Job Search Results for pharmacy

Certified Pharmacy Technician

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by... More removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:?Directly communicate with insurance companies to facilitate the approval of medications.?Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.?Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.?Review prescriptions with doctors' offices to ensure optimal care of the patient.?Keep complete and accurate records of patient communications.?Assist patients in the management of their pharmacy insurance claims.?Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.?Communicate directly with patients over the phone to assist them in all aspects of medication compliance.?Research and investigate information to enable strategic decision-making by others.?Manage, organize, and update relevant data using database applications.?Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.?Identify trends, resolve problems; recommend improvements; implement change.?Actively participate in process improvement initiatives.?Act as a value-added business partner to stakeholders throughout the organization.?Protect organization's value by keeping information confidential.?Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.?Minimal in or out of state travel may be required.?Perform other duties as assigned. Hourly Pay Range: $20/hr-$22/hr based on experienceWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Certified Pharmacy Technician

Insight Global is looking for Prior Authorization Technicians to work fully remote in support of one of our large healthcare clients. Within this role, this person will provide patient care by... More removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations. Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays. Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients. Below are the key responsibilities for this role:?Directly communicate with insurance companies to facilitate the approval of medications.?Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up.?Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs.?Review prescriptions with doctors' offices to ensure optimal care of the patient.?Keep complete and accurate records of patient communications.?Assist patients in the management of their pharmacy insurance claims.?Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.?Communicate directly with patients over the phone to assist them in all aspects of medication compliance.?Research and investigate information to enable strategic decision-making by others.?Manage, organize, and update relevant data using database applications.?Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.?Identify trends, resolve problems; recommend improvements; implement change.?Actively participate in process improvement initiatives.?Act as a value-added business partner to stakeholders throughout the organization.?Protect organization's value by keeping information confidential.?Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.?Minimal in or out of state travel may be required.?Perform other duties as assigned. Hourly Pay Range: $20/hr-$22/hr based on experienceWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Application Architect (Pharmacy Systems)

Application Architects have primary responsibility for design, build, testing, validation, and ongoing support of clinical applications. They are responsible for obtaining and maintain in-depth... More knowledge of the software functionality, and acquiring knowledge of the clinical/business workflows to be implemented on the system. Jointly with each other and with the department representatives, they design a future-state workflow and build the system to support the new workflow. They work with each other in workgroups, and across interdisciplinary workgroups, to accomplish these goals as a team.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Director of Medicare and Compliance Data

Purpose:They will be responsible for leading the analysis and reporting of pharmacy data for Medicare programs, focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large... More datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will be responsible for leading our compliance reporting efforts and partner with key business stakeholders. Key Responsibilities:? Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations? Work with Finance and Account Management to project yearly Medicare changes ? Ensure data accuracy and compliance with CMS guidelines and reporting requirements? Own and maintain reporting processes needed to support organization compliance requirements? Maintain and manage large datasets related to Medicare Part D and other relevant programs? Monitor performance through tracking trends and identifying discrepancies in subsidy allocations and prescription drug events? Work with cross-functional teams, including finance, IT, Account Management, and Compliance to optimize Medicare data usage? Lead process improvement through developing strategies to enhance data collection, reporting, and analysis efficiency? Design, build, and maintain business intelligence reporting in collaboration with team leadership? Continually focus on growing technical skills related to reporting tools and coding languages? Partner with leadership and other key business contacts to ensure Medicare data and reporting knowledge is developed and maintained? Support ad-hoc and reoccurring work as neededWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Senior TypeScript Engineer

Join a fast-paced engineering team working on a Digital Pharmacy initiative that powers client-branded versions of an online pharmacy platform. This backend-heavy, data-driven team supports front-end... More product delivery through robust API development and integration.You?ll work closely with internal developers and external teams (frontend and backend) to deliver scalable, reliable backend services. Strong communication and collaboration skills are essential, as this role acts as a bridge between multiple technical stakeholders.Key Responsibilities? Extend and enhance an existing backend application using TypeScript and NestJS? Integrate with third-party APIs (e.g., Fabric for medical data)? Collaborate with frontend partners (Livefront) to define and deliver endpoint contracts? Participate in daily standups, weekly planning, and retrospectives? Conduct and participate in code reviews? Provide clear progress updates and technical documentation? Contribute to CI/CD, testing, and monitoring best practicesTech Stack? Languages/Frameworks: TypeScript, NestJS? Databases: MongoDB, Redis? Infrastructure: Azure (primary), AWS (limited)? Tools: OpenAPI/Swagger, Terraform (light use)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Sales Strategy Support Specialist

Insight Global is seeking an Associate Strategic Sales Specialist to join a large PBM client. This individual will be responsible for the assisting in the development and execution of sales strategy... More support necessary to promote client growth and retention through systematic tracking, comprehensive analytics and competitive intelligence. Serves as a partner to sales, marketing, account management, product development and key stakeholders enterprise wide.Responsibilities include the following: ? Accountable to maintain accurate and timely information in CRM System on current, future, and closed opportunities. ? Dedicated to leveraging CRM to develop visuals in support of tracking sales goals and execution. Partners with sales team throughout the Request for Proposal (RFP) process to provide insights and recommendations that can be leveraged during the sales process. ? Conducts background research on prospects. ? Provides competitive tracking insight on opportunities. ? Represents as the liaison to sales toolbox owner for new content. ? Performs state surveillance for targeted states as assigned. Collaborates with regional sales stakeholders to assist in the identification of opportunities within local territories, providing detailed and actionable data and insights, aiding in pipeline development.? Responsible for conducting/providing management reports inclusive of status and win/loss trends. ? Supports segmentation/target identification strategies. ? Contributes to continuous oversight of market trends and competitive intelligence for the pharmacy organizationWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Implementation Specialist

Insight Global's client is a growing company that provides compassionate care to individuals with intellectual and mental health disabilities. They are committed to delivering specialized services to... More our community and are currently expanding their technological capabilities and so we are seeking a talented Implementation Specialist to join their team. This role offers the opportunity to work in a dynamic environment, contributing to cutting-edge data solutions that drive their mission forward.? Execute and coordinate implementation tasks for enterprise systems; overall project management remains with Beacon?s project manager and applicable vendors.? Ensure implementations adhere to Beacon?s defined compliance, privacy, and security standards.? Lead market rollout activities from planning through go-live and stabilization in coordination with Beacon?s project manager and vendor partners.? Conduct discovery sessions with stakeholder groups to document workflows, fit-gap analysis, and state-specific requirements; align configurations to Beacon?s standardized models.? Configure system elements such as programs, services, forms, workflows, scheduling, user roles and permissions, locations, and alerts; maintain reusable configuration playbooks.? Coordinate system integrations such as third-party applications (e.g., pharmacy, eMAR, EVV), CRM handoffs, secure file transfers, APIs, and billing feeds for eligibility, claims, and remittances.? Manage data migration processes including mapping, data cleansing, import, and validation for key entities such as clients, staff, payers, authorizations, and historical records; obtain business sign-off.? Plan and conduct testing activities including test case development, system and user acceptance testing, defect tracking, and go/no-go decision readiness.? Ensure implementations meet compliance with HIPAA, Joint Commission, LARA, HCBS, CMHAs, and other applicable standards; safeguard data quality and maintain audit trails.? Maintain detailed project documentation including decision logs, issue logs, timelines, and weekly status reports.? Adhere to change control processes and provide timely updates on status, risks, and issues.? Drive go-live readiness and post-go-live stabilization, including dry runs, cutover planning, daily triage, and extended support until transition to steady state.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Clinical Informatics Specialist (Remote)

Insight Global is working with a healthcare technology client to identify a Clinical Informatics Specialist (Remote). This company offers an AI tool that handles prior authorizations, affordability,... More and pharmacy coordination for every Rx that comes through it. As a Clinical Informatics Specialist, you?ll help set clinical standards and make sure our clients platform supports providers and patients accurately and efficiently. You?ll use your clinical experience to build clear processes, review data, and work with product and engineering teams to improve our tools. You?ll help make sure our system is reliable, safe, and reflects real-world medical needs.This role is fast-paced and hands-on. You?ll have a lot of responsibility and freedom to make an impact. The typical day-to-day might include:- Turn clinical knowledge into practical workflows and standards- Review and improve data quality- Make sure our platform is accurate and reliable- Work with different teams to solve problems and improve our products- Learn about new medical specialties to help build better AI tools- Help develop new products and featuresThis is a remote, contract opportunity.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Senior DevOps manager (REMOTE/Atlanta)

Insight Global is looking for a DevOps Director/Architect. The ideal candidate will sit in Atlanta however EST REMOTE is allowed. You will be responsible for setup, configuration, monitoring and... More management of IT applications cloud and on-prem infrastructure. It would include vendor system integrations, network connectivity and security aspects of data and infrastructure. You will be assisting on an 18?24-month project for a client in the healthcare (payers & providers) who is starting an on prem cloud migration to Azure.?Define and implement strategy/approach for E2E management of cloud and on-prem infrastructure of technology platforms and systems supporting large scale PBM & Pharmacy business/operations ?Collaborate with both IT & Business leaders across the enterprise to determine DevOps best practices and Infrastructure technical requirements of applications/systems?Responsible to build CICD automation pipelines, Infrastructure as Code (IaC), and manage deployments across various environments?Implement 24x7 infrastructure and application performance monitoring (APM) to ensure high availability, optimal performance, reliability, and cost-efficiency?Ensure disaster recovery, business continuity and audit plans are implemented, monitored, and updated on a recurring basis?At a regular cadence identify and exploit opportunities to optimize infrastructure, increase efficiency without any negative impact to ongoing business/operations ?Act as an escalation point for faults, attend/lead investigation into incidents and complete follow-up tasks?Hires, trains, coaches, counsels, and evaluates performance of direct reportsPay Rate: 100- 150We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less