Clinical Pharmacy Expert

1 week ago

Pagadian, Zamboanga Peninsula, Philippines beBeeVirtualPharmacist Full time ₱2,000,000 - ₱4,000,000
Job Overview:

The role of a Virtual Medication Specialist is a key position in our organization, requiring strong analytical skills, attention to detail, and proficiency in technology.

  • Key Responsibilities:
  • Ai-Assisted Medication Verification:
    • Verify the accuracy of medications packed into dose-ready sachets using AI-driven tools.
    • Cross-check AI-identified medications against prescriptions to ensure correct dosage and format.
    • Flagging where there is a missing or duplicate tablet or debris to be removed.
    • Highlight patients who have missing data so they can be redone (black screens).
    • Provide feedback on AI performance to improve accuracy and reliability.
  • Claims Review & Submission:
    • Review insurance/government claims prior to submission to ensure accuracy and compliance with payer requirements.
    • Verify patient eligibility for financial assistance programs and document submitted to support claim.
    • Check all paperwork for completeness and resolve discrepancies in documentation.
    • Collaborate with the billing team to streamline claims submission processes.
  • Data Integration & Onboarding:
    • Facilitate the migration of data from external systems into our dispensing systems during the onboarding of new hospitals and nursing homes.
    • Validate and reconcile data to ensure accuracy and completeness.
    • Collaborate with onboarding teams to ensure a seamless integration process including phone communication through VOIP.
  • General Duties:
    • Processing monthly orders from customers by reviewing the order placed and entering the order into the dispensing system.
    • First line customer queries from nursing home and hospitals confirming that the pharmacy received an order and expected delivery time.

Requirements:

  • Active pharmacist license (state or national, as applicable).
  • 2+ years of experience in pharmacy operations, claims management, or clinical pharmacy.
  • Familiarity with insurance claims, financial aid programs, and medication therapy management.
  • Strong understanding of pharmacology, medication identification, and healthcare compliance.
  • Proficiency with technology, including AI tools and claims management systems.
  • Exceptional attention to detail and analytical skills.

Preferred Skills:

  • Experience with medication packaging systems such as sachets or blister packs.
  • Knowledge of AI applications in healthcare or pharmacy operations.
  • Background in patient financial assistance programs or insurance processes.

  • Clinical Case Reviewer

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    Job Title: Clinical Case ReviewerRole Summary: Nezda Global seeks a seasoned clinical professional to review medical claims for medical necessity and provide expert advice to ensure the best possible patient outcomes.As a key member of our team, you will be responsible for assessing customer needs, interpreting medical records, and working closely with...

  • Medical Equipment Expert

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeHistopathology Full time ₱5,000,000 - ₱7,500,000

    Expert Histopathology Equipment Specialist WantedWe are seeking a highly skilled and dedicated expert to support medical devices and laboratory equipment in histopathology.This role ensures reliable equipment performance in clinical and research laboratories while delivering excellent technical support and training to clients.Key Responsibilities:Equipment...

  • Medical Sales Expert

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeOncology Full time ₱750,000 - ₱1,050,000

    Medical Sales ExpertWe are committed to providing patients with access to life-saving medications at affordable prices. Our innovative medical sales team focuses on making a real difference in people's lives.Main Responsibilities:Establish and maintain strong relationships with oncoplastic surgeons, gynecologic oncologists, and other specialists.Develop and...

  • Global Health Solutions Specialist

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeCare Full time $36,000 - $54,000

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.We strive for inclusion, foster talented peers, provide comprehensive...

  • Expert Reviewer

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeMicrobiology Full time ₱6,500,000 - ₱8,500,000

    Freelance Microbiologist ReviewerWe are seeking skilled researchers, retired professionals and former academics to participate in our peer review program for journals and publishers.The ideal candidate should possess a Doctorate (PhD/MD) or equivalent advanced degree in microbiology. Additionally, they must have published at least two research articles in...

  • Expert Healthcare Navigator

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeCare Full time ₱50,000 - ₱68,000

    Clinical Nurse Case Manager Job DescriptionThe primary goal of a Clinical Nurse Case Manager is to ensure that patients have access to the necessary healthcare services in a cost-effective manner.

  • Home Health Care Professional

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeHealthcare Full time $13,080

    Job Overview:As a skilled Healthcare Administrator, you will oversee intake coordination, compliance, and clinical documentation. This critical role serves as the bridge between physicians, nurses, patients, and administrative staff, ensuring seamless communication and efficient patient care.Key Responsibilities:Coordinate the intake process for new...

  • US Nursing Career Opportunities

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeCareer Full time $79,308 - $145,216

    About the RoleAs a registered nurse with NCLEX, you will have the opportunity to work in various healthcare settings across the United States.This is a fantastic chance for you to grow professionally in world-class hospitals and make a meaningful impact in patient care.You must be a Registered Nurse with NCLEX certificationCurrent experience in a hospital...

  • Quality Assurance Lead

    1 week ago

    Pagadian, Zamboanga Peninsula, Philippines beBeeVendor Full time A$100,000 - A$145,000

    Job OverviewThe successful candidate will lead daily vendor qualification operations, overseeing vendor selection, assessments, and qualifications. This includes managing audit schedules, quality metrics, and reports.Key responsibilities include:Managing daily vendor qualification operations;Overseeing vendor selection, assessments, and qualifications;Acting...