Pharmacy Benefit Management Operations Manager
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Job Location:
Beaverton, OR - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Department Overview
Reporting to the Assistant Director of Specialty Pharmacy Services this position is responsible for the day-to-
day operational development and management of Pharmacy Benefit Management Services. Responsibilities
include but are not limited to employee supervision; education and training of staff; program development;
management of business and professional activities; quality assessment and process improvement;
maintenance of practice standards customer service and compliance with accreditation standards and
applicable laws and regulations; coordination of pharmacy services with other departments and teaching of
pharmacy interns and residents.
Function/Duties of Position
Operations Management:
- Manage day-to-day operations (24/7) in a cost- effective manner delegate responsibility and authority for providing services problem-solve issues identified by staff and internal/external stakeholders and coordinate services in assigned areas with interdisciplinary teams.
Human Resource Management:
- Recruit hire train develop and superviseassigned staff develop performance standards and conduct performancereviews.
Program Design & Development:
- Develop and/or redesign programsstrategies facilities and systems for service improvement or expansion. Lean Management: Practice of Performance Excellence (OPEX) for dailymanagement and continuous improvement.
Process/Service Monitoring:
- Manage coordinate/delegate and schedule appropriate assignment of staff to meet workload demands while assuring availability of adequate resources.
Regulatory & Compliance:
- Manage develop implement and maintainnecessary policies and procedures process improvements training andmonitoring activities to ensure operations are compliant with appropriate lawsregulations and organizational policies.
Teaching:
- Responsible for technician pharmacist student and residenttraining.
Required Qualifications
- PharmD or BPharm (with equivalent experience).
- Pharmacy Residency 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience).
Job Related KnowledgeSkills and Abilities(Competencies):
- Pharmacy benefit management including medication policy development formulary development and benefit design
- Excellent communication written and verbal
- Supervision of pharmacists and technicians and other staff
- Contemporary Pharmacy Practice
- Extensive knowledge of Medicare/Medicaid and Commercial Insurances
Preferred Qualifications
- MS MBAMPHBCPS
- Managed care concepts and knowledge of benefit design and implementation and prior authorization workflows.
- Experience in clinical and/or business program development Microsoft applications and project management
- Experience with PBM or health plan
Additional Details
The incumbent will spend a significant amount of time at a computer terminal. The position must deal with situations on a daily basis with a high degree of addition within the health care setting therecan be significant lack of control over the work pace with frequent interruptions (work is often dictated byexternal factors) that may lead to mental fatigue or stress
Benefits:
- Healthcare Options - Covered 100% for full-time employees and 88% for dependents and $25K of term life insurance provided at no cost to the employee
- Two separate above market pension plans to choose from
- Vacation- up to 200 hours per year depending on length of service
- Sick Leave- up to 96 hours per year
- 8 paid holidays per year
- Substantial Tri-met and C-Tran discount
All are welcome
Required Experience:
Manager
Key Skills
- IT Experience
- LTC Pharmacy
- Hospital Experience
- Pharmacy Software
- Infusion Experience
- Management Experience
- Pharmacy Residency
- Training & Development
- Pharmacy Technician Experience
- Supervising Experience
- Clinical Pharmacy Experience
- Compounding Medications
About Company
OHSU treats the most complex health needs in the region, makes discoveries that save lives and educates next-generation health professionals.
