeking supplemental income or variable hours.
Our Core Values at Lifemed are:
HUMAN VALUE, TAKE OWNERSHIP, MAKE THE DIFFERENCE, SET THE PACE AND EMBRACE CHANGE.
Benefits: Medical/Dental/Vision Flexible Spending Account 401K with generous company match Paid Time Off Benefits Personal Holiday Benefit Wellness Benefits Company Sponsored Events Recognition/Rewards Program Employee Referral Incentive Program Tuition/Education Reimbursement
Customer Service
Provide exceptional customer service to all staff at facilities
Greet all staff at facilities in a friendly “can do” manner.
Listen to facility to identify their needs “check for understanding”
Refer facility's questions to appropriate pharmacy staff.
Delivery Responsibilities
Responsible for accurate and timely deliveries.
Prepare most efficient delivery route using available tools.
Load vehicle.
Make every effort to deliver prescriptions to customers in a safe and timely manner.
Ensure that all returned delivery documents, medications, receipts, etc. are inside the building at the end of shift.
Adhere and follow delivery driver procedures outlined in the Delivery Driver Handbook.
Vehicle Maintenance
Responsible for proper maintenance of vehicle.
Ensure vehicle is empty of all trash at the end of each shift.
Maintain adequate supplies in vehicle (door hangers, etc.).
Make sure all lights are off, and vehicle is locked at the end of shift.
Maintain vehicle in accordance with guidelines outlined in the Delivery Driver Handbook.
Follow vehicle maintenance schedule and obtain service when needed at designated sites.
Report any mechanical problems to supervisor and obtain necessary service in a timely manner.
Other Responsibilities
Maintain necessary forms and supplies as required or instructed by the Pharmacy Manager or Division Operations Manager.
Maintain clean and orderly work area and counters.
Become familiar with all areas of the pharmacy and assist when needed or requested by Pharmacy Manager or Division Operations Manager.
Assist to keep the pharmacy organized and in compliance with the California State Board and HIPAA Regulations.
Requirements
Experience
Must be 21 Years old
Previous Delivery Driver Experience preferred
Education
High School Diploma or Equivalent
Licensure
Possess a clean DMV Report
Clearance Specialist
Remote or Frisco, TX job
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 8:30a-5p Mountain 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 8:30a-5pm Mountain Time
Weekend On-call once monthly
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
Operations Coordinator
Redding, CA job
About Friesen Group
Friesen Group Inc. (formerly Owens Healthcare) is a family-owned company proudly serving Northern California since 1957. Through our trusted brands-Owens, Lifemed, Wellscript, and J3. Friesen Group provides services ranging from medical equipment and pharmacy care to infusion therapy and commercial real estate. Our commitment to excellence and community has earned us recognition as a
Great Place to Work for four consecutive years!
About J3
J3 Real Estate, a division of Friesen Group, specializes in managing and developing commercial properties that support our healthcare operations and community partners. We focus on delivering efficient, safe, and innovative real estate solutions while maintaining strong relationships with tenants and vendors.
Job Description
Operations
Ensure daily real estate office operations run efficiently and comply with policies.
Provide staff with tools, training, and information to succeed.
Support scheduling of staff.
Review and approve invoices, process monthly tenant billing.
Assist with new property setups and ongoing operational support.
Oversee the setup of all activities for new and existing real estate holdings.
Collaborate with leadership to meet business needs and maintain positive company relations.
Coordinate with tenants, contractors, and service providers to ensure timely maintenance and repairs.
Monitor vendor performance and manage service contracts for property upkeep.
Project Management
Plan, coordinate, and deliver projects on time and within budget.
Create and track action plans for objectives, budgets, and schedules.
Collaborate with internal teams and external partners for timely project delivery.
Oversee vendor selection through RFP processes and manage day-to-day coordination.
Process Improvement
Identify and implement systems to improve efficiency and reduce costs.
Monitor compliance, safety, and performance through audits and KPIs.
Align processes with financial and quality metrics; communicate results to stakeholders.
Customer Service
Deliver exceptional service to internal and external customers.
Address service and contract issues with a continuous improvement mindset.
Report on customer feedback trends to leadership.
Other Duties
Organize meetings, agendas, and distribute minutes.
Provide input for company strategy, process improvement, and change management.
Maintain flexibility and positive communication across all work styles.
Requirements
Experience
Experience in preparing/presenting cost estimate, schedules and services for construction projects
Significant Construction/Real Estate experience preferred.
Education
High School Diploma or equivalent.
Business Degree or related field or Construction Management Degree preferred.
Licensure
Valid Driver's License and clear DMV record
Special Skills
Competent at reading and understanding plans.
Proficient in MS Word, MS Excel, Smart Sheets, MS Outlook, and other project management software.
Excellent organizational skills including project administration activities, tools, and skills.
Clear and concise written and verbal communication skills.
Strong knowledge of Real Estate or Construction Office experience preferred.
Salary Description $24 - 27/hour
Patient Accounts Specialist
Remote or Frisco, TX job
Full-time Description
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
Salary Description $19-$23 per hour
Pharmacist
Redding, CA job
Requirements
Experience
1-3 years working in pharmacy setting.
1-3 Previous working or relatable experience in Long Term Care; Skilled Nursing or Infusion Pharmacy preferred.
Education
Graduate of an accredited school of pharmacy
Bachelor's Degree in related field Preferred
Licensure
Valid California Pharmacist License
Territory Manager
California job
Soleo Health is seeking a Territory Manager to support the South Bay, San Francisco region. 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
This Position:
The Territory Manager is responsible for consultative physician office sales, industry networking, and customer service for all IG and Specialty therapies offered by the Company. Territory Manager will develop and execute the strategic market plan to achieve the business objectives and budget expectations for their Sales Territory.
Responsibilities Include:
Develop new accounts and services existing accounts, obtain new business, by planning and organizing daily work schedule to call on existing or potential referral sources or customers
Educating patients and physician referral sources about the products and services offered by the Company
Maintains frequent value added contact (via telephone and in person) with existing and new customers to introduce Company services, evaluate customer needs and encourage patient loyalty
Actively engages in continuous learning and is viewed as an industry expert and trusted advisor to patients and customers
Monitors competition by gathering current marketplace information on pricing, products, new products, delivery schedules, merchandising techniques, etc.
Recommend changes in products, service, and policy by evaluating results and competitive developments
Keeps management informed by submitting activity and results reports, such as daily call reports, weekly work plans, and monthly and annual territory analyses through the Company Field Automation System
Resolves customer complaints by investigating problems; developing solutions; preparing reports; making recommendations to management
Participate in community and professional organizations to increase company visibility and to achieve sales and profit goals
Creates a comprehensive personal results driven strategy in order to meet or exceed established patient recruitment and retention goals.
Leverages understanding of the healthcare market and relies on interpersonal relationship building skills to effectively recapture former patients and bring them back on service
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
Analyzes gross profit factors, market conditions, business volume and mix, competition and operational cost requirements
Negotiates contracts with referral sources, third party payors, government agencies and ensures effective service, under corporate supervision
Assisting in the development of the annual marketing plan for Company.
Completing and submitting required reports/documents in a timely manner
Requirements
Bachelor's Degree or the equivalent industry experience.
RN or LVN licensure preferred
Minimum of five (5) years health care experience including three (3) years in a sales or customer advocate role.
Broad knowledge of bleeding disorder community, specialty pharmacy and infusion sales and customer service experience.
Driven to produce results, works independently, self-starter, team player, communicate effectively with internal team members, problem solver, and passion to make a difference.
Customer Service, Motivation for Sales, Meeting Sales Goals, Closing Skills, Territory Management, Prospecting Skills, Negotiation, Self-Confidence, Product Knowledge, Presentation Skills, Client Relationships
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: Infusion, Sales, liaison, travel
Salary Description $85K -$110K
Document Coordinator
Redding, CA job
A little about Owens (A Friesen Group Company)
Owens
provides state-of-the-art medical equipment and supplies to patients and caregivers throughout the North State. For more than 60 years, we've been providing custom healthcare solutions for patients and providers. We're committed to providing patients with the highest quality care, with wide range of services, including CPAP/BiPAP, capnography, non-invasive ventilation, airway clearance, and specialty therapies.
Also, for the third time, recently certified as a Great Place to Work! Check out what our staff have to say: Friesen Group - Certified Great Place to Work
Values must align with our company.
Our Core Values at Owens are: HUMAN VALUE, TAKE OWNERSHIP, MAKE THE DIFFERENCE, SET THE PACE AND EMBRACE CHANGE.
Benefits Full Time Position Medical/Dental/Vision Flexible Spending Account 401K with generous company match Paid Time Off Benefits Wellness Benefit Company Sponsored Events Recognition/Rewards Program Employee Referral Incentive Program Tuition/Education Reimbursement CMN/PAR Processing
Daily process authorizations and prescriptions (CMN's/PAR's) ensuring patient equipment and or supplies are billable.
Work “Invoices on Hold” Ad hoc Report weekly.
Work CMN Bin and log CMN's within Brightree.
Track unresolved issues until they become resolved (including any documentation necessary to bill).
Document all conversations and correspondence with referral sources and patients as they occur.
CMN/PAR Review
Review outstanding authorizations and prescriptions (CMN's/PAR's) with Supervisor weekly.
Utilize Owens Sales Representatives to obtain outstanding CMN's when necessary.
Ensure the authorizations and prescriptions (CMN's/PAR's) are logged within 30 days of creation. If not, Supervisor is notified, and plan is created to address.
Brightree Task Review
Work open tasks on a daily basis ensuring they are addressed in a timely manner.
Ensure authorizations and prescriptions (CMN's/PAR's) and other required documentation is obtained in a timely manner.
Review open tasks that are overdue with Supervisor weekly.
Keep Supervisor apprized if you are unable to complete a task.
Policy & Procedures
Help create and maintain Policy and Procedures as needed.
Other Responsibilities
Answer phones in a timely manner, addressing customer concerns immediately.
Write and speak in a clear, concise, professional manner in all forms of communication.
Report all software and hardware (i.e. printers, fax machines, copy machine) issues to IT.
Take initiative to obtain a basic understanding of insurance requirements for billing.
Analyze daily routines and look for alternate methods of current processes to maximize efficiency.
Other duties as assigned.
Requirements
Experience
Preferred work experience in a medical setting.
Preferred knowledge of HCPC codes.
Preferred understanding of insurance authorizations and prescriptions.
Preferred Durable Medical Equipment Billing experience.
Education
High school diploma or equivalent.
Special Skills
Basic understanding in Microsoft Office (Excel, Work, Outlook).
Excellent customer service and phone skills.
Salary Description $20-23/hr
Intake Specialist I
Susanville, CA job
Requirements
Experience
1 year of Customer Service experience.
Preferred Knowledge of HCPC codes
Preferred 1 year prior work experience in a medical setting.
Preferred understanding of insurance authorization and reimbursement.
Education
High School Diploma or equivalent
Special Skills
Proficient in Microsoft Office (Excel, Word, Outlook). Excellent customer service, phone skills.
Director, Program Management Pharma Relations
Remote job
Soleo Health is seeking a Director of Program Management in Pharma Relations to oversee a high-performing team, optimize program delivery, and ensure seamless execution that exceeds client expectations. 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 Director of Program Management, Pharma Relations leads the Program Management team and serves as a liaison between the organization and pharmaceutical partners. This role oversees program development and execution, ensures alignment with contractual and regulatory requirements, and drives strategic initiatives that support client goals and overall business growth. Responsibilities included:
Lead, mentor and develop the Program Management team, including hiring, training, coaching and performance management.
Participates in Request for Proposal (RFP) responses, pipeline asset evaluations, and new business development discussions.
Supports contract negotiations and oversees the management of service agreements and related documentation.
Oversees implementation and ongoing management of pharma program, ensuring delivery of contractual, regulatory, and business requirements.
Partners with internal stakeholders including Sales, Operations, and Therapeutic Line Directors to drive strategic portfolio growth.
Collaborates with internal teams and external partners to develop and refine program initiatives aligned with manufacturer and corporate objectives.
Lead strategic meetings, presentations, QBRs, and status updates to communicate program performance and strategic direction.
Evaluates program operations to identify opportunities for efficiency, financial impact, and process improvement.
Ensures compliance with industry regulations, internal policies, and contractual requirements, maintaining accurate documentation and reporting.
Track and monitor contract activity, deliverables, and business requirements to ensure accuracy and completion.
Cultivates and maintains strong relationships with pharmaceutical manufacturers and key partners.
Participates in department and organizational strategic planning and initiatives.
Requirements
Bachelor's or PharmD/ advanced clinical degree in a related healthcare field
8-10 years of healthcare industry experience.
5-7 years of experience in account or program management preferred.
Minimum of 3 years of people management experience
Strong communication and relationship-building skills.
Demonstrated ability to manage cross-functional initiatives and deliver outcomes.
Strategic thinker with problem-solving strengths and a continuous improvement mindset.
Ability to work independently while effectively collaborating across teams.
Proficiency with project management tools and related software 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: Now hiring, hiring now, immediately hiring, hiring immediately
Salary Description $120k-$170k
Pharmacy Technician - Billing Specialist (Remote)
Remote or Dallas, TX job
Arlington, Texas, United States of America
Extraordinary Care. Extraordinary Careers.
With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Guardian Pharmacy of Dallas Fort-Worth, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Arlington, Texas.
Why Guardian Pharmacy of Dallas Fort-Worth? We're reimagining medication management and transforming care.
Who We Are and What We're About:
Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.
Remote after training
Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.
ATTRIBUTES REQUIRED:
Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy
Relational - ability to build relationships with business unit management and become “trusted advisor.”
Strategy and Planning - ability to think ahead, plan and manage time efficiently.
Problem Solving - ability to analyze causes and solve problems at functional level.
Team Oriented - ability to work effectively and collaboratively with all team members.
ESSENTIAL JOB FUNCTIONS (include the following):
Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
May pursue payment from delinquent accounts and make payment arrangements.
Research, identify and organize requested audit documentation in timely manner.
Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
Rotate through other departments to gain working/functional knowledge of other department workflows.
Follow all applicable government regulations including HIPAA.
Work as a collaborative team member to meet the service goals of the pharmacy.
Other essential functions and duties may be assigned as needed.
EDUCATION AND/OR CERTIFICATIONS:
High School Diploma or GED required.
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).
SKILLS AND QUALIFICATIONS:
1+ years of related experience
Advanced computer skills; pharmacy information system experience preferred.
Ability to work independently and deliver to deadlines.
Great attention to detail and accuracy
Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
Quality minded; motivated to seek out errors and inquire about inaccuracies.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.
The noise level in the work environment is usually low to moderate.
Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
Requires desk work in office environment.
Ability to work flexible hours.
What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
Compensation & Financial
Competitive pay
401(k) with company match
Family,
Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Basic Life and Accidental Death & Dismemberment
Company-paid Long-Term Disability and optional Short-Term Disability
Voluntary Employee and Dependent Life, Accident and Critical Illness
Dependent Care Flexible Spending Accounts
Wellbeing
Employee Assistance Program (EAP)
Guardian Angels (Employee assistance fund)
Time Off
Paid holidays and sick days
Generous vacation benefits based on years of service
The Guardian Difference
Our clients require pharmacy services that aren't “cookie cutter.” That's why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients' needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today's dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
Join us to discover what your best work truly looks like.
Auto-ApplyInfusion Reimbursement Contract Specialist
Remote or Frisco, TX job
Full-time Description
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
Salary Description $21 - $25 per hour
Infusion Nurse
Los Angeles, CA job
Job DescriptionDescription:
Soleo Health is seeking a Full-time Infusion Nurse to support our infusion patients in the San Francisco, CA and surrounding areas. Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
Mileage Reimbursement & Paid Drive Time
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
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 Infusion Nurse provides primary patient care for specifically assigned patients to include assessments, care planning, evaluation and education of patients receiving infusion therapy and/or other nursing services in accordance with the care matrices and best practices in the home or alternate site setting. Responsibilities include:
Provide the direct care for all assigned patients including initiation and maintenance of all communications with appropriate care team members including pharmacists, prescribers, dietitians, home patient representatives/care partner and any appropriate community resource staff members.
Evaluate and education patient/care partner to safely administer the home infusion therapy and provide additional instruction as indicated.
Evaluate the home environment where the care is to be provided and identify interventions that may be required to render the home care environment safe and appropriate for the prescribed care.
Develop in conjunction with other team members the plan of care and evaluate response to therapy with each encounter.
Develop and maintain caseload scheduling via company approved platform per company policy. Communicate any scheduling changes on an as needed basis to appropriate team members.
Coordinate care via approved company platform
Takes part in the nurse on-call rotation to ensure continuous nursing support services to our customers.
Document all communications at time of service as appropriate per Soleo policy.
Strong knowledge of therapies provided by Soleo.
Work in conjunction with appropriate departments to ensure all required patient documents are completed and returned to the branch office within acceptable timeframe.
Ensures timely submission of plan of treatments as required by states guideline.
Schedule:
Must be able to work Full time, Monday-Friday, variable schedule to include evenings/weekends as needed- 40 hours per week
Must be able to participate in an on-call rotation (2 days per month with 1 weekend day)
Must be able to drive up to 60 miles to see patients in their homes (we offer mileage reimbursement and hourly rate of pay)
Must be knowledgeable of IV access devices to include: IV lines, ports, and administration of infusion medications
Must be able to provide infusions to patients in their homes as well as the infusion suite
Must be licensed in the state of California as an RN
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
Clinical Review Coordinator
Remote or Frisco, TX job
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
Vice President, Sales Development
Remote job
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
Program Manager, Pharma Relations
Remote job
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
Vice President, Corporate Development
Remote job
Soleo Health is seeking a Vice President, Corporate Development to drive our end-to-end M&A strategy, from deal origination and due diligence through integration and value creation. 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 Corporate Development is a senior executive responsible for leading the company's corporate development and growth through acquisitions, divestitures, and strategic partnerships. This role will drive the overall M&A vision, shaping strategy in alignment with corporate goals and ensuring that each transaction accelerates the company's competitive position, profitability, and long-term success. The VP will serve as a key advisor to the CEO, CFO, and Board of Directors while overseeing a high-performing team to execute deals and integrations. Responsibilities Include:
Define and lead the company's M&A strategy to support long-term growth and expansion.
Partner with the executive leadership team to align acquisition priorities with business objectives.
Serve as the subject matter expert for the Board of Directors and senior executives on M&A opportunities and risks.
Proactively identify and cultivate acquisition targets, partnerships, and divestiture opportunities across the healthcare/specialty pharmacy landscape.
Oversee deal evaluations, negotiations, and structuring to optimize shareholder value.
Lead due diligence processes across financial, operational, legal, and regulatory dimensions.
Direct post-merger integration planning and execution to ensure seamless cultural, operational, and financial alignment.
Establish measurable synergy targets and ensure accountability for delivering results.
Partner with business unit leaders to capture long-term value from each acquisition.
Monitor and assess market dynamics, competitive landscapes, and emerging trends to inform strategic decisions.
Build and maintain strong relationships with investment banks, private equity firms, consultants, and industry leaders.
Represent the company at industry conferences, networking events, and with external stakeholders.
Build, lead, and mentor a high-performing corporate development and integration team.
Promote a culture of collaboration, accountability, and innovation within the M&A function.
Requirements
Bachelor's degree in Business, Finance, Economics, or related field; MBA or advanced degree strongly preferred.
12+ years of progressive experience in mergers & acquisitions, corporate development, investment banking, or private equity.
Demonstrated success leading large-scale transactions, including acquisitions in healthcare, specialty pharmacy, or related industries.
Proven ability to influence and build trust with CEOs, Boards of Directors, and investors.
Strong financial acumen, negotiation expertise, and knowledge of valuation methodologies.
Exceptional leadership, communication, and relationship-building skills.
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,
Salary Description $175k-$220k
Remote Pharmacist - Florida Licensed
Remote or North Port, FL job
North Port, Florida, United States of America
Extraordinary Care. Extraordinary Careers.
With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Guardian Pharmacy of Southwest Florida, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in North Port, Florida.
Why Guardian Pharmacy of Southwest Florida? We're reimagining medication management and transforming care.
Who We Are and What We're About:
Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.
Remote Position - Must hold an active, clear Florida Pharmacist License
Schedule: Tuesday-Saturday, 10:00 a.m.-6:30 p.m. On-call coverage is required.
Requirements:
Frameworks experience
Active Florida immunization certification
Ensure all prescriptions are filled according to order and regulations, accurately and in a timely manner and proper packaging according to facility.
Attributes Required:
• Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy
• Leadership - ability to lead project teams to deadlines, while maintaining strong team orientation
• Relational - ability to build relationships with business unit management and become “trusted advisor”
• Strategy and Planning - ability to think ahead, plan and manage time efficiently
• Problem Solving - ability to analyze causes and solve problems at both a strategic and functional level
• Team Oriented - ability to work effectively and collaboratively with all team members
Essential job functions (include the following):
• Accurately prepare medications for final dispensing to the patient, including filling, order entry, and packaging
• Review completed orders and cycle-fill medications to ensure prescriptions were filled correctly
• Verify the legality and pharmaceutical feasibility of dispensing a drug based on patients' allergies, Incompatibilities with current medications, frequency of refills, etc.
• Interpret prescription orders, to include exercising professional judgment in determining whether to dispense a particular prescription, taking into account patient safety and legal limitations.
• Adhere to all Federal and State Board of Pharmacy regulations
• Adhere to all applicable guidelines for compounding
• Transfer prescriptions to other pharmacies as needed
• Answer questions from patients, doctors, nurses, etc.
• Evaluate inventory levels and place orders when below par
• On exception items, look up most cost-effective product to order
• Notify customer/facility if product is out of stock and when the order can be filled
• Restock station supplies as needed - vials, cassettes, labels, delivery tickets, etc.
• Oversee the work of all technicians and give feedback to their supervisor regarding their performance
• Log all error medication occurrences
• Other essential functions and duties may be assigned as needed
Education and/or Certifications:
• Bachelor's Degree (Pharmacy) or PharmD. required
• State Pharmacist License required without restrictions
Skills and Qualifications:
• 1+ years of related experience
• Advanced computer skills; pharmacy operations system experience preferred/required
• Ability to work independently and deliver to deadlines
• Ability to solve problems with minimal direction
• Great attention to detail and accuracy
• Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
• Quality minded; motivated to seek out errors and inquire when something appears inaccurate
• Medical consulting experience preferred
Work Environment:
• Ability to work flexible hours
What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
Compensation & Financial
Competitive pay
401(k) with company match
Family,
Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Basic Life and Accidental Death & Dismemberment
Company-paid Long-Term Disability and optional Short-Term Disability
Voluntary Employee and Dependent Life, Accident and Critical Illness
Dependent Care Flexible Spending Accounts
Wellbeing
Employee Assistance Program (EAP)
Guardian Angels (Employee assistance fund)
Time Off
Paid holidays and sick days
Generous vacation benefits based on years of service
The Guardian Difference
Our clients require pharmacy services that aren't “cookie cutter.” That's why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients' needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today's dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
Join us to discover what your best work truly looks like.
Auto-ApplyIntake Specialist
Redding, CA job
Leading Through Mission & Values
Keeping the organization's mission, and values at the forefront of decision making and action.
Customer Communication and Responsibilities
Greet all walk-in customers and telephone calls promptly in a friendly "can do" and professional manner.
Always use customers' names during interaction with them.
Listen to customers to identify their needs "check for understanding".
Be considerate; avoid confrontation and defensiveness when interacting with patients.
Resolve customer situations/problems and request assistance if necessary.
Intake Coordination
Ensure that intakes are timely and accurate.
Ensure that appropriate internal departments or outside agencies have the necessary information to assure smooth coordination of care for patients.
Responsible for new intake information for securing benefits and authorization information prior to start of therapy.
Complete software Insurance Verification queue for private insurance.
Escalate concerns through appropriate chain of command.
Independently verify that documentation qualifies patient for ordered services.
Document all conversation and correspondence with referral sources, as they occur & in Teams.
Thorough understanding of BT and insurance verification platforms.
Intake Process
Notify patient of patient financial responsibility, as well as protocol for set-up and service expectations.
Document payment plan and collect at least the first payment prior to dispensing. Obtain a signed and dated Payment Plan, per Owens policy.
Obtain clinical documents prior to initiating service, as required by insurance.
Initiate prior authorization, as required by payor, and document in software.
Other Responsibilities
Answer phones in a timely manner, addressing customer concerns immediately, escalate along chain of command as appropriate.
Report all software and hardware (i.e., printers, fax machines, copy machine) issues to IT.
Schedule patient appointments as needed.
Act as a resource for Intake I personnel and notify appropriate lead or branch manager of any ongoing education needed.
Requirements
Experience
1-year prior work experience in a medical setting.
Understanding of insurance authorization and reimbursement.
Excellent Customer Service experience.
Preferred Knowledge of HCPC codes
Preferred 2 or more years working in a direct patient role within a medical setting.
Preferred 1-year prior work experience in HME
Education
High School Diploma or equivalent
Preferred Medical terminology class completion
Special Skills
Proficient in Microsoft Office (Excel, Word, Outlook).
Excellent customer service, phone skills.
Salary Description $20.00 - $23.00/hour