Pharmacy Business Operations Manager
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Job Location:
Monthly Salary:
Posted on:
5 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Overview
We are seeking a highly organized and operations-driven Pharmacy Business Operations Manager to oversee inpatient and outpatient pharmacy functions across our Michigan locations including Flint Warren and Coldwater. This role ensures all pharmacy operations run efficientlycovering claims oversight credentialing shipping workflows staffing regulatory readiness and 340B support. The ideal candidate will lead multi-site pharmacy operations strengthen financial and operational performance and ensure seamless coordination between inpatient and outpatient teams.
Key Responsibilities
We are seeking a highly organized and operations-driven Pharmacy Business Operations Manager to oversee inpatient and outpatient pharmacy functions across our Michigan locations including Flint Warren and Coldwater. This role ensures all pharmacy operations run efficientlycovering claims oversight credentialing shipping workflows staffing regulatory readiness and 340B support. The ideal candidate will lead multi-site pharmacy operations strengthen financial and operational performance and ensure seamless coordination between inpatient and outpatient teams.
Key Responsibilities
- Operational Leadership & Multi-Site Oversight
- Oversee daily pharmacy operations for outpatient and inpatient locations in Flint Warren and Coldwater.
- Ensure smooth and compliant workflows across all sites including inventory ordering dispensing shipping and staffing.
- Maintain communication with inpatient pharmacy leadership to ensure medications are appropriately ordered stocked and reconciled.
- Support licensure expansion into additional states for outpatient pharmacy services.
Claims Billing & 340B Support
- Monitor and track all pharmacy claims across TPAs PBMs and payors to ensure accurate adjudication.
- Verify credentialing status for all pharmacies and ensure all payor enrollments remain active and compliant.
- Oversee 340Brelated workflows including auto-billing validation claim matching diversion/exclusion checks and pharmacycovered entity coordination.
- Identify discrepancies underpaid claims or missed revenue opportunities and escalate/resolution as needed.
Shipping & Fulfillment Oversight
- Ensure shipping operations are timely compliant accurate and aligned with pharmacy standards.
- Monitor packaging routing temperature control and tracking processes to maintain quality and patient safety.
- Develop improvements to increase speed accuracy and cost-effectiveness.
Staffing Hiring & Team Management
- Lead hiring efforts for pharmacists pharmacy technicians and support staff across all Michigan locations.
- Support new hire onboarding training performance expectations and workflow alignment.
- Ensure proper staffing models are maintained to support volume and growth.
Growth & Outpatient Pharmacy Development
- Drive growth of the outpatient pharmacy through optimization of workflows patient engagement strategies and provider alignment.
- Work with business development clinical teams and operations leaders to expand outpatient pharmacy services.
- Monitor KPIs including volume turnaround time claim success rates acquisition cost trends and margin performance.
Regulatory Compliance & Credentialing Coordination
- Maintain up-to-date licenses permits payor contracts enrollments and state board requirements for all pharmacy locations.
- Ensure compliance with all Michigan and federal regulations including pharmacy board rules USP standards and applicable accreditation standards.
- Prepare documentation and support audits inspections and regulatory reviews.
Cross-Functional Collaboration
- Partner with finance operations compliance HR inpatient pharmacy outpatient pharmacy and leadership teams to ensure alignment and execution.
- Serve as a primary point of contact for all pharmacy operational issues across Michigan locations.
- Step in to support staffing or operational needs during high-volume periods.
Required Qualifications
- Bachelors degree in Pharmacy Business Administration Healthcare Administration or related field.
- Strong operational organizational and project management skills.
- Experience in pharmacy operations (inpatient outpatient or specialty).
- Ability to manage multiple sites workflows and competing priorities.
- Excellent communication documentation and leadership abilities.
Preferred Qualifications
- Multi-site pharmacy management experience strongly preferred.
- Understanding of pharmacy claims TPAs PBMs and reimbursement models.
- Working knowledge of 340B operations and auto-billing workflows.
- Background in pharmacy credentialing licensing and payor enrollment.
- Experience managing shipping/fulfillment operations in a pharmacy environment.
- Familiarity with USP <797>/<800> Michigan Board of Pharmacy requirements and outpatient/inpatient operations.
- Experience supporting pharmacy growth initiatives or expansion projects.
Required Experience:
Manager
Key Skills
- Disaster Recovery
- Order Management System
- SAFe
- TOGAF
- Business Management
- White Papers
- Investment Banking
- Middleware
- Project Management
- Sharepoint
- Order Fulfillment
- Google Suite
About Company
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