Pharmacy Operations Resume Samples

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E Skiles

Eldridge

Skiles

71268 Runolfsson Way

Philadelphia

+1 (555) 926 6387

71268 Runolfsson Way

Philadelphia

Phone

p +1 (555) 926 6387

Experience Experience

Phoenix, AZ

Pharmacy Operations Analyst

Phoenix, AZ

Marvin Group

Phoenix, AZ

Pharmacy Operations Analyst

Understand the overall business model of Medicare Part D products, CMS guidance, and the PBM claim adjudication system and translate concepts into practice
Perform claim / benefit issue identification, communication, root cause analysis, resolution and remediation activities related to claim review
Document / support issue tracking, trending, and reporting related to audit and quality review activities
Support long term activities by influencing or providing input to forecasting and planning discussions; developing audit work plans
Work collaboratively with cross-functional and cross-organizational teams – build positive relationships, participate in calls and projects, prioritize tasks and projects to ensure timely completion and effective results
Work with minimal guidance
Be a resource for others, explaining complex issues, impacts and outcomes

Chicago, IL

Pharmacy Operations Supervisor

Chicago, IL

Predovic Inc

Chicago, IL

Pharmacy Operations Supervisor

Provide inspirational leadership and guidance to the team through feedback, performance management and development conversationsPTCB, Pharma
Develop training and competency materials for those who work with the 340B program
Work with wholesaler and/or manufacturers to develop strategies to maximize savings
Develops reports that outline savings, utilization, and discrepancies related to 340B
Determining and implementing process improvements
Identifying potential issues that interfere with workflow
Develops processes to limit program liabilities, mechanisms to identify risks and systems to prevent duplicate discounts

present

New York, NY

Pharmacy Operations Manager

New York, NY

DuBuque Inc

present

New York, NY

Pharmacy Operations Manager

present

Assists in the development and coordination of new process and quality improvement initiatives
Develop and assist with implementation of optimized schedules for all areas of pharmacy operations
Establishes work schedules for pharmacists and pharmacy technicians
Work on improvement plans, measure and communicate progress on each plan via written communication
Assists in medication formulary management and compliance
Partner with learning consultants to develop operations training manuals, work guides, and reference materials
Enhances professional growth and development by attending educational programs, job related literature, in-service meetings, and workshops/seminars

Education Education

Bachelor’s Degree in Pharmacy

Johnson & Wales University

Bachelor’s Degree in Pharmacy

Skills Skills

Leads Positively: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talent
Ability to communicate effectively and deliver presentations to senior leaders
Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first
Able to give direction and make sound business decisions
Ability to manage multiple tasks and deadlines with attention to detail
Ability to communicate effectively and deliver presentations to senior leaders of Humana
Intermediate knowledge of MS Office: Excel, PP and Outlook
3 years leadership experience as a supervisor, manager or director
Process Improvement Skills

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11 Pharmacy Operations resume templates

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Process Consultant, Pharmacy Operations Resume Examples & Samples

Project Management skills (i.e. detail-oriented, organized/accountable, ability to drive cross-functional teams to achieve goals)
Bachelor’s degree
Comprehensive knowledge of all Microsoft Office applications including Word, PowerPoint and Excel
Graduate degree
Understands commercial insurance products and the consumer

Associate Director of Pharmacy Operations Resume Examples & Samples

4+ years of related experience
NYS licensed Rph, PharmD, or PGY2
Solid Pharmacy operations experience

Pharmacy Operations Testing Project Analyst Resume Examples & Samples

Bachelor’s Degree in Business or a related field or equivalent work experience
Demonstrated competency in both written and oral communication skills
Excellent interpersonal and team work skills
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, Access and PowerPoint
Prior health insurance experience
Prior work history in a pharmacy clinical setting

Pharmacy Operations Manager Resume Examples & Samples

Intermediate knowledge of MS Office: Excel, PP and Outlook
Process Improvement Skills
Experience in fulfillment or manufacturing preferred

Pharmacy Operations Manager Resume Examples & Samples

Bachelor's Degree in Business or related field required
Pharmacy Technician certification or license required
Inventory management experience required
Leadership experience as a supervisor, manager or director

Pharmacy Operations Support Coordinator Resume Examples & Samples

Address Specialty Pharmacy questions that arise (Pending fees, delivery issues, excessive/insufficient inventory, etc.)
Assist with Pharmacy Initiatives, including retro-billing tracking, reconciliation of inventory and transactions, communication with the Network Pharmacies on issues that need to be resolved, assist in the creation (and update of) SOP’s and Process flows
Ensure necessary training is distributed to Network Pharmacies is completed. Assist training department with names of employees who will require training, AE training, program-specific training (new launches, retraining, etc.), and certifications (CAPHO)
Proficiency in Microsoft Office applications (Outlook, Word, Excel)
Excellent communication, customer service and interpersonal skills
Ability to work independently and in a team environment

VP, Pharmacy Operations Resume Examples & Samples

Reviews DERs (drug evaluation reviews) for approval/ denial to provide optimum care for our members and reduce pharmacy costs
Provides executive leadership for the pharmacy staff
Analyzes pharmacy data to determine cost savings opportunities
Develops policies and procedures for the pharmacy operations unit
Works with operations to improve call handling and customer service
Serves on various committees either as a voting member or an advisory capacity including, but not limited to P&T, grievance committees and other as assigned from time to time
Performs special projects as assigned
Preferred A Master's Degree in Business Administration
Required 15+ years of experience in all aspects of pharmacy
Required 7+ years of management experience
Required Other Experience within managed care
Advanced Other In-depth understanding of pharmacy claims adjudication system
Advanced Other Ability to use pharmaceutical and medical reference, literature to provide drug information to the health plan
Advanced Ability to analyze information and covert related activities into a comprehensive work plan
Advanced Ability to effectively present information and respond to questions from families, members, and providers
Advanced Ability to represent the company with external constituents
Advanced Ability to lead/manage others
Advanced Demonstrated leadership skills
Advanced Demonstrated customer service skills
Preferred Other Florida Consultant pharmacy license
Required Intermediate Microsoft Word Profcient in Microsoft Office including Word, Excel and Power Point
Required Advanced Healthcare Management Systems (Generic)

Pharmacy Operations Supervisor Resume Examples & Samples

Supervises the technician operations of the UCS Pharmacy Prior Authorization unit in a cost-effective manner
Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities
Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies
Experience in supervising others is desirable
Undergraduate degree or equivalent experience
1 + year of experience in a team lead, supervisory or management level role
Communicates well, verbally and written; able to give feedback related to performance, accuracy and efficiency of work
Ability to manage many priorities at the same time
Performance Management and good organizational skills
Prior Authorization or Pharmacy Technician experience
Pharmacy Technician Certification, CPhT
Intermediate to Advanced level knowledge and experience with MS Office Products
Experience working in a virtual environment
Experience managing 10+ employees

Pharmacy Operations Manager, Home Infusion Resume Examples & Samples

Supervises production pharmacy staff including Pharmacist, Technicians, Warehouse Manager and delivery drivers
Provides direction and guidance to staff to ensure compliance with company policies
Supervises, coordinates and / or participates in the preparation of sterile admixtures, ensuring compliance with USP and KS state pharmacy laws regarding IV compounding
Supervises and / or performs quality control activities related to sterile compounding and the clean room per company policy
Is familiar with, and strives to meet, various guidelines and recommendations as put forth by various governing bodies. For example, documentation of refrigerator temperatures, IV hood cleaning, equipment maintenance and other activities as required
Supervises and provides guidance regarding inventory control and reporting
Provides or participates in orientation /training programs for new personnel and current staff
Participates in department QA activities and branch PI activities
Works with other branch leaders to address issues and develop future processes
Works with other branch leaders to ensure compliance with accreditation standards, State, Federal, OSHA and other regulatory standards. Follows all agency department policy and procedures
Provides direct supervision to professional, technical or support staff and participates in evaluating their job performance
Performs other tasks or special projects as requested by management
2+ years’ experience in a home infusion pharmacy setting
Experience with sterile IV compounding
Ability to communicate effectively across range of professional levels
Ability to work effectively with others to provide safe and effective work environment
Ability to problem solve and supervise technical and other support staff
Excellent verbal and written communication skills, interpersonal relationship skills and problem solving skills
Knowledgeable of USP guidelines
Management / supervisory experience in a pharmacy environment

Senior Pharmacy Operations Manager Resume Examples & Samples

Utilizing continuous improvement methodologies, develop and organize site to eliminate non-value added activity in process
Drive process changes to elevate team to best in class member, client, prescriber and employee experience
Frequent inter-organizational contacts and availability for extended work hours due to nature of business
Extensive phone utilization when managing
Represent the organization in providing solutions to difficult technical issues associated with specific projects
Work within guidelines of operational requirements and maintain diplomatic approach with all employee and union activities (as appropriate)
Participate and engage/teach supervisory staff with personal development planning, one on one calls, and team building events
LI-RC1
Advanced problem solving skills with the ability to work cross-functionally to resolve issues and generate results among potentially conflicting constituencies
Analytical thinking, demonstrated ability to leverage data for problem solving
Demonstrated ability to delegate to direct and indirect reports, ability to focus on top priorities
Excellent communication skills, including written and verbal
Able to work towards specific deliverables within a environments of tight deadlines and significant pressure
Knowledge of PBM or Healthcare industry preferred
Excellent customer service skills required. Operations knowledge and experience required – includes specific experience using data analytics and reporting as a means to manage Operational decision-making (staffing, demand planning, quality, etc)

Pharmacy Operations Supervisor Resume Examples & Samples

Monitoring and managing Pharmacy Technician staff productivity and quality
Determining and implementing process improvements
Provide inspirational leadership and guidance to the team through feedback, performance management and development conversationsPTCB, Pharma
High School Diploma / GED
Current and unrestricted Pharmacy Technician License in the state of Nevada
2+ years of Pharmacy experience
1+ years of Specialty Pharmacy experience
Must have basic analytical skills
Proficient in MS Word and Excel (creating reports / spreadsheets)
Associates or Bachelors Degree
Pharmacy Benefit Management and / or Managed Care experience

Outpatient Pharmacy Operations Manager Resume Examples & Samples

Assists the Outpatient Pharmacy Director with the development and implementation of pharmacy strategic initiatives
Assists the Outpatient Pharmacy Director by providing leadership and direction of the pharmacy services/activities/functions, including drug distribution, drug education, pharmacist clinical activities, retail business expansion, performance measurements, regulatory compliance, employee development and multi-disciplinary team development, in a single large and/or multiple small/medium pharmacy location(s)
Sphere of influence includes Pharmacy Staff, Other Members of the Pharmacy Management Team, CA Regional Pharmacy Leadership Team, Providers, Department Administrators, Physician-In-Charge, Medical Group Leadership, Hospital Leadership, Area Union Representatives
May assist the Outpatient Pharmacy Supervisor - Hourly to prepare and/or approve the biweekly payroll
Provides resolution to service complaints by Health Plan members, other Kaiser health care professionals, department heads, and employees
Administers organizational and department policies and procedures
Minimum two (2) years of supervisory/management experience in an integrated delivery system or healthcare network comprised of multiple sites/facilities
Pharm. D. preferred
Previous courses completed, in pharmacy business management or related subjects preferred

Regional Director for Centralized Pharmacy Operations Resume Examples & Samples

Provides leadership, direction, & management of CPP & PCC, & other assigned centralized services, to assure consistent high levels of performance in pharmaceutical care, service, & operations in all NCAL outpatient pharmacies. Functions in a direct supervisory role to the managers in CPP & PCC, & other assigned centralized services
Provides leadership & direction to the personnel in CPP & PCC, & other assigned services. Provides ongoing leadership & direction to enhance member service
Provides leadership to assure the professional/management development at the individual level for CPP & PCC managers & their direct reports to assure high performing teams & personnel necessary for the long term success of Pharmacy Services in KP
Participates in the development & execution of strategy for delivery of outpatient pharmaceutical care, service & operations in NCAL, w/ consistent implementation at the local &/or regional level
Responsible for the development & implementation of CPP & PCC operating & capital budgets
Monitors performance against budgets & makes appropriate adjustments to achieve financial goals
Assist the VP POS, NCAL to
Seek out, promote & facilitate the rapid adoption & assimilation of best practices & innovations in service, work methods, technology, & operational systems which improve pharmacy service, quality & productivity in the CPP & PCC, consistent w/ California strategy
Sponsor, test & evaluate new technology & innovation. Ensures successful technology & innovations are rapidly implemented in CPP & PCC
Optimally utilize & integrate centralized support services & technology into pharmacy operations & workflows
Assure centralized pharmacy space needs are incorporated into master planning activities
Work collaboratively w/ Drug Use Management Leadership to assure appropriate use of pharmaceuticals, consistent implementation of drug use initiatives, & support of care management initiatives
Work collaboratively w/ Pharmacy Quality Leadership to assure consistent deployment of processes & tools to measure & assure the quality of pharmaceutical care, operations & services
Provide leadership & direction to assure compliance w/ Pharmacy law, regulation, pharmacy business practices, accreditation standards, & other KP policies
Work collaboratively w/ California Pharmacy Leadership in the development & allocation of operating budgets in outpatient & centralized pharmacy operations to assure appropriate resource utilization, consistent operations & scope of services provided, w/ monitoring of performance against operating plans, & adjustments implemented as necessary & appropriate
5-7 years of leadership-level experience and documented record of success in management of centralized pharmacy operations and/or call center operations and/or equivalent centralized operations and/or service center
Bachelor's degree in Health Services, Business Administration or related field required
Master's degree strongly preferred
Degree in Pharmacy preferred
Licensed to practice pharmacy (preferred)
Knowledgeable and experienced in Pharmacy operations, systems, technology, and personnel management
Demonstrated ability to utilize effective communication, presentation, financial management, and analytical skills required
Demonstrated track record of self-initiative, strategic thinking, and successful planning and innovation
Demonstrated ability to work collaboratively with physicians and/or health care administrators and/or organizational leaders
Demonstrated ability to apply and utilize knowledge of quality management process, as well as Pharmacy and related Medical, Nursing and other health care laws, regulations, and standards
Proficiency with personal computer usage necessary for monitoring, and reporting financial and operational performance
Demonstrated ability to lead and manage professionals and others through influence and collaboration across multiple sites
Demonstrated ability to successfully lead and direct peer groups and interdisciplinary project teams. Demonstrated ability to apply knowledge of personnel management principles and techniques
Frequent travel within California required

VP Pharmacy Operations & Services Resume Examples & Samples

Responsible for an operating budget of $2.0-2.5 billion, encompassing 15 Service Areas, 22 hospitals, 120 outpatient pharmacies, 2 Home Infusion Services & over 100 clinical pharmacy programs. Directly responsible for a team of 10-15 pharmacy leaders; overall responsibility for, & executive oversight of, over 4000 employees
Collaborates w/ National Service Line Leaders in Pharmacy as well as at the Regional H/HP level in the development & allocation of operating budgets to assure appropriate resource utilization, consistent operations, & scope of services provided, w/ monitoring of performance against operating plans, & adjustments implemented as necessary & appropriate
Provides executive leadership in the development of Pharmacy Operations’ vision & strategy for the region, including the establishment of organizationally-aligned performance goals, timelines & outcome measures. Assures that the Regional Pharmacy strategy & vision is fully aligned w/ the National Pharmacy Program strategy & vision. Responsible for prioritizing & adjusting the strategic plan & initiatives in response to organizational, regulatory or market driven imperatives. Directly accountable as the Regional Senior Leader for Pharmacy Ops to execute the strategy consistently across the region in all practice settings
Expected to lead, serve & participate on various committees at the Senior Leadership level
Collaborates w/ the VP-CFO of Pharmacy to develop operating plans & to ensure that the regional strategy, initiatives & monitoring systems & tools are aligned w/ the operating plan. Responsible for all financial targets & performance metrics in all Pharmacy Ops & Services in Northern California
Collaborates w/ the VP of Outpatient Pharmacy Services in the development & execution of national strategies for the delivery of Outpatient Pharmacy Ops & services across the Program. Responsible for all Outpatient Pharmacy targets, goals & performance metrics in Northern California
Collaborates w/ the VP of Acute & Transitional Pharmacy Care Services in the development & execution of national strategies for the delivery of Acute & Transitional Pharmacy Ops & services across the Program. Responsible for all Acute & Transitional Care Pharmacy targets, goals & performance metrics in Northern California
Collaborates w/ National & Regional Drug Use Management Leadership & Regional Medical Group Leadership to develop drug use initiatives & assure appropriate use of pharmaceuticals. Responsible for the execution & consistent implementation of drug use initiatives & care management initiatives
Collaborates w/ Executive Director, Medication Quality & Patient Safety & Regional H/HP & Medical Group Leadership to develop quality initiatives, processes & tools
Minimum seven (7) years of leadership-level experience and documented record of success in management of multi-disciplinary and multi-site pharmacy operations and services, required
Pharm.D. preferred but will also consider master's degree in pharmacy, health services or business administration or related field

Regional Pharmacy Operations Director Resume Examples & Samples

Industry representation in state and federal associations and knowledge of state pharmacy laws and regulations
Ability to influence, manage, and navigate a large geography
Bachelor Degree required
Advanced knowledge of Operations Management; Excellent organizational skills, excellent communication skills (verbal/written), and management skills
Field experience with a national or regional pharmacy chain or inside home office experience a plus
RPH or Pharm D preferred
Experience managing a remote team of retail and/or pharmacy managers

Pharmacy Operations Manager Resume Examples & Samples

Ability to performs all basic duties of pharmacist in the drug distribution process
Is responsible for preparing technician schedules in appropriate timeframes and ensuring shifts are covered with the appropriate staff and skill level to meet departmental and staffing model needs
Supervises technicians in the performance of their assigned duties on a daily basis and prioritizes tasks in the event of staffing shortages
Assigns, maintains and updates pharmacy technician job responsibility lists for all shift assignments and oversees compliance with those requirements. Coaches employees as necessary to ensure quality patient care and regulatory compliance
Assists with ensuring departmental USP 795, 797, 800 compliance and proper documentation of all related activities
Helps maintain departmental policies and procedures related to medication product preparation, storage, and distribution throughout facility
Actively communicates policy and procedure changes to appropriate staff and creates education for pharmacy and nursing staff as necessary
Oversees and directs workflow related distribution from the main pharmacy and automated dispensing cabinets
Responsible for oversight of routine scanning of medications and supplies and coordination with buyer to maintain appropriate stock
Assigns and ensures compliance required competencies for staff related to pharmacy operations
Ensures all compounding logs are accurately completed and filed and stored appropriately
Ensures appropriate daily hand off procedures are in place and being adhered to by direct reports to create seamless patient care
Assists in the development and coordination of new process and quality improvement initiatives
Assist in training of new pharmacists, pharmacy students, and technicians. Additional responsibilities include working directly with the Assistant Director of Pharmacy, Clinical Manager, and Pharmacy Supervisor to oversee pharmacy staff and assist in the synthesis and implementation of policies and procedures
Monitors medication par levels. Assist the Compounding Supervisor with communicating stock needs and drug shortages pertinent to meeting the immediate needs of patients with the pharmacy and hospital staff
Provide medication information to healthcare staff, pharmacokinetic dosing, assistance with technical duties, and dispensing services
Maintains professional growth and development through participation in seminars, workshops, and professional affiliations to remain current in field sterile product preparation, storage, and handling
Evaluates the performance of technical staff, assists with personnel performance reviews and assists with the development and retention of competent personnel in coordination with the Pharmacy management team
Manages personnel to include interviewing, work allocation, orientation and training, staff development problem resolution, evaluating performance, making recommendations for personnel actions and motivating employees to achieve peak performance. Is responsible for their employee’s output and provides constructive feedback with supervised employees in a timely manner
Works with the lead and automation techs to ensure compliance with corporate ADC optimization dashboard
Helps ensure that the department is maintained in a clean and orderly fashion
Monitors and verifies completion of PI and QA processes within the department. Verifies and coordinates completion of unit/area inspections, expiration date audits other work area inspections to ensure on-time completion and documentation
Attends meetings as required and participates on committees as requested
Participates in professional/civic organizations and activities as needed
Is compliant with required classes and vaccinations by CJW; i.e., Code of Conduct, influenza vaccine and TB skin tests, et al
A minimum of three (3-5) years hospital experience is required. A minimum of (1) year experience in managing task oriented staff preferred

Pharmacy Operations Resume Examples & Samples

Ensure appropriate distribution of workload and workflow for assigned area including scheduling, shifting resources and back filling as needed
Serve as the first line resource for questions/issues from team and cell owners, in coordination with supervisor; demonstrates leadership qualities consistent with the Express Way values
Effectively manages issues impacting performance and productivity of team members; including documenting issues, offering solutions, collaborating with others, communicating status and escalating as needed
Assist Supervisor in ensuring that established policies and standard operating procedures are being followed and that individual and team goals for productivity and quality are met/exceeded
Assist in the development, documentation and updating of policies and procedures for technicians, including specific training and validation material
Assist in training and validating technician staff regarding procedures, including one on one training and/or to group sessions as needed, Ensure that all team members are cross trained to cover production functions
Three to five years relevant working experience; experience in a pharmacy dispensing setting is required
Pharmacy Technician license / certification / registration as required by state law
General PC knowledge: Microsoft Word, Excel, PowerPoint and email skills preferred
Strong attention to detail with good organizational skills

Mgr, Pharmacy Operations Resume Examples & Samples

Ensures associates apply departmental policies and procedures, clinical criteria justifications, and defined roles and responsibilities to prior authorization/coverage determination decisions and/or during inbound or outbound phone calls
Presents medication reviews at the Pharmacy and Therapeutics Committee meetings
Develops departmental policies and procedures in conjunction with all state, federal, and contractural requirements
Required 3+ years of experience in licensed pharmacist role or successful completion of a PGY-1 Residency Program
Intermediate Demonstrated written communication skills
Intermediate Ability to influence internal and external constituents
Intermediate Other Ability to evaluate financially the impact of drug products

Manager of Pharmacy Operations Resume Examples & Samples

Leads team of Supervisors, Pharmacy Technicians and Clerks to process prescription orders for Fulfillment pharmacy
Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results
Participates and facilitates, as directed, any special projects assigned by the Pharmacy Operations Director
Demonstrated experience driving continuous improvements and implementing change in an organization
Advanced Excel and Power Point Skills
Ability to travel up to 10%
Lean/Six Sigma experience
Experience leading a large team of 50+ employees

Regional Pharmacy Operations Director Resume Examples & Samples

*This is a remote, work from home position, however, it’s desired the candidate to located in the North Central region.***
5-10+ years experience in an Independent Retail Pharmacy segment required
Strong classic retail experience
Candidate to be located in the North Central
Candidate to be located in: WI, MI, Il, IN, OH, KY, MO, IA, or NE

Director, Clinical Pharmacy Operations Resume Examples & Samples

Provides leadership in program development and operations, process improvement, implementation and measurement
Interprets and implements quality assurance standards
Creates, develops and implements policies and procedures in accordance with industry and regulatory standards and requirements
Improves quality of care and services, work performance and departmental processes
Assures timely identification of problems and correction of deficiencies
Participates in special projects as assigned by the VP of Clinical Ops
Assures compliance with state and Federal utilization requirements
Participates as thought leader for clinical and quality innovations and programs
Interviews, manages, evaluates, and develops departmental staff
Works collaboratively with key health care professionals toward identification of opportunities for improvement, trend analysis, education and development of appropriate action plans for problems resolution
Lean six sigma/black belt knowledge or experience
Broad clinical knowledge base required
Broad knowledge of the pharmacy and health care delivery systems required
Experience in Care Management/Disease Management methodologies and Program development preferred
Knowledge and experience in developing and managing formularies and P&T processes are preferred
Excellent problem solving skills; Refines and modifies processes and procedures to support change
Excellent written and verbal communication skills. The ability to establish relationships with key customer representatives through face-to-face and telephonic meetings as well as the identification of proactive business solutions is a critical success factor
Strong understanding of Medicare, Medicaid, and Commercial Health Plan populations required
Strong understanding of statistical analysis, clinical study methodologies, and outcome-based measurement required
Able to inspire others to grow
Supports innovation in employees
Travel is required (15% to 20%)

Manager / PIC Infusion Pharmacy Operations Resume Examples & Samples

Directs and supervises all pharmacy staff (20+ Pharmacists, Techs) and activities including drug preparation, sterile product preparation, dispensing and clinical pharmacy services
Works closely with other members of the management team (Manager: Intake, Nursing, Med Records / Facilities) to ensure customer service excellence and constant focus on quality improvement
Ensures all pharmacy operations, practices and procedures meet all licensing and standards requirements established by local, state and federal agencies as well as accrediting bodies (e.g. TJC, URAC)
Ensures compliance with all controlled substances related rules, regulations and Company policies in coordination with other departments and staff
Functioning as the Branch PIC, must be aligned with corporate legal department to ensure branch pharmacy licensures all remain in good standing
Work with other management / leaders regarding all handling of complaints and grievance
Current, unrestricted Pharmacist license in MD
Must possess both verbal and written communication skills, interpersonal relationship skills
3+ years in pharmacy management including leading staff and operations
Experience with managing staff including hiring, developing/motivating and directing
IV or Home infusion experience required
Exceptional organizational, time-management skills working toward hard deadlines
Working knowledge of processes related to sterile compounding to meet regulatory compliance requirements (USP 797 / USP 800 guidelines)
Excellent troubleshooting, problem solving and interpersonal skills effective with multiple levels / professional disciplines as well as patients, families, staff and physicians
Strong analytical skills (calculations, budgets, data reports)

Pharmacy Operations Manager Resume Examples & Samples

Responsible for pharmacy operations with direct reports consisting of staff pharmacists and support personnel
Directs, coaches, and mentors pharmacy personnel; sets goals and objectives for staff consistent with the department and regional objectives; provides feedback and follow-up
Directs personnel in planning, developing, implementing, coordinating and supervising the services and functions provided by pharmacy including legal and regulatory requirements
Performs necessary audits to ensure compliance with operating, cash control and patient safety policies
Develops implements and manages systems and processes to ensure patient safety and accurate dispensing practices
Manages OTC drug sales to increase revenue opportunities
Creates an environment supportive of staff retention with a focus on staff contributions, influence and stress reduction
Develops and assures implementation of departmental initiatives consistent with regional goals and objectives
Supervises assigned staff to include interviewing, hiring, training, evaluating, coaching and corrective action in conformance with EEO/AA goals and personnel policies
Ensures the delivery of pharmaceutical care for our members including prospective, concurrent and retrospective drug utilization review; screening for drug allergies, interactions and duplications; physician follow-up if appropriate; and interactive patient counseling
Ensures all pharmacists strive to enforce our formulary; interact and consult with physicians and associate providers when necessary to improve quality of care and/or increase value; educate physicians and providers regarding cost effective therapy and drug utilization goals (e.g. target drug programs)
Performs general pharmacist duties including compounding and dispensing drugs and medicines, reviewing prescriptions to identify overdoses and potentially toxic compounds, bottling and packaging prepared compounds, and maintaining records of drugs, poisons and controlled substances
Schedules and assigns work for pharmacy personnel according to work load demands and availability of personnel. Approves leave requests and time sheets
Maintains policies and procedures related to pharmacy including professional practice standards (related to preparation and dispensing functions) and standards regarding the maintenance of appropriate levels of pharmaceutical supplies
Responsible for ensuring effective operation of pharmacy including member satisfaction levels, professional performance and administrative functions
Participates in patient education programs as appropriate
Assists in evaluating and planning current and projected budgetary needs for pharmacy staffing, supplies, equipment and capital
Maintains efficient inventory control, inventory turns and purchasing practices in accordance with national contracts and directives. Oversees daily ordering of pharmaceuticals and other supplies
Serves as liaison with other departments, clinical personnel and physicians. Coordinates with medical center leadership in the development of procedures relating to provision of pharmacy services within the medical center
Minimum two (2) years of pharmacy experience required

Pharmacy Operations Analyst Resume Examples & Samples

Understand the overall business model of Medicare Part D products, CMS guidance, and the PBM claim adjudication system and translate concepts into practice
Review sample files or claim records to determine appropriate benefit / claim administration is being delivered by the PBM
Perform claim / benefit issue identification, communication, root cause analysis, resolution and remediation activities related to claim review
Document / support issue tracking, trending, and reporting related to audit and quality review activities
Support individual and team goals of affordability, excellence, engagement, compliance and growth
Support long term activities by influencing or providing input to forecasting and planning discussions; developing audit work plans
Work collaboratively with cross-functional and cross-organizational teams – build positive relationships, participate in calls and projects, prioritize tasks and projects to ensure timely completion and effective results
Able to work on more complex issues and projects
Work with minimal guidance
Be a resource for others, explaining complex issues, impacts and outcomes
2+ years of Medicare Part D / Pharmacy benefit, and / or PBM experience
2+ years of experience with performance or oversight of Pharmacy claim analysis and quality practices
2+ years of experience with issue resolution and / or remediation planning
Intermediate to advanced level of proficiency with MS Project, Access, Word, Excel, PowerPoint, SharePoint, and Visio
Ability to effectively prioritize multiple tasks, priorities, projects, and deadlines
Proven success in business analysis and continuous process improvement
Demonstrated skills in building and maintaining projects plans and issue logs
Strong interpersonal, oral and written communication skills
Ability to drive change and influence individuals at all levels of the organization
Strong development, analytical, organization, problem-solving, and follow-through skills
Ability to work within a less prescribed structure and be generally self-directed
Experience with Pharmacy and / or PBM Operations related to eligibility, benefits and / or claim adjudication
Bachelor’s Degree or Certified Pharmacy Technician

Pharmacy Operations Assistant Resume Examples & Samples

Forward appropriate communication to Network Pharmacies
Ensure necessary training is distributed to NPs is completed. Assist training department with names of employees who will require training, AE training, program-specific training (new launches, retraining, etc.), and certifications (CAPHO)
Organized with the ability to multi-task and maintain accuracy
Effective interpersonal and leadership skills

Supervisor of Specialty Pharmacy Operations Resume Examples & Samples

Provides daily leadership to staff to meet customer expectations
Ensures timely processing of customer orders and works to resolve complex customer disputes
Drives the required system and workflow improvements to enhance the team's efficiency
Provides a high level understanding of a variety of the pharmacy and medical field's concepts, practices, and procedures
Demonstrates understanding of business partners? operations to understand appropriate engagement and influence points to drive order continuity through the order lifecycle
Creates a daily plan to accomplish department goals through workload balance
Leads and directs the work of others
Establish best practices for department customer support
Provides floor support and continuous monitoring of agents
Implements successful process improvements for the department
Collates and conducts high level analysis of department metrics including quality audits
Conducts floor support to ensure department adherence to established processes and procedures
Maintain confidentiality of and compliance with all company and patient information in accordance with federal, state and local regulations, HIPAA regulations and company policies
Demonstrate proficiency in RCM systems and order processing systems/applications
Demonstrate proficiency in ancillary systems and portals such as provider portals, Sharepoint, Excel, and other Microsoft applications
Gather data and crate status/performance reports to internal stakeholders and leadership
Kansas Pharmacy Tech License and National Certification Pharmacy Tech License
1+yr Specialty Experience
1+yr working with PBM

Pharmacy Operations Manager Resume Examples & Samples

Provide Interim support for key pharmacy management positions, including front end manager, back end manager, and operations manager as needed in any location
Work on improvement plans, measure and communicate progress on each plan via written communication
Partner with learning consultants to develop operations training manuals, work guides, and reference materials
Develop and assist with implementation of optimized schedules for all areas of pharmacy operations
Comply with all federal, state, and local regulations for pharmacy
Support corporate initiatives through guidance, training and observation
Experience in identifying operational issues and recommending and implementing strategies to resolve problems
Objective identification and resultant execution of process improvement standardization, and corporative initiatives

Pharmacy Operations Resume Examples & Samples

Complete annual written review on individuals
Coordinate workflow and procedure changes andproblem resolution as it relates to the department and organization
Promote collaborations between team members,managers and departments

Pharmacy Operations Coordinator Resume Examples & Samples

Accessing and reviewing hard copy prescriptions through a portal
Opening PDF files and creating audits of the prescriptions
Auditing prescriptions for roughly 25-30 stores per day
Responding to yes/no questions on the application regarding basic prescription information
Communicating necessary reports to business partners

Pharmacy Operations Department Specialist Resume Examples & Samples

Assembles and analyzes information, prepares reports, and agendas
Reviews and/or compares information/data and makes determination within defined guidelines, parameters, and instruction
Process, sort, file, and maintain department reports, invoices, receipts, contracts, and/or other internal department documents
Prepare memos, presentations, and materials in final form from rough drafts that may contain technical terminology
Complete research, create presentations and investigate work for manager(s) to facilitate management effectiveness and decision-making
Coordinate cross-departmental initiatives and ensure appropriate follow up
Maintain complex records and files, and search and investigate information found in files to provide information utilized by manager
Compiles information and data from various sources for specific departmental reports and creates reports, graphs and data comparisons
Complete detailed keyboarding projects such as preparing correspondence from rough drafts and completing specialized departmental forms
Create PowerPoint presentations for supervisor
Responds to inquiries that require specialized knowledge of the business function to respond
Coordinate communications of release notes
Coordinate support of IT releases as needed
Become a subject matter expert on some IT tools and help assist other backstage (central support) areas with training and knowledge ie-Empower and Schedule 360

Pharmacy Operations Manager Resume Examples & Samples

Monitor drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose
Primary preceptor for pharmacy students and/or residents as it relates to clinical pharmacy services. Responsible for designing and managing program and mentoring student/resident as well as other preceptors
Maintain professional competency sufficient to meet current and future needs of the facility
Identify areas for improved efficiency. Assists in implementation of process changes
Work with the director to establish pharmacy goals and objectives and responsible for implementation and monitoring
Responsible in conjunction with pharmacy director and clinical manager for staff performance evaluations
Responsible for the development and review of pharmacy policies and procedures
At least five (5) years of pharmacy experience required; preferably within area of focus
Hospital Pharmacy Management experience is preferred

Manager of Pharmacy Operations, Second Shift Resume Examples & Samples

Manages operations by initiating, coordinating, and enforcing program, operational, and personnel policies and procedures
Develops and implements strategies to improve operational efficiencies, increase productivity and improve processes. Provides inspirational leadership and guidance to the team through feedback, performance management and individual development conversations
5+ years supervisory and / or management experience
Experience driving results through effective Performance Management practices and tools
Project Management experience
Pharmacy practice and / or Health System regulatory and compliance experience
Mail Order pharmacy experience
Experience working in a production environment

Advisor, Pharmacy Operations Analytics Resume Examples & Samples

Leading a small team of analytical talent and managing the roadmap and priorities of the team
Developing a deep understanding of business data and applying knowledge to high-prioritybusiness challenges
Mining and transforming data into actionable insights for senior leaders within the retail organization
Designingand conducting complex analyses and data discovery efforts with a high degree of independence
Supportingprojects within Pharmacy Services with analysis and reporting related to rootcause, opportunity identification, performance trending, and value assessment

Manager of Pharmacy Operations, First Shift Resume Examples & Samples

Lead team of Supervisors, Pharmacy Technicians and Clerks to process prescription order returns for Fulfillment pharmacy. Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results
Participate and facilitates, as directed, any special projects assigned by the Pharmacy Operations’ Director
Proficient in Microsoft Office and Outlook
Process design and implementation experience

Pharmacy Operations Manager Resume Examples & Samples

Manages and supervises all operational activities of the Department of Pharmacy Services through supervision of Pharmacists or supportive staff
Oversees all operations and coordinates workflow of the pharmacy department
Ensures adherence to all Board of Pharmacy, JCAHO, CMS and FDA standards
Assists in preparation of annual pharmacy operating budget
Three (3) years experience in hospital pharmacy management required
Five (5) or more years experience in a hospital setting is preferred

Med D Pharmacy Operations Analyst Resume Examples & Samples

Familiarity with Medicare Part D guidance with ability to operationalize and understand how various aspects of the guidance is interdependent and related
Provides support in the review and interpretation of Health Plan Management System (HPMS) guidance from CMS re: clinical elements of the Part D program with a focus on how these translate into operational requirements (e.g., transition, protected class drugs, formulary changes, ESRD, Hospice, etc.)
Provides support to internal partners responsible for developing, monitoring, improving operational controls related to clinical aspects of the Part D program – particularly Formulary Administration and Coverage Determinations, Appeals and Grievances
Provides input to claims monitoring (paid and rejected) criteria related to clinical aspects of the Part D benefit; reviews claims daily
Requires attention to detail and management of tasks within timely manner. Conducts analysis on moderately complex projects and provides recommendations to management
Collaborates with other members of the Clinical team including the Medical Director, formulary development, administration and oversight for Medicare Part D
Provides operational support for assigned Clinical applications. Acts as a liaison between Medicare Part D Operations team including benefit and formulary setup and clinical staff
Works with Clinical team to understand the customer’s product specific requirements and configuration and translate them to technical design specifications and data flow from which programs are developed and coded
Contributes to program improvements by using continuous quality improvement processes, by being proactive in identifying improvement opportunities and by contributing on-going consultation and collaboration with product leaders
Contributes creative solutions to improve operational efficiency and effectiveness of Med D operations
Interacts with Clinical and development team during the software build or configuration and testing process
Designs and executes unit, system and integration test plans for new developments/releases/reports
Maintains technical documentation based on standard operating procedures in support of the assigned clinical application
Assumes complete ownership for the assigned task and communications the progress of the project/task to all stakeholders regularly
Works closely with end users to identify problems and provide solutions
Demonstrates an understanding of end users business needs, and works closely with end users to identify problems and provide solutions
Performs other duties as assigned

Supervisor, Clinical Pharmacy Operations Resume Examples & Samples

Drives the daily performance of a team of customer service agents ensuring SLAs and other business targets are met and exceeded
Collects and provides timely, productive and measurable feedback to ensure recognition, process changes and development opportunities are maximized
Oversees the team's annual goal setting process, performance evaluations and performance improvement plans
Supports agents, business and brand initiatives, especially as related to achieving outstanding client experiences, including engaged daily floor support, escalated customer resolution and engagement in training and support areas as needed
Remains alert to conversations on the floor, monitoring agents for quality and training purposes
Reviews new and updated accounts with Agents (one-on-one)
Ensures agents' compliance with policies and procedures
Provides direction to agents on achieving departmental standards while encouraging and motivating them in promoting customer loyalty, employee recognition, and revenue generation
Monitors call traffic and makes adjustments based on call center traffic patterns
Produces monthly team report detailing team activity, trend analysis, goals/objective status and special projects
Actively participates in process / project conversations, emails and activities that will improve effectiveness/experience for client, agents, leadership, brands or partner departments
Displays ownership and accountability for the customer experience, employee relations, core business metric targets/contributing factors and understanding of the organizations policies and procedures
Maintains reliability and flexibility to ensure team and business needs are appropriately supported
Delegates work to agents as needed
Proactively addresses call center concerns and identifies areas of opportunity
Handles system emergencies with direction from IT department and/or appropriate vendor
Assists with task assignments in the Manager's absence
Performs other related duties and special projects as requested

Pharmacy Operations Manager Resume Examples & Samples

Graduate of an AACP accredited school of pharmacy. Pharm D preferred
State of Florida Pharmacist License
Three years of recent hospital pharmacy experience. Management and Clinical experience preferred
Able to work well under the guidance of the Director of Pharmacy
Demonstrates good communications skills and is able to relate effectively to hospital staff, department heads, administration and medical staff
Must have good organizational skills and be able to multitask

Pharmacy Operations Analyst Resume Examples & Samples

Work collaboratively with cross - functional and cross - organizational teams - build positive relationships, participate in calls and projects, prioritize tasks and projects to ensure timely completion and effective results
2+ years Medicare Part D / Pharmacy benefit, and / or PBM experience
2+ years’ experience with performance or oversight of Pharmacy claim analysis and quality practices
Strong development, analytical, organization, problem - solving, and follow - through skills
Ability to work within a less prescribed structure and be generally self - directed

Pharmacy Operations DMR Oversight Manager Resume Examples & Samples

Serves as the Manager overseeing Direct Member Reimbursement (DMR) for all lines of business
Leads the development, maintenance and improvement of DMR processes. Ensures processes, policies and procedures are efficient and compliant with Medicare-CMS/ and state/federal requirements
Ensures accuracy and compliance of DMR with Medicare-CMS regulations
Provides subject matter expertise on Medicare-CMS regulations and guidelines applicable to DMR
Manages associates and grows staff talent
Knowledge of Microsoft Office applications, including Word, Excel, and Access
Pharmacy Claims knowledge
Proven experience in leading associates
Project management/process improvement experience
MBA or Masters in related field
Expertise in Medicare-CMS regulations
Previous experience with pharmacy benefits management

Pharmacy Operations Manager Resume Examples & Samples

Supervise Clinical Pharmacist Generalists, Support staff and Technician Supervisors
Oversee and manage pharmacy budget
Address operational matters, patient safety and policies and procedures
Responsible for maintaining pharmacist schedule, personnel matters, recruitment and staff orientation
Manage formulary, supply chain and purchasing, billing and vendors
Oversee 340b program in regarding to operations, compliance and auditing
Supervision of pharmacists/technicians in production, distribution, and clinical services
Mentor and train residents, IPPE and APPE students
Oversee Pharmacy Remote Order Verification and Outreach programs

Pharmacy Operations Analyst Resume Examples & Samples

Support assigned region by investigating, reviewing, and analyzing claims data by applying knowledge of pharmacy policy to ensure claims have processed appropriately based on benefit design and preferred drug list
Auditing claims
Analyzes, investigates, and manipulates data
Accurately submits benefit coding requests to OptumRx to update pharmacy point of sale claims processing
Review testing of benefit coding requests
Strong organizational skills and multitasking abilities
Solid computer proficiency in Microsoft Office programs
Experience working in a pharmacy call center environment
Auditing experience
Investigative and dispensing experience
Experience in team interactions, performance matrix and improvement methods / projects (e.g., coaching, quality, productivity)
Experience with Microsoft Excel (use of functions in Excel such as vlookup, sum, countif, etc.), Microsoft Access, AS 400 and/or Rx Claims system

Pharmacy Operations Analyst Resume Examples & Samples

You will review letter content through Microsoft Word and verify the information, formatting, and accuracy
Support business operations and client implementations in the development and maintenance of prior authorization criteria, fee schedules, client set-ups, letters, and clinical edits within the Novologix system
Participate in job training to pull information and key words in our Prior Authorization communications
Audit system requirements to ensure information is updated and accurate

Division Director of Pharmacy Operations Resume Examples & Samples

Organization – Proactively prioritizes needs and effectively manages resources
Communication – Able to communicate (verbal and written) clearly and effectively to other health care providers including pharmacists, physicians, and nurses
Policies and Procedures – Articulates knowledge and understanding of organizational policies, procedures, and systems
PC Skills – Proficient in the use of Microsoft Office applications and other required operating systems such as CPCS, Order Scanning System, Automated Dispensing Units, Packaging Equipment, Physician Order Entry, and Clinical Integration to systems
Financial management – Applies tools and processes to successfully manage drug cost budget. Understand basic accounting principles related to pharmacy operations
At least 5 years experience as a pharmacy director in a hospital setting required. Previous experience in HCA preferred

Back End Supervisor of Pharmacy Operations Resume Examples & Samples

Developing colleague skills
Writing and teaching the Pharmacy standard operating procedures
Training of colleagues
Overseeing automation systems
Productivity metrics and reporting
Evaluating employee performance including reviews and feedback
Understanding of budget and managing associated costs
Continuous improvement, quality and auditing functions
Influencing and driving team culture environment in this start up pharmacy

Pharmacy Operations Manager Resume Examples & Samples

3 years of leadership experience
Ability to communicate effectively and deliver presentations to senior leaders
Experience with driving engagement and promoting a positive business culture
Advanced degree
PMP certification
Leadership experience in a pharmacy setting

Analyst, Pharmacy Operations & Technology Resume Examples & Samples

Act as business partner with our automation providers to ensure that Rite Aid receives maximum value from the products
Extract and evaluate system data to help maximize the use of our automation products
Evaluate test data relating to inventory usage, comparing automated and non-automated stores, in order to help Rite Aid use inventory dollars effectively
Work with Field Associates and Field Support to train, support and enhance the usage of automated products to improve overall store efficiency
Support RxOps Technology as an additional resource for field systems support with issues such as labeling, automation labeling, store set-up, and plan store set-up to help direct the efficient organization of stores
Review and maintain pharmacy equipment requests between Field Associates and Field Support to ensure proper equipment setting to meet business needs
Three (3) years' of experience in Retail/Hospital Pharmacy Technician or Pharmacy Automation required

Manager of Pharmacy Operations West Market Resume Examples & Samples

Directs the activities of the designated inpatient pharmacy staff to provide high quality, cost effective, pharmacy services
Recruits, interviews, hires, and trains designated inpatient pharmacy staff, develops job standards, provides coaching, monitors progress, and conducts performance evaluations
Provides guidance and direction to resolve complex employee relation matters. Monitors staff adherence to department and Health System policies and procedures and initiates corrective action when appropriate
Coordinates and directs all human resource functions for designated inpatient pharmacy staff including recruitment, hiring, training, and staff development
Collaborates with the Regional Pharmacy Leadership to ensure appropriate resource allocation (including staffing) for ambulatory pharmacy programs (e.g Retail, Home IV and Infusion Clinics). It will be necessary to provide direct oversight (e.g. evaluation, discipline, scheduling) for ambulatory programs physically located on campus
Directs Inpatient Pharmacy Operations Managers at affiliated regional health ministries to ensure standardized, integrated pharmacy services across all SJMHS regional hospitals
Recruits, interviews, hires, and trains Inpatient Operations Managers at affiliated regional health ministries
Provides performance evaluations for Inpatient Operations Managers at affiliated regional health ministries

Outpatient Pharmacy Operations Resume Examples & Samples

Manages departmental personnel and operational practices to ensure compliance with Federal and State laws and regulations, T.J.C., O.S.H.A., SBOP, Statewide and Departmental policies and procedures
Provides personnel management activities (e.g. recruits, hires, trains and evaluates, and/or terminates subordinate exempt and hourly personnel), involved in strategic workforce planning and succession planning
Works with Human Resources in handling employee grievances
Serves as the pharmacy leadership point of contact by developing strong collaborative relationships with the Medical Center/Medical Office leadership and the Medical Group to achieve service area and Medical Center goals
Communicates regularly to the Outpatient Pharmacy Supervisors - Hourly and Outpatient Pharmacy Managers - Hourly to inform, support, mentor, coach and develop their knowledge and skills
Provides direction and leadership to supervisory and management employees
Monitors and makes adjustments to personnel utilization in accordance with operating budget
Develops and recommends the departmental operating budget (payroll and non-payroll)
Works in collaboration with providers, department heads, and the Outpatient Pharmacy Director to implement, evaluate and improve quality management programs
Minimal to no online dispensing duties

Pharmacy Operations Support Internship Resume Examples & Samples

Setting up time guidelines in the system to govern turnaround tracking of work
Setting up system and security access for associates
Letter set-up – to ensure the correct letters are sent out to members and providers
Validate and test set-ups when complete
Assist with tracking and fulfilling tasks associated with setting up a new call center including ordering new equipment and licensees’ for new associates
Currently enrolled at an accredited college or university
Pursuing a degree in business, human resources, or a related program of study
Excellent oral & written communication skills
Ability to work on a team as well as independently

Pharmacy Operations Specialist, Associate Resume Examples & Samples

Create and evaluate policy, procedure, and training materials regarding operational workflow
Maintain all pertinent documentation as required per designated area of expertise
Take an active role in the training of fellow staff members in ones area of expertise
Completion of an accredited Pharmacy Technician Program AND one of the following
Two years of previous pharmacy technician experience
Enrollment in good standing as a pharmacy student
Demonstrated competency in all detailed aspects of the Pharmacy Operations Specialists DESIGNATED area which includes (Inventory Control, Chemotherapy, Medication Safety, Automation, Information Technology..etc)

Manager, Clinical Pharmacy Operations Resume Examples & Samples

Manage the pre-authorization process and customer service requirements to ensure compliance, quality and customer service level agreements are met
Manage and coordinate the activities of the team to efficiently manage the output of assigned tasks. Monitor the performance of team members by means of reports and observation. Accountable for team conduct and productivity. Monitor individual team member’s attendance and reliability patterns. Administer performance improvement or corrective action plans when needed
Coach, mentor and develop Team Leaders/Supervisors and staff with a focus on quality and accuracy of service. Work across divisional lines to ensure staff is properly trained and issues needing resolution are addressed timely. Create a culture of support, accountability and continuous improvement
In collaboration with the Training Department, plan and develop training programs for department staff
As the end user and system expert, proactively suggest changes/updates to the prior authorization application that ensures maximum protocol adherence, documented medication savings, and increased health plan customer satisfaction
Financial responsibility for meeting administrative budgets and the creation of innovative efficiencies
Assist divisional management with the implementation of improvement initiatives and new business implementations
Partner with Account Management and business clients to improve communications and address issues that may arise
Working knowledge of Microsoft Office Product Suite. Comfortable and willing to learn new technology and software applications
3+ years direct supervisory experience

Regional Director Centralized Pharmacy Operations Resume Examples & Samples

Provide leadership, direction, & Mgmt of the Consolidated Prescription Processing Pharmacy (CPP) & the Pharmacy Call Center (PCC), & other centralized srvs as assigned, to assure consistent high levels of performance in pharmaceutical care, srv, & operations across all outpatient pharmacies in the Region. Functions in a direct supervisory role to the Mrgs in CPP & PCC, & other centralized srvs as assigned
Provide leadership & direction to the personnel in the CPP & the PCC, & other srvs as assigned. Provides ongoing leadership & direction to enhance member srv
Provide leadership to assure the professional/Mgmt development at the individual level for CPP & PCC Mrgs & their direct reports to ensure high performing teams & personnel necessary for the long term success of Pharmacy Srvs in KP
Participate in the development & execution of strategy for delivery of outpatient pharmaceutical care, srv & operations in NCAL, w/consistent implementation at the local &/or Reg’l level
Develop & implement CPP & PCC operating & capital budgets. Monitor performance against budgets & make appropriate adjustments to achieve financial goals
Assist the VP of Pharmacy Operations & Srvs, NCAL to
Seek out, promote & facilitate the rapid adoption & assimilation of best practices & innovations in srv, work methods, technology, & operational systems which improve pharmacy srv, quality & productivity in the CPP & PCC, consistent w/CA strategy
Sponsor, test & evaluate new technology & innovation, & ensures successful technology & innovations are rapidly implemented in CPP & PCC
Optimally utilize & integrate centralized support srvs & technology into pharmacy operations & workflows
Integrate processes to assure the quality of pharmaceutical care & srvs across practice settings, w/focus on outpatient operations, & to assure regulatory & corporate compliance
Ensure centralized pharmacy space needs are incorporated into master planning activities
Work collaboratively w/Drug Use Mgmt Leadership to assure appropriate use of pharmaceuticals, consistent implementation of drug use initiatives, & support of care Mgmt initiatives
Work collaboratively w/Pharmacy Quality Leadership to assure consistent deployment of processes & tools to measure & assure the quality of pharmaceutical care, operations & srvs
This job description is not all encompassing
Minimum five (5) years of leadership-level experience and documented record of success in management of centralized pharmacy operations and/or call center operations and/or equivalent centralized operations and/or service center
Degree in pharmacy preferred
Licensed to practice pharmacy preferred

Regional Director Outpatient Pharmacy Operations Resume Examples & Samples

Leads, directs&manages to assure consistent high levels of performance in pharmaceutical care, srv,&opns across all OP pharmacies in NCAL
Responsible for the development&execution of strategy for delivery of OP pharmaceutical care, srv&opns in NCAL, w/consistent implementation at the local &/or Regl level
Responsible for the implementation of specific programs related to enhancing KP members' experience&the provision of high srv levels as determined Reglly&/or nationally
Interacts w/ physician Ldrship at the regl&local level to support the provision of patient care srvs by, or in conjunction w/these medical groups
Responsible for collaborating in the development&implementation of OP Pharmacy operating&capital budgets
Monitors performance against budgets&makes appropriate adjustments to achieve financial goals
Assists the VP POS to
Seek out, promote & facilitate the rapid adoption & assimilation of best practices & innovations in srv, work methods, technology, & operational systems which improve pharmacy srv, quality&productivity in the OP pharmacies, consistent w/CA strategy
Sponsor, test & evaluate new technology & innovation, & ensure successful technology&innovations are rapidly implemented in OP pharmacies
Optimally utilize & integrate centralized support svcs & technology into pharmacy opns & workflows
Integrate processes to assure the quality of pharmaceutical care & svcs across practice settings, w/focus on OP operations, & to assure regulatory & corporate compliance
Ensure OP pharmacy space needs are incorporated into master planning activities
Collaborate w/Drug Use Mgmt Ldrship to assure appropriate use of pharmaceuticals, consistent implementation of drug use initiatives, & support of care Mgmt initiatives
Collaborate w/Clinical Operations to assure coordination of OP pharmacy processes that impact member/patient care & srv experience &/or physician practice
Collaborate w/Pharmacy Quality Ldrship to assure consistent deployment of processes & tools to measure & assure the quality of pharmaceutical care, opns&svcs
Assure compliance w/Pharmacy law, regulation, pharmacy business practices, accreditation standards, & other KP policies
Collaborate w/CA Pharmacy Ldrship to develop & allocate operating budgets in OP & centralized pharmacy operations to ensure appropriate resource utilization, consistent operations, & scope of srvs provided
KP conducts compensation reviews of positions on a routine basis
Minimum five (5) years of leadership-level experience and documented record of success in management of outpatient pharmacy operations
Master's degree in pharmacy, health services or business administration preferred

Pharmacy Operations Specialist, Intermediate Resume Examples & Samples

Assist in training other Operations Specialists in determining their ability to function in DESIGNATED area of the Pharmacy department
Completion of high school diploma or equivalent required OR
Completion of an accredited Pharmacy Technician Program AND
Three years of experience as a Pharmacy Technician or Pharmacy Operations Specialist
Must have demonstrated competency in all detailed aspects of the Pharmacy Operations Specialists
DESIGNATED area which includes (Inventory Control, Chemotherapy, Medication Safety, Automation, Information Technology...etc)

Pharmacy Operations Consultant Resume Examples & Samples

Becoming the Specialty SME (Subject Matter Expert) in the Verint I360 / DPA suite of tools
Monitoring software and analyzing data to identify and drive execution of continuous performance improvement opportunities
Communicating difficult concepts and influences others to adopt a different point of view
Travels on occasion
Working with all levels of management, as well as closely collaborating with Shared Services and Specialty Operations
Must track and trend continuous improvement opportunities and publish best practice capture

Manager of Pharmacy Operations Resume Examples & Samples

Provides guidance and assistance with implementation of the determined strategic direction within FEP Pharmacy Program regarding PBM and RDM operations and processes to assure effective management of pharmacy benefits, rare disease management benefits, contract compliance, and communication strategies to membership and Plans
Provides oversight over the day to day operations necessary to manage PBM and RDM accounts to ensure effective operations and timely resolution of issues. Works with staff on the oversight of daily activities regarding the contractual relationship with vendors. Has direct responsibility for the PBM mail contract
Oversees operational efficiencies within and across delivery systems including Vendors, Operations Centers and Plans to assure provision and communication and administration of benefits for Pharmacy Programs consistent with FEP policies. This includes claims processing, call center operations, drug delivery systems and enrollment
Serves as the primary liaison to OPM, vendors, internal clients and other key stakeholders related to Pharmacy and Rare Disease Management Programs. Interacts with Office of Personnel Management (OPM), BSBSA senior management, BCBSA Staff, local Blue Cross and Blue Shield Plans, consultants and other industry representatives to develop professional relations and industry knowledge of pharmacy industry
Provides oversight of developing programs designed to improve operational performance, manage benefit trends and member choice. Works with the Director of Pharmacy Compliance to develop an audit plan for these new programs as they are developed
Assists in the development of proactive and strategic action plans to address Plan needs on an individual and collective basis as related to Pharmacy and Rare Disease Management Programs. Partners with internal business units to develop sound business strategy for resource development and implementation
Minimum of ten years’ Pharmacy program experience partially performed within a health care domain
Bachelor’s degree in Health, Pharmacy or Business or equivalent experience
Master’s degree in health services or equivalent experience
Experience in prescription drug delivery industry, using computer based tools for data management and data analysis
Prior project/program leadership experience that demonstrates the ability to set priorities and meet objectives for complex projects involving multiple stakeholders
Knowledge of financial accounting and controls, auditing, customer services operations, claims processing, market research, benefits delivery, quality assurance and contract administration
Ability to build consensus for business results in a decentralized decision-making structure
Excellent written and oral communications and interpersonal skills with the ability to work with all levels of the Association, Plans, government and vendors
Strong analytical, planning, and organizational skills
Ability to manage stakeholders, and to reconcile and integrate competing interests
Ability to quickly attain knowledge of Association and division operations
Ability to utilize/leverage knowledge of BCBSA stakeholders to develop and link long-term outcomes and action plans predicting associated results
A highly motivated individual with an understanding of the interactions of health care professionals interact within the overall context of the health care environment
Ability to seek out and incorporate perspectives from other functional areas and develop alternative approaches to meet defined objectives
Ability to work individual or within a team with a variety of individuals performing many different functions with varying styles to accomplish goals
Strong technical proficiency with information technologies (e.g. Microsoft software applications)

Intern, Pharmacy Operations Resume Examples & Samples

Conduct research related to ESI and its clients
Perform data analysis and assist in data reporting as needed
Makes or assists in making oral or written presentations to management
Collaborate with other functional areas on various projects as needed
GED (Required)
HS (Required)
Motivated self-starter
Excellent analytical skills
Creative and resourceful
Strong business aptitude
Knowledge of the PBM or healthcare industry preferred
Dates of Internship are May 15th-Aug 4th, 2017
Students must be available to work M-F 8am-5pm during this time frame

Manager, Clinical Pharmacy Operations Resume Examples & Samples

Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity
Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority
Provides direction to a team of clinical pharmacists as members of a multi-stakeholder care team responsible for ensuring appropriate drug utilization across the pharmacy and medical benefit with the goal of lowering drug care costs as it relates to the operations of the Organization's formularies and UM processes such as prior authorizations, exceptions, and other applicable pharmacy edits
Ensures adherence to all regulatory and compliance guidelines (CMS, NCQA, DOH, etc.) as it pertains to the pharmacy UM operations functions, turnaround time and overall handling of pharmacy UM/formulary requests
Collaborates with the pharmacy organization to ensure that operational impacts of pharmacy UM and formulary policies as well as other pharmacy strategic programs can be accommodated by the operations area

Pharmacy Operations Manager Resume Examples & Samples

Represents department on selected committees and task forces
Maintains records of Pharmacist CE credits
Maintains yearly competencies of pharmacy personnel
Participates and assists in educational programs for staff. Maintains records of all programs/in-services conducted by the pharmacy department
Adheres to established departmental policies, procedures, and objectives
Performs both essential and non-essential job functions in a safe manner as it pertains to the given ministry or Presence System
Demonstrates an understanding of and models the mission and core values as stated in Presence Health Service Promises
Enhances professional growth and development by attending educational programs, job related literature, in-service meetings, and workshops/seminars
31540

Pharmacy Operations Resume Examples & Samples

Bachelor’s or Doctorate degree in Pharmacy
10 or more years of experience in healthcare with at least 5 to 7 years or more of progressive of management roles
Prior leadership in clinical operations
60% Travel required within assigned Florida territory - Plant City, Jacksonville, Ormond Beach, and West Palm Beach
MBA or MHA
Bilingual- English and Spanish

Specialty Pharmacy Operations Specialist Resume Examples & Samples

Working knowledge of desktop computers, including proficiency with Microsoft Office applications
Highly detailed organizational skills
Interest and aptitude for health care and information technology
Experience with patient assistance programs

Director, Clinical Pharmacy Operations Resume Examples & Samples

Bachelor or Master's degree or 5 years of related experience
At least 5 years Pharmacy or Health care Operations preferred
Lean six sigma/black belt knowledge or experience preferred
Broad knowledge of the pharmacy and health care delivery systems preferred
Experience in process improvement, operational excellence and project management preferred
Strong understanding of Medicare, Medicaid, and Commercial Health Plan populations preferred

Pharmacy Operations Supervisor Resume Examples & Samples

Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures. Monitors and provides routine feedback to staff and ensures consistent application of HealthPartners corporate and retail pharmacy policies
Responsible for workflow monitoring and adherence to documented processes
Has a consistent and routine presence in the clinic pharmacies
Develops and maintains knowledge of union contract language and ensures appropriate application
Develops and maintains schedules for all pharmacy staff
Float schedule coordination and sick call coordination of resources
Staff and workload monitoring
Central scheduling functions
Develops and coordinates employee vacation bidding for pharmacy staff
Performs regular audits of processes to ensure appropriate service, quality, patient/customer satisfaction and financial performance
Incorporates technology developments that improve efficiency, improve customer service or improve quality of services through monthly monitoring of calls
Works with staff and other supervisors to identify opportunities to improve patient/customer satisfaction
Includes patient/customer satisfaction discussion at staff meetings, reviews patient/customer feedback with staff and sets improvement priorities
Cooperates and collaborates with all Pharmacy Services leadership regarding the rollout of Service Excellence initiatives
Develops documented process driven work flows
Works with Pharmacy leadership and staff in areas of Quality and Data
Works in collaboration with other supervisors, front-line staff and organizational departments to design, implement and evaluate pharmacy initiatives
Uses quality management tools and measurements to monitor standards, processes, and outcomes
Works in collaboration with other pharmacy service supervisors, front-line staff and organizational departments to review and interpret quality management data feedback and then make appropriate changes to improve outcomes
Facilitates meetings with staff and management to gather input and provide feedback to other supervisors and front-line staff regarding pharmacy initiatives and outcomes
Actively participates in the creation, update and ongoing testing of business continuity and disaster recovery planning and preparation
Works with Pharmacy leadership on financial accountabilities
Works collaboratively with the Manager and other supervisors to ensure optimal revenue capture and adherence to documented processes
Authorizes expenditures for area of responsibility
Acts as a responsible steward of resources including time, materials, supplies and property
A college degree in a related field
4 years of related experience in the health care field
Prior supervisory experience strongly preferred
Registered Pharmacy Technician preferred
Ability to motivate and train staff
Demonstrated expertise in use of Microsoft Office suite of products, and ability to learn new software systems well
Demonstrated strong interdisciplinary and team building skills
Ability to identify and solve problems
Positive and enthusiastic attitude

Pharmacy Operations Coordinator Resume Examples & Samples

Customer Relations: Creating an inviting environment through courteous language, smiling, eye contact, and maintaining a clean work space
Self-Management: Always accountable for dress code standards, visible ID badge, safe hand hygiene, and only utilizing staff break areas for personal calls/device utilization. Always remembering the patient is our top priority
Communication: Utilizes professional communication at all times, remaining mindful of volume, tone, and body language
Telephone Etiquette: Utilizes pleasant and patient voice, appropriate greeting and resolution mindset
Elevator Etiquette: Always hold doors for approaching passengers while using professional communication (no personal calls) at all times. Greet visitors with a smile and friendly demeanor
Ownership & Accountability: 100% accountability for self and colleagues’ behavior; always keeping facility safe, neat, and clean

Dir Pharmacy Operations Resume Examples & Samples

Becoming a key member of the Pharmacy Operations Leadership team responsible for partnering with other leaders and peers to set strategy, direction, and execution of the Pharmacy plan
Implements and manages policies, practices and procedures which lead to execution of all business requirements related to Pharmacy Prior Authorizations
You will provide leadership to teams responsible for coordinating delivery of all new, renewing, and migrating pharmacy business. To accomplish this, you will hire, train, coach, counsel, and evaluate your associates to help them achieve their goals

Pharmacy Operations Consultant Resume Examples & Samples

Min 4 years related sales experience, preferred
Ability to travel
Proven product knowledge in business area
Work reviewed for purpose of meeting objectives

Senior Manager, Specialty Pharmacy Operations Resume Examples & Samples

Accountable for the Atlantic Pharmacy Operations (NL, NB, NS, PE)
To drive operational improvements throughout the assigned geographical Network
Develop relationships with health care providers and patients and build on current relationships
Coach pharmacy staff on relationship development with health care providers and patients
Maintain and assist in relations with Specialty Pharmacy Solutions
Assist in managing, auditing and supporting Network Pharmacies
In conjunction with the Director, lead in the development and execution of pharmacy and company strategic business plans
Analyze and implement processes and standards within operational activities to optimize pharmacy services
Manages accounting on billing and reconciliation relative to financial plan
Analysis of operational data for trending, planning and efficiency purposes
Manage the network of specialty pharmacies across selected provinces, including contracts, relationship development, training, procedures, etc
Work with external and internal clients to design, build and implement new services
Assist in the implementation of new pharmaceutical product launches with respect to the pharmacy services across Canada
Required to attain Pharmacy certification in Atlantic Canada
Up to 30% of time required for travelling within Canada
Post-secondary education or equivalent in a Pharmacy related discipline
Minimum of 10 years’ experience in the healthcare, pharmaceutical or biotechnology industry (or similar)
Relevant management experience to understand, design and implement relations with KOL’s
Registered Pharmacist
Experience in writing and implementing Standard Operating Procedures
Ability to develop and negotiate contracts with physicians
Strong understanding in accounting, billing and accounts receivable
Strong understanding of the regulatory market with respect to Pharmacy & Nursing,
Medical Information experience is an asset; and
Candidate must have strong communication, customer service, interpersonal and time management skills; Ability to communicate effectively both orally and in writing
Proven ability to organize time, set priorities and multi-task in order to meet various competing; attention to detail and work deadlines
Strong proficiency in Microsoft applications (Outlook, Word, Excel, Internet Explorer)

Eh-pharmacy Operations Manager Resume Examples & Samples

Coordinates daily operations for the department in support of the organization's mission; vision and values. Identifies operation problems (i.e. staffing; scheduling; workflow) and takes corrective action
Works with Director to provide human resource management of staff including communicating; hiring; compensating; evaluating; developing; corrective action and firing
Collaborates with the Director to assist with the implementation of strategic plans; budget preparation; fiscal responsibility; manpower planning; and federal/state regulations
Serves as a role model to staff by strong leadership through high impact communication and accountability. Provides feedback and support to staff to assist with performance improvement
Provides input for financial management activities including operations budgetary decisions and cost containment. Demonstrates fiscal responsibility with resources; including staff and supplies
Works with Director to develop staff by providing orientation and education. Coordinates department orientation for new Pharmacy staff
Performs all duties of Pharmacist as appropriate

Manager, Specialty Pharmacy Operations Resume Examples & Samples

Leads and directs the daily operations of the pharmacist/technician/PCC staff
Collaborates with management team to ensure smooth performance of overall pharmacy operations
Ensures SOP execution as part of core operations in pharmacy practice
Oversees ongoing training for staff pharmacists
Assures continuous regulatory compliance for pharmacy practice
Obtains and maintains active pharmacist license in state where job functions are performed and other states as required
Leads and supervises employees
Ensures all in and out of state Licenses are current and maintained
3+ years of experience as a clinical pharmacist
Strong leadership, organizational and teamwork skills
Proven strong communication skills able to effectively interface and present/convey information
Able to prioritize daily tasks for team members and long term goals for managers
Ability to understand and act on business principals of inventor management
BS Pharmacy or PharmD
Active, unrestricted Pharmacist license in state of LA
Previous leadership/management, Pharmacist-In-Charge experience preferred

Pharmacy Operations Support Resume Examples & Samples

Address Network Pharmacy questions that arise (Pending fees, delivery issues, excessive/insufficient inventory, etc.)
Maintain reports, including the collection of operational reports from Network Pharmacies, consolidation of reports for internal and external clients, review of reports to ensure accuracy, and follow-up with Network Pharmacies on discrepancies in reports
Assist in launch of new products/programs within Network Pharmacies, and collaborate with Programs, Clinics and Pharmacy on initiatives and new launches. Generate fact sheets and contact lists, Process flows, Training, documents and provides feedback on new program launches
High school diploma preferred
Excellent knowledge of pharmacy operations

Pharmacy Operations Manager Resume Examples & Samples

Current NYS Pharmacist License
Have earned a B.S. in Pharmacy, Master's Degree or Pharm D preferred
Possess a working knowledge of pharmacy technology
Have at least two (2) years of hospital pharmacy management experience
Have excellent communication skills

Supervisor, Clinical Pharmacy Operations Resume Examples & Samples

Oversees the team?s annual goal setting process, performance evaluations and performance improvement plans
Ensures agents? compliance with policies and procedures
Assists with task assignments in the Manager?s absence

Pharmacy Operations Coordinator Resume Examples & Samples

Collaborates with others to assist with problem identification and resolution, cost containment issues, implementation of new services, quality and systems/performance measures
Plans and monitors staffing needs, activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. Reinforces departmental area policies, procedures and services level requirements/needs
Assists Pharmacy Director with management responsibilities

Director of Pharmacy Operations & Clinical Programs Resume Examples & Samples

Responsible for the planning, supervision and successful execution of all activities related to pharmacy operations and clinical services
Ensure pharmacy operations achieve planned prescription sales, profit goals, gross margin dollars, gross margin percent, inventory turnover, labor, productivity and pre-tax profit goals
Create transition plan for stores and manage acquisitions/divestitures
Ensure that all pharmacies operate in compliance with all federal and state regulations
Maintain strategic relationships with banner leadership, PDMs, home office staff and store management
Vendors, state licensing boards, pharmacy schools, state, regional and national professional associations
Oversees the development, implementation, operations, and evaluation of all clinical programs (including but not limited to the Diabetes Care Program, the Adult Immunization Program and MTM services) to ensure their quality, efficacy and profitability
Oversees any community pharmacy residency programs to ensure their quality, efficacy and profitability
Develops direct reports to enable them to advance in the company if desired
Markets clinical programs to third party payers, employers and patients in cooperation with Director of Pharmacy Services, Manager of Managed Care and Director of Compliance
Serves as liaison to national pharmacy associations on issues related to provision of clinical pharmacy services in community pharmacy

Pharmacy Operations Supervisor Resume Examples & Samples

Supervision and training of technicians
Delegation of assignments to maintain appropriate technician staffing levels, ensuring that services of the department are provided in an efficient, timely, and accurate manner, and performance of other duties as assigned by the Pharmacy Director and Operations Manager
Bachelor's Degree in Pharmacy from an accredited School of Pharmacy is required, PharmD degree preferred
Current and active Tennessee Pharmacist license in good standing required
Possession of excellent interpersonal and communication skills to successfully interact with employees, patients, physicians, and other healthcare professionals, and contribute as a team player
Proficiency in the use of Microsoft Office and other required technology systems including, but not limited to, automated dispensing cabinets, prepackaging and compounding equipment, Meditech and other software and hardware as required
Three (3) years hospital experience is required
Background in pharmacy distribution, operations, and automation applications is required

Pharmacy Operations Audit Consultant Direct Member Reimbursement Resume Examples & Samples

Ensures accuracy and compliance of DMR universe data as well as CMS required reporting including the following responsibilities
DMR Audits/Audit Universe
Extensive skills in data analytics and data relationship with business processes
Proficient in Microsoft Office applications, including Word, Excel, and Access
Excellent written and oral communication skills required

Mgr, Pharmacy Operations Resume Examples & Samples

PharmD plus 3 years in a clinical pharmacy position required
Current CA Pharmacy license
Hospital experience and previous leadership experience preferred

Pharmacy Operations Specialist Resume Examples & Samples

Assists the Director and Manager of Ambulatory Pharmacy with the development and implementation of pharmacy strategic initiatives
Responsible for the supervision of day-to-day services/activities/functions, including drug distribution/dispensing, drug education, pharmacist clinical activities, retail business expansion, inventory management, performance measurements, regulatory compliance, employee development and multi-disciplinary team development, for the outpatient pharmacy Department
Supervises Department:al personnel and operational practices to ensure compliance with Federal and State laws and regulations, T.J.C., O.S.H.A., DPH, and Department:al policies & procedures
Collaborates with the Inpatient Pharmacy and clinic Department:s to provide continuity of care and compliance with applicable Federal and State laws and regulations governing hospitals
Sphere of influence includes Pharmacy Staff, Providers, and other members of the Pharmacy Management Team
Provides personnel management activities (e.g. recruits, hires, trains and evaluates, and/or terminates subordinate personnel)
Completes/administers performance evaluations and ensures adherence to Department:al plan for completion of performance evaluations
Responsible for the preparation and assignment of Department: staff's work schedules and assignments
Makes staffing and scheduling adjustments to meet volume/workload demands
Assists the Director and Manager to monitor personnel utilization in accordance with operating budget
Responsible to prepare and monitor financial parameters and to operate within budgetary targets
Participates in designing, implementing and evaluating systems, processes and methods designed to enhance quality, improve service, and enhance cost effectiveness
Provides resolution to service complaints by patients, health care professionals, Department: heads, and employees
Administers organizational and Department: policies and procedures on a day-to-day basis

Ambulatory Pharmacy Operations Coordinator Resume Examples & Samples

Oversees the medication management of patients and the overall medication use process in the ambulatory setting, including but not limited to clinics, urgent care centers, ambulatory surgery centers, and infusion. Ensures appropriate and cost effective medication therapy by partnering with pharmacy and the supply chain. Provides leadership and support of the organizations clinical and financial initiatives
Functions as a pharmacy consultant to provide insight and coordination of medication-related issues for organizational partners including pharmacy, care management, and other stakeholders
Conducts and/or facilitates educational activities that support safe medication use in the ambulatory setting. This includes educational activities for pharmacists and pharmacy technicians, nurses, providers, and other healthcare support staff
Liaises with informatics and clinical pharmacy services to assist in system-wide initiatives that leverage Cerner applications to optimize the safe and effective use of medication therapies in the ambulatory environment and to identify areas for potential cost savings in the medication-use process. Serves as a consultant in the clinical and technical aspects of existing and emerging clinical decision-support programs
Applies the principles of continuous quality improvement consistent with job expectations. Incorporates quality improvement principles into other activities and projects (i.e. data collection, documentation). Develops criteria for drug use evaluations and medication use indicators for operational improvements
Participates in facility or system committees as appropriate. Functions independently as a medication expert on multidisciplinary teams. Facilitates formulary review of medications administered in the ambulatory setting, and liaises between system Pharmacy & Therapeutics and other Care Management teams and provider teams. Is cognizant of operational budget and makes recommendations for cost containment and cost reduction strategies
Coordinates with pharmacy services, nursing, revenue cycle, prescribers, case managers, and others at the staff and leadership level to develop and maintain robust pharmacy support (clinical, operational, financial, regulatory) for all aspects of medication use process within the ambulatory environment. Works closely with all Banner Pharmacy Services leaders to ensure appropriate collaboration, consultation, and integration of activities
Conducts on-site audits, document reviews and interviews to evaluate performance relative to need for improvement of processes to assure the safe and appropriate handling of medications and compliance with standards, rules and regulations. Plans, supports and leads quality improvement efforts. Identifies and assesses areas of operational risk. Documents findings and recommendations and prepares timely reports for leadership and other stakeholders. Defines and resolves issues related to medication distribution systems and processes

Pharmacy Operations Coordinator Resume Examples & Samples

4 year College Degree desired or equivalent experience with pharmacy operations
4 to 6 years pharmacy operations experience
Strong planning and organization skills
Ability to work collaboratively in a large, corporate environment

Pharmacy Operations Rep Resume Examples & Samples

2) Managed care customer service experience
3) Demonstrated proficiency of word processing spreadsheets and database software
4) Drug information skills
5) Handle multiple tasks and strong organizational skills
6) Bachelors degree in Business or a related health care field or four years work experience in a health care/insurance industry
7) Certified Pharmacy Technician

Pharmacy Operations Supervisor Resume Examples & Samples

Maintain the pharmacy split billing software
Maintain policies and procedures related to 340B for all sites across the organization
Work with wholesaler and/or manufacturers to develop strategies to maximize savings
Develop training and competency materials for those who work with the 340B program
Collaborate with pharmacy, legal, finance, and compliance to ensure all 340B legislation and policy changes are implemented
Maintains awareness of deficiencies related to 340B that have occurred at other programs
Ensures compliance with HRSA and OPA rules and regulations surrounding the 340B program
Monitors and assesses 340B guidance and/or rule changes
Develops reports that outline savings, utilization, and discrepancies related to 340B
Develops processes to limit program liabilities, mechanisms to identify risks and systems to prevent duplicate discounts
Evaluates all contract pharmacy opportunities
Monitors contract pharmacy arrangements to ensure receipt of fees appropriately
Monitors, analyzes and reports monthly on 340B performance
Completes recertification and registration as needed
Manages compliances related to other areas of the department for regulatory programs as needed
Handles licensing of pharmacies in Iowa, as well as other states and ensure data is submitted to those states appropriately and accurately
Precept pharmacy students and residents
Process detailed information with good accuracy
Completion of ASHP accredited PGY1/PGY2 HSPA Health System Administration Residency or minimum of five (5) years’ experience working in a complex pharmacy environment
Experience at an academic health care center
Management experience at academic medical center through residency or two (2) years as a manager
Proficient in MS Office Suite with an emphasis on Microsoft Excel
Ability to provide and accept ideas and suggestions in a constructive and helpful manner
Excellent interpersonal skills, creating positive working relationships with team members including healthcare providers, vendors, supply chain staff and pharmacy staff
Job-related experience with and/or commitment to diversity in the work environment is required
Knowledge and/or experience with PeopleSoft, Epic, McKesson Connect, and Macrohelix™
Demonstrated knowledge of 340B drug pricing program
Ability and willingness to act as a preceptor
Ability to effectively multi-task, keeping multiple initiatives moving forward simultaneously

Pharmacy Operations Coordinator Resume Examples & Samples

3 years hospital pharmacy technician experience, including prior experience with automated drug dispensing devices and re-packaging system
Previous hospital pharmacy computer system experience required
Michigan Pharmacy Technician License required at hire/transfer or within 6 months of hire/transfer into position
Pharmacy Technician Certification (PTCB) required
BS/BA degree in healthcare related field preferred
Experience with spreadsheets and word processing programs is required

Pharmacy Operations Coordinator Resume Examples & Samples

Assist staff with complex pharmacy program questions, rebate payment postings, reconciliation questions, and technical issues. This includes working with the Database Administration group in improving and editing current reports and programs that are utilized by the Drug Rebate and Pharmacy Support teams. Review rebate analysts' monthly and quarterly productivity reports, final dispute resolutions, data analyses, and letters that are assembled and completed. Act as lead for Drug Rebate and Pharmacy Support sections by assisting with complex rebate and programmatic issues and by disseminating pertinent information to staff through verbal and written communication. Ensure that the Pharmacy Helpdesk Hotline is always covered, assist with problem calls, and provide backup assistance with call overflow. Oversee the disbursement and reconciliation of the rebate payments and ensure that the department meets accounting deadlines. Perform monthly database maintenance tasks and quality control measures to ensure a high level of integrity in pharmacy program data. Provide assistance as needed to LDH pharmacists and Pharmacy Support Operations Supervisor, including but not limited to: performing mailouts, data entry, provider calls, information requests, and policy and programmatic research. Conduct special data analysis projects pertaining to the pharmacy program. Conduct periodic reviews of pharmacy claims to assess adherence to Medicaid program policies and procedures. Act as liaison between the LDH Pharmacy Department, other LDH contractors, and UNO Pharmacy Unit staff. Facilitate the production of federal and state quarterly rebate invoices. Prepare special reports and draft letters pertaining to Pharmacy Unit projects. Maintain updates to policies, procedures, and training manual; disseminate any changes to employees. Conduct an annual performance evaluation for each subordinate, setting future goals and strategies. Conduct recruitment, selection, training, supervision, and professional development of assigned staff and new hires. Other tasks as directed
Bachelor’s degree. Minimum 2 years of professional experience in claims monitoring/processing, data analysis, accounting, or auditing. Excellent analytical skills, effective organizational and time management skills. Great attention to detail and follow up, and verbal/written communications skills
Advanced degree. Minimum 3 years of professional experience in claims monitoring/processing, data analysis, accounting, or auditing. Minimum 1 years of supervisory experience. Experience in federal/state health care programs. Knowledge of relational database structures and SQL language. Professional experience in health care field or Medicaid program support. Knowledge of the Louisiana Medicaid Drug Rebate and Pharmacy Programs. CPT, ICD‐9 or ICD‐10 coding, and HCPCS knowledge. CHDA, HIM, RHIA, RHIT, CCA, CMA, CPA, CIA, CGAP, HFMA or other relevant industry certifications

Senior Director Strategy & Business Planning Pharmacy Operations Resume Examples & Samples

Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations
Capital Planning and cost benefit analysis work
Manage daily operations of multiple levels of staff and multiple functions/departments across one or more business units
Management leadership internal and external to organization, accountable for financial and non-financial results (budgets and actuals)
Project management and implementation, staff management
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff
Work focused on improving
Work most often impacts a large business unit, or multiple markets/sites
Works cross functionally with UHC and Optum
Provides monthly and ad hoc reporting to senior leadership
5+ years of healthcare operations experience
7+ years of experience leading and overseeing complex, large scale programs, projects and implementations
Experience leading people/being accountable for a direct report staff
Proven influence management and negotiation skills
Demonstrated experience working in a large complex
2+ years PBM level experience a plus

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