Manager, Pharmacy
2 months ago
Job DescriptionThe main responsibilities of the Pharmacy Manager include: 1) leading the pharmacy referral team to ensure compliance with federal, state, health plan and IPA guidelines; 2) providing support and engaging in initiatives and processes implemented to manage specialty pharmacy costs; 3) implementing and monitoring for value-based contracts to meet pharmacy cost targets; 4) oversight on pharmaceutical rebate submission & monitoring processes, health plan cap deductions, and duplicate claims.ResponsibilitiesTo perform this job successfully, an individual must be able to perform the job description satisfactorily. This job description reflects management's assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functionsManage the pharmacy referral team to ensure compliance with federal/state/health plan/IPA guidelines, educate staff on clinical and administrative updates and implement utilization management strategies through ongoing assessments of new drugs and data analyses. Implement operational changes through staff education and interdepartmental collaboration (e.g., process improvement, new clients, onboarding of new health plans, capitated specialist groups). Create goals, metrics as well as monitoring tools for the staff and assigned processes, and provide monthly pharmacy reports, lead team meetings.Conduct monthly assessments of pharmacy data by region and for value-based contracts to identify targeted drugs and prescribers to promote evidence-based cost-effective utilization. Implement clinical interventions and provide monthly summary reports.Oversee and monitor the process of submitting and auditing rebate reports, health plan cap deduction files, duplicate claims reports, and MTM payments. Dispute inappropriate cap deducted claims with health plans by coordinating with all internal stakeholders. Lead ongoing interdepartmental meetings for cap deductions.Provide assistance and participate in state and health plan audits. Assess staffing bandwidth to ensure compliance with turn-around-time and other UM-related requirements. Provide support for member appeals and grievances. Review leakage reports for capitated specialist groupsProcess daily referrals and complete ad hoc projects.Microsoft Excel, Word, PowerPointGood written and verbal communication skillsQualificationsMust hold an active pharmacist license for CAManagement experiencePrior authorization experienceExperience and knowledge for injectables and infusionHealth plan pharmacy vs. medical benefitsActive pharmacist license for AZ and TX."Location-Based Pay Adjustment"
-
Pharmacy Technician
4 months ago
Orange, United States HADDY PHARMACY AND SURGICAL SUPPLIE Full timeBenefits: 401(k) matching Competitive salary Flexible schedule Health insurance Paid time off Training & development Wellness resources Job Title: Pharmacy Technician Pharmacy Name: E and M Pharmacy Location: 202 South Essex Ave, Orange, NJ - 07050 Position Type: Full-Time (Immediate Joining Preferred) Job Description: E and M Pharmacy in Orange is seeking a...
-
Pharmacy Technician
2 weeks ago
Orange, New Jersey, United States V L V ORANGE PHARMACY INC Full timePharmacy Technician Job DescriptionWe are seeking a detail-oriented and highly motivated Pharmacy Technician to join our dynamic team at V L V ORANGE PHARMACY INC. The ideal candidate will assist the pharmacist in the preparation and dispensing of medications, provide exceptional customer service, and ensure compliance with all relevant laws and...
-
Pharmacy Assistant
2 weeks ago
Orange, New Jersey, United States V L V ORANGE PHARMACY INC Full timeJob OverviewWe are seeking a detail-oriented and highly motivated Pharmacy Technician to join our dynamic team at V L V ORANGE PHARMACY INC. The ideal candidate will assist the pharmacist in the preparation and dispensing of medications, provide exceptional customer service, and ensure compliance with all relevant laws and regulations.Key...
-
Pharmacy Technician Position
7 days ago
Orange, California, United States V L V ORANGE PHARMACY INC Full timeJob Summary:V L V ORANGE PHARMACY INC is seeking a detail-oriented and highly motivated Pharmacy Technician to join our dynamic team.The ideal candidate will assist the pharmacist in the preparation and dispensing of medications, provide exceptional customer service, and ensure compliance with all relevant laws and regulations.Key Responsibilities:Medication...
-
Pharmacy Technician
1 week ago
Orange, New Jersey, United States HADDY PHARMACY AND SURGICAL SUPPLIE Full timeAbout the Role:We are seeking a highly skilled Pharmacy Technician to join our team at HADDY PHARMACY AND SURGICAL SUPPLIE. As a Pharmacy Technician, you will play a vital role in supporting our pharmacists in accurately preparing and dispensing medications.Key Responsibilities:Support pharmacists in preparing and dispensing medicationsProvide exceptional...
-
Pharmacy Manager
2 weeks ago
Orange, California, United States Alta Hospitals Full timePharmacy Manager Job DescriptionThe Pharmacy Manager is responsible for leading the pharmacy referral team to ensure compliance with federal, state, and health plan guidelines. This includes providing support and engaging in initiatives and processes implemented to manage specialty pharmacy costs, implementing and monitoring value-based contracts to meet...
-
Pharmacy Manager
1 month ago
Orange, California, United States Alta Hospitals Full timePharmacy Manager Job DescriptionAt Alta Hospitals, we are seeking a highly skilled Pharmacy Manager to lead our pharmacy referral team and ensure compliance with federal, state, and health plan guidelines. The successful candidate will have a strong background in pharmacy management, excellent communication skills, and the ability to implement operational...
-
Pharmacy Manager
3 weeks ago
Orange, California, United States Prospect Medical Holdings Full timePharmacy Manager Job DescriptionAt Prospect Medical Holdings, we are seeking a highly skilled and experienced Pharmacy Manager to lead our pharmacy referral team. The successful candidate will be responsible for ensuring compliance with federal, state, and health plan guidelines, as well as implementing and monitoring value-based contracts to meet pharmacy...
-
Pharmacy Manager
1 month ago
Orange, California, United States Prospect Medical Holdings Full timePharmacy Manager Job DescriptionThe Pharmacy Manager is a key leadership position responsible for overseeing the pharmacy referral team and ensuring compliance with federal, state, and health plan guidelines. This role requires strong leadership and management skills, as well as expertise in clinical and administrative updates.Key Responsibilities:Lead the...
-
Manager, Pharmacy
2 months ago
Orange, United States Alta Hospitals Full timeThe main responsibilities of the Pharmacy Manager include: 1) leading the pharmacy referral team to ensure compliance with federal, state, health plan and IPA guidelines; 2) providing support and engaging in initiatives and processes implemented to manage specialty pharmacy costs; 3) implementing and monitoring for value-based contracts to meet pharmacy cost...
-
Pharmacy Manager
7 days ago
Orange, California, United States CVS Health Full timePharmacy Manager Job DescriptionAt CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Pharmacy Manager, you will play a critical role in achieving this goal by leading and directing your Pharmacy Staff, comprised of both staff Pharmacists and Pharmacy Technicians, in the management, oversight, and...
-
Manager, Pharmacy
2 months ago
Orange, United States Alta Hospitals Full timeThe main responsibilities of thePharmacy Managerinclude: 1) leading the pharmacy referral team to ensure compliance with federal, state, health plan and IPA guidelines; 2) providing support and engaging in initiatives and processes implemented to manage specialty pharmacy costs; 3) implementing and monitoring for value-based contracts to meet pharmacy cost...
-
Pharmacy Technician
3 weeks ago
City of Orange, United States HADDY PHARMACY AND SURGICAL SUPPLIE Full timeBenefits: 401(k) Flexible schedule Paid time off Training & development Job Title: Pharmacy TechnicianCompany: E and M Pharmacy Location: 202 South Essex Ave, Orange, NJ - 07050Position Type: Full-Time (Immediate Joining Preferred)Join Our Team at E and M Pharmacy! E and M Pharmacy in Orange is on the lookout for a motivated...
-
Pharmacy Operations Manager
2 months ago
Orange, California, United States University Of California Irvine Full timeAbout the RoleWe are seeking a highly skilled and experienced Pharmacy Manager II to join our team at the University of California, Irvine. As a key member of our pharmacy leadership team, you will be responsible for overseeing the daily operations of our pharmacy department, ensuring the delivery of high-quality patient care, and contributing to the...
-
Pharmacy Operations Manager
1 month ago
Orange, California, United States University of California Full timeAbout the RoleWe are seeking a highly skilled and experienced Pharmacy Manager II to join our team at the University of California, Irvine. As a key member of our pharmacy leadership team, you will be responsible for the overall management of pharmacy operations, supervision of staff, and strategic planning to ensure the delivery of high-quality patient...
-
Pharmacy Operations Manager
2 weeks ago
Orange, California, United States University of California Full timeJob SummaryThe University of California, Irvine seeks a highly skilled and experienced Pharmacy Manager II to lead the pharmacy operations in a dynamic and fast-paced environment. As a key member of the healthcare team, the successful candidate will be responsible for the overall management of pharmacy operations, supervision of staff, and implementation of...
-
Pharmacy Manager II
1 month ago
Orange, California, United States University Of California Irvine Full timeAbout the RoleThe University of California, Irvine is seeking a highly skilled and experienced Pharmacy Manager II to join our team. As a key member of our pharmacy department, you will be responsible for the overall management of pharmacy operations, supervision of staff, and ensuring the delivery of high-quality patient care.Key ResponsibilitiesManage and...
-
Pharmacy Manager II
2 days ago
Orange, California, United States University Of California Irvine Full timeOverviewThe Pharmacy Manager II is a key leadership role at the University of California, Irvine, responsible for the overall management of all pharmacy operations in their designated area. This includes supervision of daily activities, operational activities, and processes designed to provide evidence-based and cost-effective medication dispensing,...
-
Pharmacy Operations Manager
6 days ago
Orange, California, United States University Of California Irvine Full timeAbout the Role:The University of California, Irvine is seeking a highly skilled Pharmacy Manager II to lead our pharmacy operations team. As a key member of our health system, you will be responsible for the overall management of all pharmacy operations, supervision of staff, and ensuring evidence-based and cost-effective medication dispensing, monitoring,...
-
Pharmacy Operations Manager
2 weeks ago
Orange, California, United States University Of California Irvine Full timeJob Summary:The Pharmacy Manager II will oversee the daily operations of the pharmacy, ensuring efficient and effective medication dispensing, monitoring, and distribution. This role requires strong leadership and strategic planning skills to drive departmental growth and improve patient care.The ideal candidate will possess a strong background in pharmacy...
