Full-Time

Clinical Pharmacist

CA Licensed

Posted on 10/31/2025

Shields Health Solutions

Shields Health Solutions

1,001-5,000 employees

Specialty pharmacy services for health systems

No salary listed

California, USA

Remote

Category
Medical, Clinical & Veterinary (3)
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Requirements
  • Doctor of Pharmacy (PharmD) or equivalent advanced degree
  • California state licensed Pharmacist
  • Education: PharmD or equivalent advanced degree required
  • Must hold a CA state licensed Pharmacist
  • Must be able to commit to obtaining required licensure within a mutually agreed timeframe if additional licensure is needed
Responsibilities
  • Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations.
  • Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care.
  • Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states.
  • Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes.
  • Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate.
  • Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate.
  • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates.
  • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies.
  • Productivity monitoring and reporting weekly stats for growth development
  • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol.
  • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied.
  • Supervising communication of support personnel compliant with HIPPA rules and regulations;
  • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA.
  • Direct communication with other health professionals as necessary regarding patient care;
  • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals;
  • Manage, organize, and update relevant data using database applications;
  • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;
  • Assist with research projects and peer reviewing articles as needed.
  • Identify trends, resolves problems; recommend improvements; implements change;
  • Actively participates in process improvement initiatives;
  • Protects organization's value by keeping information confidential;
  • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;
  • Willing to do whatever is necessary for the betterment of the Company;
  • Other duties as assigned;
Desired Qualifications
  • Knowledge using EPIC/WILLOW software a plus
  • Specialties: Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia and many various inflammatory conditions (including Lupus) preferred.
  • Years of Experience: 1+ years' experience strongly preferred but not required
  • Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator
  • Experience/ Education: California residents privacy notice etc not included as desirable; but maybe not.
  • Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data
Shields Health Solutions

Shields Health Solutions

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Shields Health Solutions provides integrated specialty pharmacy services for health systems to improve patient outcomes and drive growth. It collaborates with 75 health systems, including academic medical centers and community hospitals across 47 states, to deliver medication management, patient support programs, and care coordination for patients with chronic and complex diseases. The company works by partnering with clinicians and healthcare providers to manage specialty medications, optimize clinical outcomes, and make high-cost therapies more accessible and affordable. What sets Shields apart is its extensive network of health-system partnerships and its focus on therapy management and coordination within the hospital ecosystem, rather than operating as a standalone retail pharmacy. The goal is to help health systems expand access to specialty care, improve patient outcomes, and grow through integrated pharmacy services.

Company Size

1,001-5,000

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$4.5B

Headquarters

Quincy, Massachusetts

Founded

2012

Simplify Jobs

Simplify's Take

What believers are saying

  • Evernorth's $3.5 billion investment provides substantial capital for expansion and innovation.
  • AI-enabled workflows with Foundation Health strengthen operational efficiency in specialty pharmacy.
  • Expanding partnerships with Duke Health and Lakeland Regional Health drive market penetration.

What critics are saying

  • Evernorth's preferred stock investment grants controlling influence over Shields' strategic decisions.
  • Evernorth redirects limited distribution drug access to Cigna's Accredo, marginalizing health system partners.
  • Walgreens divestiture severs pharmacy infrastructure support, inflating operational costs 20-30% immediately.

What makes Shields Health Solutions unique

  • Integrated specialty pharmacy model serves 80+ health systems across 47 states nationwide.
  • Proprietary TelemetryRx platform identifies eligible patients and provides standardized data reporting.
  • Clinical model proven to lower total cost of care by 13%.

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Benefits

Hybrid Work Options

Annual Performance Bonus

Company News

Shields Health Solutions
Mar 17th, 2026
Shields and Foundation Health partner to bring AI to a rapidly evolving specialty pharmacy landscape.

Shields and Foundation Health partner to bring AI to a rapidly evolving specialty pharmacy landscape. As the specialty pharmacy landscape rapidly changes, Shields Health Solutions is taking a thoughtful approach to innovation. In Becker's Hospital Review, Shields shares why it partnered with Foundation Health to develop AI-enabled workflows designed to strengthen operational efficiency and future-ready pharmacy models. Read the full article at Becker's Hospital Review.

Central Florida Health News
Nov 12th, 2025
Shields Health Solutions, Lakeland Regional Health Collaborate to Enhance Patient Access to Specialty Pharmacy Care

Shields Health Solutions, Lakeland Regional Health collaborate to enhance patient access to specialty pharmacy care. The partnership will support patients through personalized care, medications, and coordination. STOUGHTON, Mass. & LAKELAND, Fla. (November 12, 2025) - Shields Health Solutions (Shields), the premier specialty pharmacy accelerator in the country, has partnered with Lakeland Regional Health, one of Florida's leading healthcare providers, to improve access to specialty medications for patients managing chronic and complex health conditions. This enhanced collaboration is designed to support patients who rely on specialty medications to treat conditions such as cancer, multiple sclerosis, and autoimmune diseases. It will also strengthen care coordination across Lakeland Regional Health's provider network by integrating Shields' care model and expertise in specialty pharmacy. "Lakeland Regional Health is known for delivering compassionate, high-quality care to patients across Central Florida," said Michael Ham, CEO of Shields Health Solutions. "We're proud to support their teams by expanding access to specialty medications and helping patients manage complex therapies more affordably and effectively." Through this partnership, patients will benefit from personalized support services, including help navigating insurance coverage and financial assistance programs, which aim to reduce out-of-pocket costs, improve medication adherence, and ensure timely access to critical therapies. The initial focus of the collaboration will be on oncology and rheumatology with plans to expand into additional specialties over time. Shields currently partners with nearly 80 health systems nationwide, helping patients receive medications faster, reduce co-pays, and improve health outcomes. "At Lakeland Regional Health, we are committed to removing barriers to care and ensuring our patients have access to the treatments they need," said Ana Kalman, SVP, Chief Information Officer, Chief Operating Officer and Medical Center COO of Lakeland Regional Health. "Partnering with Shields allows us to enhance our specialty pharmacy services and deliver even greater value to our community." For more information, visit www.shieldshealthsolutions.com.

Benzinga
Sep 2nd, 2025
Analyst Favors Cigna, Alignment Healthcare, Cautious On Peers

Evernorth Health Services announced on Tuesday a $3.5 billion investment in Shields Health Solutions, a specialty pharmacy management company.

Surperformance
Sep 2nd, 2025
Cigna's Evernorth invests $3.5B in Shields

Cigna's unit, Evernorth Health, will invest $3.5 billion in Shields Health to enhance its specialty pharmacy business. This investment follows Shields' transition to a private company after Sycamore Partners acquired its former parent, Walgreens Boots Alliance, for $10 billion. Evernorth, which operates Accredo, aims to meet the growing demand for specialty medications. The investment is in preferred stock and won't impact Cigna's 2025 profit forecast.

PR Newswire
Sep 2nd, 2025
Evernorth Health Services Announces Investment in Shields Health Solutions

/PRNewswire/ -- Evernorth Health Services ("Evernorth"), a subsidiary of The Cigna Group (NYSE: CI), today announced a $3.5 billion investment in Shields...

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