Qureos Mentor

giftHEALTH

<div><h2 class="jobSectionHeader"><b>Position Summary</b></h2><p>
We are seeking a Manager of Reimbursement to lead and manage day-to-day reimbursement operations, including oversight of a team of three Lead Reimbursement Analysts. This position plays a key role in supporting the Reimbursement and Revenue Cycle function, ensuring alignment with organizational goals, operational excellence, and compliance standards. Each Lead Reimbursement Analyst manages their own team of Reimbursement Analysts, so this role provides leadership through the Leads, sets direction across the broader reimbursement function, and serves as the escalation point for issues beyond the Leads' scope, spanning benefit investigations, prior authorizations, appeals, and patient assistance programs within Gifthealth's hub services and specialty pharmacy programs. This is a fully remote, desk-based role with frequent phone and computer use.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>
Direct and oversee reimbursement operations across the team, including benefit investigations, prior authorizations, appeals, denials management, and patient assistance programs, to maximize timely and accurate reimbursement</li><li>
Directly manage and mentor three Lead Reimbursement Analysts, setting priorities, monitoring team performance, and supporting their professional development</li><li>
Serve as the final point of escalation for reimbursement cases and operational issues that exceed the scope or authority of the Lead Reimbursement Analysts</li><li>
Monitor reimbursement KPIs (e.g., days sales outstanding, denial rates, collection rates) and develop action plans to address performance gaps</li><li>
Ensure compliance with payer contracts, coding guidelines, and applicable state and federal reimbursement regulations</li><li>
Partner cross-functionally with Finance, Billing, Coding, and Payer Relations to identify and resolve reimbursement barriers</li><li>
Prepare and present regular reimbursement performance reports and forecasts to senior leadership</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li>
Education: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience</li><li>
Licensure/Certification: Pharmacy Tech Trainee license required.</li><li>
Experience: 6+ years of experience in healthcare reimbursement, specialty pharmacy, hub services, or patient support programs, including 3+ years managing people leaders (e.g., leads, supervisors, or managers)</li></ul><p><b>
Skills:</b></p><ul><li>
Strong knowledge of payer reimbursement methodologies, benefit investigations, prior authorizations, appeals, denials management, and patient assistance programs within a specialty pharmacy or hub services environment</li><li>
Experience with reimbursement, CRM, and telephony systems, and advanced proficiency in Excel and reporting tools</li><li>
Proven ability to lead and develop people leaders, and to drive performance across distributed, fully remote teams</li><li>
Strong understanding of healthcare reimbursement, payer policy, and revenue cycle management.</li><li>
Excellent leadership, communication, and data-driven decision-making skills</li></ul><h3 class="jobSectionHeader"><b>
Desired Attributes</b></h3><ul><li>
Detail-oriented and highly organized, with strong analytical and problem-solving skills</li><li>
A collaborative, coaching-oriented leadership style</li><li>
Comfortable operating in a fast-paced, evolving healthcare environment, and skilled at building team culture and engagement in a fully remote setting</li></ul><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><ul><li><b>
Location</b>: Hybrid</li><li><b>
Schedule</b>: Full-time</li><li>
May require additional availability during specific hours or days or flexibility for escalations.</li><li>
Regular meetings with your teams, department, or leadership to ensure alignment.</li></ul><h3 class="jobSectionHeader"><b>
Key Essential Functions</b></h3><ul><li>
Must be able to sit and work at a computer for extended periods</li><li>
Must be able to occasionally lift up to 15 pounds (e.g., files, office supplies).</li><li>
Must be able to perform tasks requiring extended computer and telephone use, including typing, calls, and reviewing on-screen data</li><li>
Must be able to work in a fully remote, desk-based capacity with a reliable, secure home workspace and internet connection</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status:</b> Full-time
<br>
<b>FLSA:</b> Exempt</p><h3 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.</p><h2 class="jobSectionHeader"><b>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel.Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

Manager of Reimbursement

<div><h3 class="jobSectionHeader"><b>Position Summary</b></h3><p>
We are seeking a <b>Director of PBM Contracting</b> to join our Gifthealth team. Reporting to the Chief Legal Officer, this role serves as Gifthealth&rsquo;s primary point of contact with all PBM partners and owns the full PBM contracting lifecycle, including negotiation of new and renewal agreements, reimbursement integrity and rate validation, compliance monitoring, and audit response. This position plays a key role in <b>Payer Relations / Revenue Operations</b>, ensuring alignment with organizational goals, operational excellence, and compliance standards.</p><p>
Gifthealth&rsquo;s direct-to-patient model operates across multiple payer networks, and the terms we hold with our PBM partners directly shape our reimbursement rates, network eligibility, and compliance posture. The Director of PBM Contracting will build and lead a small team, work cross-functionally with pharmacy operations, finance, compliance, and technology, and ensure our PBM relationships are both commercially optimized and operationally sound.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li><b>
PBM Contract Negotiation: </b>Lead all PBM contract negotiations on behalf of Gifthealth, including new network agreements, renewals, amendments, and specialty contract structures. Develop negotiation strategies that optimize reimbursement rates, MAC appeals rights, network access terms, dispensing fee structures, and audit provisions. Own the full contract lifecycle from initial terms through execution and ongoing performance monitoring.</li><li><b>
Primary PBM Relationship Ownership: </b>Serve as Gifthealth&rsquo;s named point of contact with all PBM partners, including commercial, Medicare Part D, Medicaid managed care, and specialty PBMs. Build and maintain active working relationships with PBM contracting, network, and compliance teams. Represent Gifthealth professionally and authoritatively in every PBM interaction.</li><li><b>
Reimbursement Integrity and Rate Validation: </b>Own the process for validating that Gifthealth is receiving accurate reimbursements consistent with contracted terms across all PBM networks. Monitor adjudication data for rate anomalies, underpayments, and clawback patterns. Coordinate with pharmacy operations and finance to resolve discrepancies and recover owed reimbursements.</li><li><b>
PBM Compliance Management: </b>Ensure Gifthealth&rsquo;s operations remain in continuous compliance with PBM network agreements, provider manuals, credentialing requirements, and performance standards. Monitor for contract amendments or policy updates from PBM partners and translate requirements into internal operational actions with appropriate lead time.</li><li><b>
Audit Support and Response: </b>Serve as Gifthealth&rsquo;s lead for PBM-initiated audits, coordinating evidence collection, preparing response documentation, communicating with PBM audit teams, and managing remediation. Work proactively to reduce audit risk through internal controls, documentation standards, and pre-audit readiness reviews.</li><li><b>
Team Leadership: </b>Build and lead a team of PBM Contracting Specialists and Analysts. Assign and manage workload across the PBM portfolio, develop team expertise in contract analysis and payer relations, and create internal processes and tools that scale with Gifthealth&rsquo;s growing network of PBM relationships.</li><li><b>
Continuing Education and Market Intelligence: </b>Maintain an active continuing education posture across PBM contracting, reimbursement policy, pharmacy network legislation, and CMS guidance. Attend industry conferences, participate in pharmacy association forums, and leverage PBM partner relationships to stay ahead of changes that affect Gifthealth&rsquo;s contract terms or compliance obligations.</li><li><b>
Cross-Functional Collaboration: </b>Partner with pharmacy operations on network credentialing and compliance execution; with finance on reimbursement forecasting and per-dispense economics modeling; with technology on claims and adjudication data infrastructure; and with compliance and legal on contract review and regulatory interpretation.</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li><b>
Education: </b>Bachelor&rsquo;s degree or equivalent experience required; degree in healthcare administration, pharmacy, business, or a related field preferred.</li><li><b>
Experience: </b>8+ years of experience in PBM contracting, payer relations, pharmacy reimbursement, or pharmacy network management; direct, hands-on experience negotiating PBM contracts; 3+ years in a role with direct PBM negotiation accountability; experience managing PBM audits through resolution; experience working in or on behalf of a specialty pharmacy or mail order pharmacy operation.</li><li><b>
Licensure/Certification: </b>Not required. Pharmacist (RPh or PharmD) licensure or Certified Pharmacy Technician (CPhT) with deep payer-side experience preferred. Active participation in pharmacy association PBM forums or contracting continuing education preferred.</li><li><b>
Skills (Required): </b>Demonstrated familiarity with PBM contract economics including MAC pricing, AWP discount schedules, dispensing fees, network access terms, and audit provisions; strong analytical skills and ability to work with adjudication data to identify reimbursement discrepancies and model contract financial impact; track record of building and maintaining productive relationships with PBM contracting and network teams; ability to translate payer obligations into operational priorities and hold cross-functional teams accountable.</li><li><b>
Skills (Preferred): </b>Experience in a DTP pharmacy model or with manufacturer-sponsored patient access programs; prior experience at or contracting with major PBMs (ESI/Evernorth, CVS Caremark, OptumRx, Humana Pharmacy Solutions, Prime Therapeutics); familiarity with PSAO contracting structures; working knowledge of CMS Part D pharmacy network regulations and state PBM legislation; experience managing limited distribution network (LDN) contracts or specialty hub-to-pharmacy contracting arrangements.</li></ul><h3 class="jobSectionHeader"><b>
Desired Attributes</b></h3><ul><li>
Has sat across the table from PBM contracting teams and pushed back on terms that eroded pharmacy economics &mdash; not intimidated by PBM complexity, and uses it to Gifthealth&rsquo;s advantage.</li><li>
Maintains productive PBM relationships even when actively negotiating or disputing terms &mdash; professionally assertive, not adversarial.</li><li>
Builds internal compliance monitoring systems that catch issues before they become audit findings &mdash; proactive, not reactive.</li><li>
Distills complex PBM economics into clear summaries for executive audiences and is comfortable presenting reimbursement performance and contract negotiation strategy at the COO or C-suite level.</li><li>
Builder mentality &mdash; excited to put in place the contracts, relationships, and compliance infrastructure that will define Gifthealth&rsquo;s payer position for years ahead.</li></ul><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><ul><li><b>
Location: </b>Remote</li><li><b>
Schedule: </b>Full-time. May require travel for industry conferences, PBM partner meetings, and association events.</li><li>
Regular collaboration with pharmacy operations, finance, compliance, technology, and legal. Regular external engagement with PBM contracting, network, and audit teams across all active PBM relationships.</li></ul><h3 class="jobSectionHeader"><b>
Key Essential Functions</b></h3><ul><li>
Must be able to perform sedentary office work for extended periods, including sustained use of a computer and telephone.</li><li>
Must be able to travel for industry conferences, PBM partner meetings, and professional association events.</li><li>
Must be able to communicate effectively verbally and in writing across multiple organizational levels including the C-suite and with external PBM partners.</li><li>
Must be able to manage multiple concurrent PBM contracts, compliance obligations, audit responses, and team responsibilities simultaneously.</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status: </b>Full-time<br>
<b>FLSA: </b>Exempt</p><h3 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees.</p><h2 class="jobSectionHeader"><b>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

Director of PBM Contracting

<div><h3 class="jobSectionHeader"><b>Position Summary</b></h3><p>
We are seeking a <b>QA Specialist &ndash; Process Automation</b> to join our Gifthealth team. This is an entry-level role on the QA team within <b>Operations / Process Automation</b>, built for a detail-oriented pharmacy technician who is eager to grow into the intersection of pharmacy operations and health technology. Working under the close direction of the QA Lead, the QA Specialist performs structured day-to-day quality checks across BestRx and Gifthealth&rsquo;s automation workflows, documents findings clearly and consistently, and flags issues for triage and escalation.</p><p>
No prior QA or automation experience is required. Full training on systems, workflows, and documentation standards will be provided. What matters most is genuine attention to detail and the curiosity to ask why something does not look right.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>
Perform structured daily quality checks within BestRx and connected software automation systems, reviewing for issues such as duplicate prescriptions, intake mismatches, and workflow errors.</li><li>
Document issues clearly and consistently using standardized templates, capturing what the problem is, where it occurred, and what evidence supports the finding.</li><li>
Escalate findings to the QA Lead with clear, organized documentation so the appropriate teams can act quickly.</li><li>
Participate in testing of system fixes and workflow updates deployed by engineering, confirming that changes work as expected.</li><li>
Maintain organized issue logs and follow up on open items to ensure nothing falls through the cracks.</li><li>
Support the QA Lead in building training materials and QA best practice guides as the team grows.</li><li>
Handle all work in compliance with HIPAA requirements and internal pharmacy privacy standards.</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li><b>
Education: </b>High school diploma or equivalent required.</li><li><b>
Experience: </b>0&ndash;2 years; new graduates and RPT trainees welcome. Prior QA or automation experience not required. Any pharmacy operations background is helpful context.</li><li><b>
Licensure/Certification: </b>Active Registered Pharmacy Technician (RPT) credential required. Certified Pharmacy Technician (CPhT) credential strongly preferred and will be prioritized in screening.</li><li><b>
Skills (Required): </b>Strong attention to detail; ability to stay organized across multiple open items simultaneously; clear written communication skills; willingness to learn new systems, processes, and tools; adherence to HIPAA requirements and pharmacy privacy standards.</li><li><b>
Skills (Preferred): </b>BestRx experience or familiarity with any pharmacy management system; experience in a retail, specialty, or mail-order pharmacy environment; basic troubleshooting instincts including a habit of documenting what was tried before escalating.</li></ul><h3 class="jobSectionHeader"><b>
Desired Attributes</b></h3><ul><li>
Meticulous by nature &mdash; catches what others miss and documents findings completely without needing to be reminded.</li><li>
Curious when something looks wrong &mdash; investigates before escalating and documents what was tried.</li><li>
Communicates clearly in writing &mdash; can describe an issue so that someone else understands exactly what happened, where, and why it matters, without follow-up questions.</li><li>
Sees this role as an on-ramp into a more technical career &mdash; eager to grow and proactive about asking questions when something is unclear.</li><li>
Comfortable with evolving processes &mdash; frames change as an opportunity to contribute rather than a source of frustration.</li></ul><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><ul><li><b>
Location: </b>Columbus, OH (Hybrid or Remote).</li><li><b>
Schedule: </b>Full-time, salaried.</li><li>
Work is performed primarily using computer-based systems. Regular collaboration with the QA Lead and interaction with engineering and pharmacy operations teams as needed.</li></ul><h3 class="jobSectionHeader"><b>
Key Essential Functions</b></h3><ul><li>
Must be able to remain in a stationary position for extended periods while performing computer-based quality checks and documentation tasks.</li><li>
Must be able to work on a computer for the majority of the workday, including use of pharmacy management systems, issue-tracking tools, and documentation platforms.</li><li>
Must be able to communicate clearly in writing to document findings and escalate issues accurately.</li><li>
Must be able to work scheduled shifts reliably and maintain focus and attention to detail throughout the workday.</li><li>
Must be able to handle protected health information in compliance with HIPAA and internal privacy policies.</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status:</b> Full-time<br>
<b>FLSA:</b> Non-Exempt</p><h3 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees.</p><h2 class="jobSectionHeader"><b>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

QA Specialist – Process Automation

<div><h2 class="jobSectionHeader"><b>About Us</b></h2><p>
At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.</p><h3 class="jobSectionHeader"><b><br>
Position Summary</b></h3><p>
The Sr. Data Engineer is responsible for leading the design and architecture of Gifthealth's most critical data pipelines and platform components, establishing technical standards, and mentoring the broader engineering team. The ideal candidate has 6+ years of data engineering experience with demonstrated senior-level ownership, expert command of SQL, Python, and dbt, and the communication skills to align both technical and non-technical stakeholders on complex problems.</p><h3 class="jobSectionHeader"><b><br>
Key Responsibilities</b></h3><ul><li>
Lead the design and architecture of our most critical data pipelines and data platform components</li><li>
Set technical standards and best practices that elevate the entire data team</li><li>
Mentor and support junior and mid-level engineers through code reviews, pair programming, and knowledge sharing</li><li>
Own the health, scalability, and reliability of our orchestration infrastructure</li><li>
Partner with engineering, analytics, and leadership to shape the roadmap for our data platform</li><li>
Evaluate and introduce new tools and technologies to keep our stack modern and effective</li><li>
Ensure compliance and confidentiality of Personal Health Information across all data</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li><b>
Education</b>: Bachelor's Degree in mathematics, statistics, computer science, or other quantitative field and relevant work experience as a Senior Data Engineer</li><li><b>
Experience</b>: 6+ years of experience as a Data Engineer, with demonstrated senior-level ownership</li><li><b>
Skills</b>:
<ul><li>6+ years of experience as a Data Engineer, with demonstrated senior-level ownership</li>
<li>Expert proficiency in SQL and Python, with deep experience in Airflow or a comparable orchestrator</li>
<li>Strong track record with dbt, modern data warehouse platforms, and CI/CD pipelines</li>
<li>Experience mentoring engineers and contributing to team standards and culture</li>
<li>Ability to navigate ambiguity, make sound technical decisions, and drive projects to completion</li>
<li>Experience with AWS, Fivetran, and automated testing; Ruby experience is a plus</li>
<li>Excellent communication skills &mdash; you can align technical and non-technical stakeholders on complex problems</li>
<li>An excitement about what data can do for healthcare and patients</li>
</ul></li></ul><h3 class="jobSectionHeader"><b>Work Environment</b></h3><ul><li><b>
Location</b>: Remote</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status:</b> Full-time<br>
<b>FLSA:</b> Exempt</p><h3 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.</p><h2 class="jobSectionHeader"><b><br>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel.Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

Senior Data Engineer

<div><h2 class="jobSectionHeader"><b>Position Summary</b></h2><p>
We are looking for a <b>Remote Clinical Pharmacist Lead</b> to oversee and guide the daily operations of our clinical call center team. This role combines clinical expertise with strong leadership and operational management. The Clinical Pharmacist Lead will supervise a team of clinical pharmacists, drive call center performance, and ensure that service-level agreements (SLAs), quality standards, and patient outcomes are consistently achieved.</p><h2 class="jobSectionHeader"><b>
Key Responsibilities</b></h2><h3 class="jobSectionHeader"><b>
Leadership &amp; Team Oversight</b></h3><ul><li>
Provide direct leadership to remote clinical pharmacists supporting patient calls, counseling, and clinical interventions.</li><li>
Develop and maintain call center schedules, ensuring appropriate staffing coverage to meet demand.</li><li>
Coach, mentor, and support pharmacists to achieve high-quality patient interactions and operational excellence.</li><li>
Conduct regular team meetings and one-on-one check-ins to review performance, address challenges, and support professional growth.<br>
</li></ul><h3 class="jobSectionHeader"><b>
Call Center Operations &amp; Metrics</b></h3><ul><li>
Monitor call center performance metrics, including average handle time, first call resolution, call abandonment rate, adherence to schedule, and patient satisfaction scores.</li><li>
Drive team accountability for meeting SLAs and KPIs while maintaining high clinical quality and patient safety.</li><li>
Track and report on daily, weekly, and monthly performance dashboards.</li><li>
Collaborate with operations, client support, and technology teams to improve call flows, reduce bottlenecks, and streamline processes.<br>
</li></ul><h3 class="jobSectionHeader"><b>
Clinical &amp; Patient Support</b></h3><ul><li>
Serve as the clinical escalation point for complex patient cases or medication-related issues, including medication replacements.</li><li>
Ensure consistent counseling practices and adherence to clinical guidelines across all pharmacists.</li><li>
Review patient feedback and implement improvements to enhance patient experience.</li><li>
Support initiatives to improve adherence, reduce adverse events, and optimize patient outcomes.<br>
</li></ul><h3 class="jobSectionHeader"><b>
Compliance &amp; Quality Assurance</b></h3><ul><li>
Ensure compliance with federal, state, and organizational pharmacy regulations, including HIPAA and medication safety protocols.</li><li>
Oversee quality monitoring of calls and counseling sessions, providing feedback to pharmacists for continuous improvement.</li><li>
Develop and update SOPs and best practices for remote call center pharmacy operations.</li></ul><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><ul><li>
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree required.</li><li>
Preferred active Ohio pharmacist license in good standing, or willing to obtain within 180 days.</li><li>
3&ndash;5+ years of clinical pharmacist experience, with at least 2 years in a leadership, call center, or remote operations role preferred.</li><li>
Demonstrated success in meeting or exceeding call center or clinical operations metrics.</li><li>
Strong analytical skills to interpret KPIs, identify trends, and develop data-driven action plans.</li><li>
Excellent leadership, coaching, and communication skills in a remote environment.<br>
</li></ul><h2 class="jobSectionHeader"><b>
Desired Attributes</b></h2><ul><li>
Proven ability to balance patient care with operational efficiency.</li><li>
Motivational leadership style with the ability to build high-performing remote teams.</li><li>
Tech-savvy, with experience using pharmacy management systems, call center platforms, and reporting dashboards.</li><li>
Highly adaptable, solutions-focused, and comfortable working in a fast-paced, evolving environment.</li><li>
Strong problem-solving skills and ability to thrive under pressure.</li></ul><h2 class="jobSectionHeader"><b>
Work Environment</b></h2><ul><li>
100% remote, with regular virtual check-ins and performance reviews.</li><li>
Must be available to cover peak patient call times and adjust schedules as needed.</li><li>
Requires collaboration with multidisciplinary teams including operations, technology, and patient support leadership.</li></ul><h2 class="jobSectionHeader"><b>
Essential Functions of the Job</b></h2><ul><li>
Must be able to oversee and manage daily operations of remote pharmacy and call center teams, ensuring appropriate staffing, workflow balance, and task completion.</li><li>
Must be able to monitor live call activity, provide real-time feedback, and ensure all patient calls meet clinical and quality standards.</li><li>
Must be able to conduct daily check-ins, coaching sessions, and performance reviews with team members in a remote environment.</li><li>
Must be able to use pharmacy management systems, call center dashboards, and electronic health records efficiently to support team operations and patient care.</li><li>
Must be able to work a standard 8-hour workday, remaining accessible and engaged to support team needs and patient inquiries.</li><li>
Must have reliable internet access and a private, quiet workspace to ensure effective communication and confidentiality.</li><li>
Must be able to meet productivity, leadership, and quality performance metrics consistent with organizational standards.</li></ul><h2 class="jobSectionHeader"><b>
Employment Classification</b></h2><p><b>
Status:</b> Full Time<br>
<b>FLSA:</b> Exempt</p><h2 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h2><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.</p></div>

Clinical Pharmacist Lead - Call Center Operations

<div><h3 class="jobSectionHeader"><b>About Us</b></h3><p>
At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.</p><h3 class="jobSectionHeader"><b>
Position Summary</b></h3><p>
We&rsquo;re seeking a proactive and detail-oriented Pharmacy Shipping &amp; Delivery Support Specialist to join our team. In this role, you'll support the account management team in maintaining strong client relationships, ensuring deliverables are met, and helping drive overall client satisfaction. Additionally, you will support our patient facing teams in assisting with replacement requests. Occasionally, you may have contact with our patients directly as well.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>
Serve as a point of contact for day-to-day client, patient, and customer success team support and coordination.</li><li>
Assist in managing ongoing projects, timelines, and deliverables.</li><li>
Coordinate with internal teams to ensure client and customer expectations are met.</li><li>
Track and update account details, shipments (UPS), and communications.</li><li>
Conduct investigations for missing or damaged packages.</li><li>
Create replacements in our pharmacy system and queue for shipping when appropriate.</li><li>
Document all investigation and replacement outcomes thoroughly.</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li>
0&ndash;2 years of experience in account management, customer success, project coordination, or a related field.</li><li>
Strong communication and interpersonal skills.</li><li>
Highly organized with strong attention to detail.</li><li>
Ability to manage multiple tasks and priorities in a fast-paced environment.</li><li>
Proficient in Microsoft Office, Google Workspace, or similar tools; familiarity with CRM or project management software is a plus.</li><li>
Bachelor&rsquo;s degree in Business, Communications, Marketing, or a related field (or equivalent experience).</li><li>
Pharmacy Technician Trainee license required.</li><li>
Certification: Pharmacy Technician certification preferred. Pharmacy Technician certification must be obtained within one year of employment.</li></ul><h3 class="jobSectionHeader"><b>
Key Essential Functions</b></h3><ul><li>
Perform work in a remote, home-office environment using a computer for extended periods of time</li><li>
Handle a high volume of inbound and/or outbound phone calls in a professional and timely manner</li><li>
Communicate clearly and effectively with customers, candidates, or internal stakeholders via phone, email, and chat</li><li>
Actively listen, ask appropriate questions, and respond accurately to inquiries or issues</li><li>
Navigate multiple systems, software platforms, and databases simultaneously while on calls</li><li>
Accurately document interactions, updates, and outcomes in internal systems</li><li>
Maintain attention to detail while managing repetitive tasks and shifting priorities</li><li>
Meet productivity, quality, and performance metrics (e.g., call volume, response time, resolution rates)</li><li>
Demonstrate strong time management and ability to work independently with minimal supervision</li><li>
Maintain confidentiality and handle sensitive information appropriately</li><li>
Troubleshoot basic technical issues related to systems, processes, or customer concerns</li><li>
Participate in virtual meetings, trainings, and team collaboration activities</li><li>
Remain seated and/or stationary for extended periods, with occasional movement as needed</li><li>
Maintain a reliable internet connection and a distraction-free work environment</li><li>
Adapt to changing processes, tools, and business needs</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status:</b> Full-time<br>
<b>FLSA:</b> Non-Exempt</p><h3 class="jobSectionHeader"><b>
Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.</p><p>
We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!</p><h2 class="jobSectionHeader"><b>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

Pharmacy Shipping & Delivery Support Specialist

<div><h3 class="jobSectionHeader"><b>About Us</b></h3><p>
At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.</p><h3 class="jobSectionHeader"><b>
Position Summary</b></h3><p>
We are seeking a dedicated, compassionate, and customer-focused Certified Pharmacy Technician to join our Pharmacy Support Call Center Team. This role is ideal for someone who thrives in a fast-paced environment and is passionate about delivering exceptional service to patients, providers, and pharmacy partners. You will serve as a critical point of contact, ensuring smooth communication and problem resolution across multiple channels.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><ul><li>
Answer inbound calls from patients, providers, and pharmacy partners with professionalism and empathy.</li><li>
Handle high-volume call center operations while maintaining service quality and accuracy.</li><li>
Take verbal prescriptions from providers and ensure proper documentation in accordance with state regulations.</li><li>
Transfer calls related to clinical questions or counseling needs to pharmacists.</li><li>
Accurately process prescriptions and input patient data into the pharmacy system.</li><li>
Make outbound calls to prescribers for clarifications, refill requests, and medication verifications.</li><li>
Troubleshoot patient issues related to orders, insurance, or delivery, escalating when needed.</li><li>
Maintain accurate and confidential patient records, including address, allergies, and prescription history.</li><li>
Respond to emails and chat inquiries as needed, ensuring a prompt and thorough resolution.</li><li>
Collaborate closely with internal pharmacy operations, the pharmacist team, and external fulfillment partners.</li><li>
Adhere to all pharmacy laws, regulations, and compliance requirements.</li><li>
Contribute to continuous improvement by identifying call trends and suggesting workflow optimizations.</li><li>
Attend training sessions to stay current on pharmacy practices and customer service techniques.</li></ul><h3 class="jobSectionHeader"><b>
Qualifications</b></h3><ul><li>
High School Diploma or equivalent</li><li>
2+ years of experience in a call center, pharmacy, or customer support role (healthcare/pharmacy preferred)</li><li>
Comfortable handling a high volume of calls and multitasking in a fast-paced environment</li><li>
Strong communication, empathy, and de-escalation skills</li><li>
Detail-oriented with excellent problem-solving and critical thinking skills</li><li>
Adaptable to take on additional responsibilities as the role evolves</li></ul><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><ul><li><b>
Location</b>: Onsite</li><li><b>
Schedule</b>: Full-time</li><li>
May require additional availability or flexibility for escalations.</li><li>
Regular meetings with teams, departments, or leadership to ensure alignment.</li></ul><h3 class="jobSectionHeader"><b>
Key Essential Functions</b></h3><ul><li>
Must be able to remain seated and work at a computer for extended periods (up to 8 hours).</li><li>
Must be able to type and perform repetitive hand/wrist motions throughout the shift.</li><li>
Must be able to use a headset for phone-based communication for the majority of the workday.</li><li>
Must be able to navigate multiple computer systems and applications simultaneously.</li><li>
Must maintain focus and attention to detail while managing a high volume of calls or tasks.</li><li>
Must be able to communicate clearly and professionally via phone, chat, and email.</li><li>
Must be able to work onsite for all scheduled shifts, including potential weekends or evenings depending on business needs.</li><li>
Must be able to handle occasional escalated or emotionally charged interactions with composure.</li><li>
Must be able to meet productivity and quality standards consistently.</li></ul><h3 class="jobSectionHeader"><b>
Employment Classification</b></h3><p><b>
Status:</b> Full-time<br>
<b>FLSA:</b> Non-Exempt
</p><h3 class="jobSectionHeader"><b>Equal Employment Opportunity (EEO) Statement</b></h3><p>
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.
</p><p>We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!</p><h2 class="jobSectionHeader"><b>
Disclaimer</b></h2><p>
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.</p></div>

Patient Care Representative I

Join giftHEALTH and explore 7   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.