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Onco360
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  • Pharmacy Claims Adjudication Specialist  

    - Houston, TX
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty ph... Read More
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Shift times between 8am and 8pm. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $21.00 an hour and up Sign-On Bonus: $5,000 for employees starting before September 30th, 2026. We offer a variety of benefits including: ~ Medical; Dental; Vision ~401k with a match ~ Paid Time Off and Paid Holidays ~ Tuition Reimbursement ~ Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360... Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Documents and submit requests for Patient Refunds when appropriate. Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws. Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Adjudication Specialist Qualifications and Responsibilities... Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #IH Employment Type: Full Time Read Less
  • Pharmacy Claims Adjudication Specialist  

    - Louisville, KY
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty ph... Read More
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style.


    Shift times currently between 8am and 8pm.


    Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.

    Starting salary from $21.00 an hour and up
    Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.

    We offer a variety of benefits including:
    Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities:
    The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections


    Pharmacy Adjudication Specialists at Onco360...
    Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Documents and submit requests for Patient Refunds when appropriate. Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws. Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Adjudication Specialist Qualifications and Responsibilities...
    Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion


    #IH

    Employment Type: Full Time
    Read Less
  • Pharmacist  

    - Louisville, KY
    Onco360 is continuing to grow, and we're seeking new team members... Read More
    Onco360 is continuing to grow, and we're seeking new team members. Join a mission-driven team making a difference in the lives of cancer patients. Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.


    Our specialty pharmacy in Louisville, KY has a need for a Full Time Pharmacist! This is an onsite role. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.


    Current Available Schedules:
    Monday - Friday - 9am - 5:30pm EST
    Monday - Thursday (FRI off) - 9am - 5:30pm EST, and every other weekend from 9am to 5:30pm**
    Tuesday - Friday (MON off) - 9am - 5:30pm EST, and every other weekend from 9am to 5:30pm**
    ** Weekend shifts include Shift Differential $4/hour for all hours worked


    Salary range starting at $135k + depending on experience.

    Sign-On Bonus: $5,000 for employees starting before August 31, 2026.

    A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.


    We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

    We offer a variety of benefits including:
    Medical; Dental; Vision 401k opportunity Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life insurance; and short and long-term disability

    Pharmacist Major Responsibilities:
    Evaluates physician medication orders for appropriateness of drug, dosage, potential interactions, and route of administration. Makes recommendations for therapy changes to the physician and facility staff as appropriate. Maintains patient database to include appropriate current and past medical history, appropriate clinical and laboratory data, and concurrent medication (including over-the-counter and home remedies). Ensures that appropriate laboratory tests for monitoring certain high risk conditions are ordered, evaluated and discussed with appropriate members of the healthcare team. Collaborates with the healthcare team to provide clinical and technical support as needed. Documents all communication with physicians, nurses, other members of the healthcare team and patients. Implements policies and procedures for the safe procurement, storage, distribution and use of drugs and biologicals, as well as disposal of drugs. Obtains, as necessary, and maintains all required documentation in accordance with federal and state regulatory agencies. Informs the Pharmacy Manager of medication related errors. Assists facility/agency staff personnel with procedures relating to safe and effective methods of procuring, maintaining, administering and disposing of drugs. Performs other tasks as assigned. Pharmacist Job Requirements:
    Education/Learning Experience
    Required: Bachelor's Degree in Pharmacy Desired: Pharm D preferred Work Experience
    Desired: One year experience in specialty pharmacy preferred Skills/Knowledge
    Required: Knowledge of pharmacy laws and federal and state regulations. Ability to work cooperatively as a member of a team. Licenses/Certifications
    Required: Current license in the state of practice Desired: Ideal candidates will have multi-state licenses #IH
    #Company Values: Teamwork, Respect, Integrity, Passion

    Employment Type: Full Time
    Read Less
  • Pharmacist  

    - Waltham, MA
    Our Onco360 Pharmacy in Waltham, MA has a need for (4) Full Time Phar... Read More
    Our Onco360 Pharmacy in Waltham, MA has a need for (4) Full Time Pharmacist! Onsite


    Monday-Wednesday (off Thursdays) Friday and alternating weekends 9:00am-5:30 pm EST Mon, Tues (off Wed) Thurs-Fri 10:30-7pm EST and alternating weekends 9-5:30 pm EST Tuesday-Friday 10:00am-6:30pm EST and every Saturday 9:00-5:30 pm EST Monday-Friday 11:30 am - 8:00 pm EST
    Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.

    A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.


    Salary range starting around $135k and up depending on experience. We also offer a $4.00 shift differential for weekend schedules!


    Sign-On Bonus: $5,000 for employees starting before September 30, 2026.


    We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

    We offer a variety of benefits including:
    Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life insurance; and short and long-term disability

    Pharmacist Major Responsibilities:
    Evaluates physician medication orders for appropriateness of drug, dosage, potential interactions, and route of administration. Makes recommendations for therapy changes to the physician and facility staff as appropriate. Maintains patient database to include appropriate current and past medical history, appropriate clinical and laboratory data, and concurrent medication (including over-the-counter and home remedies). Ensures that appropriate laboratory tests for monitoring certain high risk conditions are ordered, evaluated and discussed with appropriate members of the healthcare team. Collaborates with the healthcare team to provide clinical and technical support as needed. Documents all communication with physicians, nurses, other members of the healthcare team and patients. Implements policies and procedures for the safe procurement, storage, distribution and use of drugs and biologicals, as well as disposal of drugs. Obtains, as necessary, and maintains all required documentation in accordance with federal and state regulatory agencies. Informs the Pharmacy Manager of medication related errors. Assists facility/agency staff personnel with procedures relating to safe and effective methods of procuring, maintaining, administering and disposing of drugs. Performs other tasks as assigned. Pharmacist Job Requirements:
    Education/Learning Experience
    Required: Bachelor's Degree in Pharmacy Desired: Pharm D preferred Work Experience
    Desired: One year experience in specialty pharmacy preferred Skills/Knowledge
    Required: Knowledge of pharmacy laws and federal and state regulations. Ability to work cooperatively as a member of a team. Licenses/Certifications
    Required: Current license in the state of practice Desired: Ideal candidates will have multi-state licenses #IH
    #Company Values: Teamwork, Respect, Integrity, Passion

    Employment Type: Full Time
    Read Less
  • Certified Pharmacy Technician - Fulfillment  

    - Waltham, MA
    Great opportunity for career growth! We are seeking (2) Fulfillment... Read More
    Great opportunity for career growth! We are seeking (2) Fulfillment Pharmacy Technician at our Specialty Pharmacy located in Waltham, MA.
    This Full-Time Onsite position is Monday thro ugh Friday, 9:00 am to 5:30pm EST and10:30am-7pm EST.


    **Starting salary at $25.00/hr and up**


    Sign-On Bonus: $5,000 for employees starting before September 30, 2026.


    We offer a variety of benefits including :
    Quarterly Incentive Bonuses Medical, Dental & Vision insurance 401k opportunity Paid Time Off and Paid Holidays Tuition Reimbursement Paid Volunteer Day Floating Holiday Referral Incentive Paid Life, and short & long-term disability insurance

    Who We Are
    Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.


    A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

    Fulfillment Pharmacy Technician Summary:
    The pharmacy technician will assist pharmacists, technician leads, supervisors, and managers in daily workflow to dispense specialty prescription medications to patients or providers and other pharmacy related functions. They will ensure all assigned tasks are completed daily.

    Fulfillment Pharmacy Technician Major Responsibilities:
    Prepare prescriptions to be dispensed including printing labels; selecting and pulling medications from stock shelves, counting medications, and labeling the final product for dispense Packaging and organizing daily Rx orders for shipment Receive, order, and manage medication inventory Ability to work independently, meet deadlines and be flexible Good organizational skills and detail oriented Knowledge of medical terminology (including sig codes and Roman numeral), brand and generic names of medications and general pharmacy terminology Ability to perform tasks accurately and efficiently when inputting information Basic math and analytical skills Fulfillment Pharmacy Technician Qualifications:


    Education/Learning Experience
    Required: High School Diploma or GED Work Experience
    Required: 1-2+ years' pharmacy experience Skills/Knowledge
    Required: Pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Licenses/Certifications
    Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies
    Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion
    #IH

    Employment Type: Full Time
    Read Less
  • Pharmacy Claims Adjudication Specialist  

    - Scottsdale, AZ
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty ph... Read More
    W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ. This will be a Full-Time position. This is a remote hybrid opportunity, after onsite training period.


    Shift time between 8am and 8pm.


    Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.

    Starting salary from $23.00 an hour and up
    Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.


    We offer a variety of benefits including:
    Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities:
    The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections


    Pharmacy Adjudication Specialists at Onco360...
    Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Documents and submit requests for Patient Refunds when appropriate. Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws. Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Adjudication Specialist Qualifications and Responsibilities...
    Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion


    #IH

    Employment Type: Full Time
    Read Less
  • Our specialty pharmacy is located in Scottsdale, AZ. This is a full t... Read More
    Our specialty pharmacy is located in Scottsdale, AZ. This is a full time, remote opportunity - after onsite training period.


    Starting salary from $21.00 an hour and up - w e also offer $3.00/HR shift differential for WEEKEND schedules.


    Schedule: Mon - Fri 8:30am to 5pm MST in spring/summer, with shift to 9:30am to 6pm MST in fall/winter
    Sign-On Bonus: $5,000 for employees starting before September 31, 2026.


    We offer quarterly incentive bonuses as well as a $500 bonus for technicians to obtain their CPhT and/or CPhT-ADV credentials.


    This is an excellent opportunity for professional growth! As our organization continues to expand and our employees develop and promote within, we currently have Full Time positions available on our phone support team.


    We offer a variety of benefits including:
    Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Paid Volunteer Day Floating Holiday Referral Incentive
    As a member of our Outbound Phone Support team, you will:
    Assist health care providers and patients by phone; answering questions and requests. Communicate with patients and physician office staff to coordinate medication refill deliveries. Work with Insurance companies regarding rejected claims and prior authorizations. Serve as a primary contact for calls to patients and physicians.
    To be successful in this role, you will need:
    Good interpersonal skills Excellent verbal, written and customer service skills Ability to work independently, meet deadlines and be flexible Good organizational skills and detail oriented Knowledge of medical terminology (including sig codes and Roman numeral), brand and generic names of medications and general pharmacy terminology Ability to perform tasks accurately and efficiently when inputting information Licensed/registered pharmacy technician or as required by state law Basic math and analytical skills Intermediate typing/keyboarding skills
    Required education:
    High school or equivalent Required experience:
    Pharmacy Technician: 1+ years Desired license or certification:
    PTCB Certification Registered Pharmacy Technician Onco360, a closed-door specialty pharmacy, is seeking compassionate professionals who have an outstanding skillset in customer service. We are looking for certified pharmacy technicians who strive to go above and beyond for our patients and are confident speaking with patients and providers on the phone.

    #OncoPhone1
    #IH

    Employment Type: Full Time
    Read Less

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