Pharmacy Revenue Cycle Program Manager
2 months ago
Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. _Position Summary:_ The Pharmacy Revenue Cycle Manager will play a vital role in overseeing the financial aspects of the pharmacy operations. Your primary responsibility will be to manage the revenue cycle processes, optimize billing and collections, and ensure efficient reimbursement for pharmacy services. Working closely with the pharmacy team, billing specialists, and healthcare providers, you will implement strategies to maximize revenue and maintain compliance with relevant regulations. _Position Responsibilities:_ Key Areas of Responsibility 1. Revenue Cycle Management a. Oversee all aspects of the pharmacy revenue cycle, including billing, claims processing, and collections b. Monitor and analyze revenue cycle metrics, identifying areas for improvement and implementing action plans to enhance safety and accuracy 1. Billing and Claims Processing a. Works with Finance and system revenue cycle departments to ensure appropriate pricing and reimbursement of Pharmacy Services b. Ensure accurate and timely submission of pharmacy claims to third-party payers, including private insurers, CMS Medicare and Medicaid c. Collaborate with billing specialists to resolve claim denials and rejections promptly d. Review coding accuracy and compliance to optimize reimbursement rates 1. Financial Analysis a. Conduct regular financial analyses and generate reports to track revenue performance, identify trends, and make data-driven decisions b. Develop strategies to increase revenue and decrease drug expense c. Be familiar with patient-related finances; understand standard insurance coverage, copayments, and patient financial responsibilities 1. Compliance and Regulations a. Stay up-to-date with relevant healthcare regulations, billing guidelines, and industry best practices b. Ensure compliance with state and federal regulations, payer requirements, and billing standards 1. System Optimization a. Collaborate with IT and pharmacy software vendors to enhance the revenue cycle systems and optimize billing workflows b. Implement and maintain electronic billing processes to streamline operations Education Bachelor's degree in Healthcare Administration, Pharmacy, Business, or a related field Experience · Minimum: o In-depth knowledge of pharmacy billing practices, coding systems (e.g., NDC, HCPCS), and insurance reimbursement processes o Familiarity with pharmacy software systems, electronic health records (EHR), and billing software · Preferred: 5 years in revenue cycle management, preferably in a pharmacy or healthcare setting Language Skills: · Strong communication skills, both written and verbal Knowledge, Skills and Ability: · Knowledge of healthcare compliance and patient and data confidentiality rules _We take great care of careers._ __ With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. *Job: Pharmacy *Organization: Hartford HealthCare Corp. *Title: *Pharmacy Revenue Cycle Program Manager Location: Connecticut-Hartford-80 Seymour Street (10008) Requisition ID: 24159441
-
Pharmacy Revenue Cycle Program Manager
2 months ago
Hartford, United States Hartford Healthcare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Work where every moment matters.Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.The...
-
Pharmacy Revenue Cycle Program Manager
4 weeks ago
Hartford, United States Hartford Healthcare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details:Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare network. The...
-
Revenue Cycle Denials Analyst
3 months ago
Hartford, United States Connecticut Children's Full timeJob Description In collaboration with Revenue Cycle leadership, the Revenue Cycle Denials Analyst will bring a deep understanding of payer denial trends, claims processing strategies, payer policy updates, and accounts receivable resolution tactics. The Denials Analyst supports claims denials reductions and increased revenues through process redesign, root...
-
Hospital Pharmacy Program Coordinator
1 month ago
Hartford, United States Trinity Health Full timeEmployment Type: Full time Shift: Day Shift Description: Come join our Pharmacy team at Saint Francis Hospital, a member of Trinity Health Of New England! Position Purpose The Pharmacy 340B Coordinator/Analyst is responsible for the day-to-day oversight, management, compliance review, and operations of the 340B Program including: clinic administered...
-
Hospital Pharmacy Program Coordinator
1 week ago
Hartford, United States Trinity Health Full timeEmployment Type: Full time Shift: Day Shift Description: Come join our Pharmacy team at Saint Francis Hospital, a member of Trinity Health Of New England! REQUIRES LOCAL RESIDENCY Position Purpose The Pharmacy 340B Coordinator/Analyst is responsible for the day-to-day oversight, management, compliance review, and operations of the 340B Program including:...
-
Pharmacy Manager
4 weeks ago
Hartford, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...
-
Pharmacy Manager
7 days ago
Hartford, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we...
-
Retail Pharmacy Tech
3 months ago
Hartford, United States 511 Aurora Pharmacy, Inc. Full timeDepartment: 38590 API Hartford: Store 1102 - Retail Pharmacy Status: Full time Benefits Eligible: Yes Hou rs Per Week: 38 Schedule Details/Additional Information: This is full-time position floating to various Aurora Pharmacy locations in Washington County and the surrounding area. This technician will work primarily a first-shift based schedule...
-
Hospital Pharmacy Manager
2 weeks ago
Hartford, United States Clinical Management Consultants Full timeAn exciting new opportunity has just become available as our highly accredited acute care hospital located thirty minutes south of Hartford, Connecticut is looking for a Hospital Pharmacy Manager to play a critical role in overseeing the hospital’s mission of providing exceptional patient care. As the Inpatient Pharmacy Manager, you will be an integral...
-
Clinical Pharmacy Manager
5 months ago
Hartford, United States Sierra Staffing Full timeJob DescriptionJob DescriptionClinical Pharmacy ManagerReporting to the Director of Pharmacy, the Clinical Pharmacy Manager is responsible for leading and managing comprehensive clinical pharmacy services in a specific clinical area, or various clinical areas, as determined by hospital needs. The Clinical Manager will serve as the hiring manager for the...
-
Pharmacy Manager
4 weeks ago
West Hartford, United States CVS Health Full timeCVS Health Pharmacy Manager - West Hartford, Connecticut Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Position Summary As Pharmacy Manager, you play...
-
Hospital Pharmacy Manager
3 weeks ago
Hartford, United States Clinical Management Consultants Full timeAn exciting new opportunity has just become available as our highly accredited acute care hospital located thirty minutes south of Hartford Connecticut is looking for a Hospital Pharmacy Manager to play a critical role in overseeing the hospital's mi Pharmacy Manager, Manager, Hospital, Pharmacy, Patient Care, Healthcare, Staffing
-
Oncology Pharmacy Manager
2 weeks ago
Hartford, United States Hartford HealthCare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: 40 Hours per week Work where every moment matters.Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most...
-
Oncology Pharmacy Manager
1 week ago
Hartford, United States Hartford HealthCare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: 40 Hours per week Work where every moment matters.Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most...
-
Internal Revenue Agent
4 weeks ago
Hartford, United States Internal Revenue Service Full timeWHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX EXEMPT AND GOVERNMENT ENTITIES (TE/GE) DIVISIONS? A description of the business units can be found at: The following are the duties of this position at the full working level: Prepares audit statements with appropriate schedules and exhibits to...
-
Pharmacy Clinical Operations Manager
5 days ago
Hartford, Connecticut, United States Sierra Staffing Full timeJob OverviewPharmacy Clinical Operations ManagerIn this pivotal role, reporting directly to the Director of Pharmacy, the Pharmacy Clinical Operations Manager is tasked with overseeing and directing comprehensive clinical pharmacy services across designated clinical areas, tailored to the evolving needs of the healthcare facility.The Pharmacy Clinical...
-
Manager of Clinical Pharmacy Services
1 day ago
Hartford, Connecticut, United States Connecticut Children's Full timePosition OverviewAs a key leader within the Pharmacy Department, the Manager of Clinical Pharmacy Services plays a vital role in aligning with the mission, values, and objectives of Connecticut Children's. This position is responsible for overseeing the daily clinical operations of the pharmacy, ensuring adherence to all relevant laws, policies, and...
-
Lead Pharmacy Operations Manager
6 days ago
West Hartford, Connecticut, United States CVS Health Full timePosition OverviewAs the Pharmacy Manager at CVS Health, you will be integral in fulfilling our mission of enhancing health care through compassionate service. Your leadership will be pivotal in fostering a culture of care and excellence within the pharmacy.Key ResponsibilitiesIn this role, you will:Oversee the daily operations of the pharmacy, ensuring...
-
Pharmacy Customer Service Associate
1 month ago
Hartford, United States Walgreens Full timeResponsibilities Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Responsible for...
-
Certified Pharmacy Technician
6 days ago
Hartford, Connecticut, United States Charter Oak Health Center Inc Full timeJob OverviewThe role of a Pharmacy Technician at Charter Oak Health Center Inc entails the preparation and dispensing of medications for patients, all conducted under the guidance of a licensed Pharmacist. This position adheres to both company protocols and the relevant state and federal laws.Key ResponsibilitiesInterpreting and processing physician...