Pharmacy Resume Samples

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The Guide To Resume Tailoring

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GK
G Kunde
Gonzalo
Kunde
6112 Rodriguez Fort
Detroit
MI
+1 (555) 296 7488
6112 Rodriguez Fort
Detroit
MI
Phone
p +1 (555) 296 7488
Experience Experience
Houston, TX
Pharmacy
Houston, TX
Gutkowski-Orn
Houston, TX
Pharmacy
  • Provide support to Manager, Managed HealthCare for ARX, EPS, and PDX software for enhancements that improve cost containment policies and compliance goals
  • Support the Pharmacy Manager and Duty Pharmacy Manager with the supervision and development of other members of the pharmacy team through coaching and feedback
  • Assist in defining and developing HPS' approach to the provider Path to Value
  • We will provide weekly briefings on departmental performance and update you on any promotional events/ new company initiatives
  • May assist or serve as HR support performing functions including payroll, benefits and other personnel functions
  • Establish current and long-range objectives, plans, and policies, subject to approval by the Omnicare Management
  • Engaging clinically through provider joint operating committees and other provider engagements
Houston, TX
Pharmacy Coordinator
Houston, TX
McGlynn Inc
Houston, TX
Pharmacy Coordinator
  • Directs activities of pharmacy personnel involved in purchasing, receiving, and billing
  • Looks for opportunities around cost savings and revenue enhancements around IV compounding and environmental testing
  • Assists with reporting adverse drug reactions within the safety reporting system for full assessment
  • Works with the manager of the Waltham Oncology Infusion pharmacy to identify patients that would benefit from using the Outpatient pharmacy
  • Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process
  • Assist with the pharmacy utilization review and reporting process
  • Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
present
Philadelphia, PA
Director of Pharmacy
Philadelphia, PA
Runolfsdottir and Sons
present
Philadelphia, PA
Director of Pharmacy
present
  • Develops job descriptions and performance standards. Evaluates and counsels staff on their performance
  • Participate in Quality Assurance and Performance Improvement activities
  • Providing clinical, operational, administrative, inventory, staffing and financial management of hospital pharmacy function
  • Assist technician staff in securing prior authorizations, and assisting physician staff in completing prior authorizations in a timely manner
  • Provide drug information, perform clinical consultation and patient counseling; communicate with physicians, nurses and patients
  • Promoting an environment of continuous quality improvement
  • Ensures success of department operations through building employee engagement, effective talent assessment, continual learning and development, cross-training and succession planning
Education Education
Bachelor’s Degree in Pharmacy
Bachelor’s Degree in Pharmacy
Indiana University
Bachelor’s Degree in Pharmacy
Skills Skills
  • Ability to use good judgment in order to carry out detailed instructions
  • Strong organizational skills; detail oriented
  • Excellent communication (written and verbal) to communicate with patients and other health care professionals
  • Strong interpersonal skills; ability to develop and maintain cooperative working relationships with others
  • Knowledge of current pharmacy trends and alternative resources and treatments in out-patient and alternative care settings
  • Possess a solid understanding of operations, technology, communications and processes
  • Ability to meet or exceed Performance Competencies
  • Ability to operate equipment at high levels (20’-40’) such as reach truck picker machine forklift etc
  • Ability to work in a team environment
  • Ability to read and understand the English language for the purpose of comparing and reading product descriptions names and shelf labels
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15 Pharmacy resume templates

1

Assistant Director of Pharmacy Resume Examples & Samples

  • BA in Pharmacy
  • Minimum of 5 years senior or management experience in Acute Care
  • Knowledge & experience with 797
  • Strong written and verbal communications skills
  • Exceptionally organized and attentive to detail
2

Pharmacy Benefit Consultant Resume Examples & Samples

  • Excellent people management skills and at least 3 years people management experience, preferably in a call center environment
  • Ability to perform in office environment with extended periods of sitting, using telephone, and viewing computer screens
  • Ability to prioritize tasks daily and trouble shoot urgent customer issues to successful completion
  • Advanced knowledge of Microsoft Office applications including Excel and Outlook
  • Exceptional problem solving, analytical, interpersonal and communication skills to resolve issues within Operations
  • Professionally skilled in verbal and written communication
  • Meticulous organization skills, with the ability to multi-task, and ability to make sound decisions in a timely and independent manner
  • Knowledge of Pharmacy, Managed Care and Self-Insured healthcare products
  • Bachelor’s degree and/or pharmacy technician certification
3

Director of Pharmacy Services Resume Examples & Samples

  • Registered Connecticut Pharmacist
  • At least 3 years of previous experience in a clinically oriented pharmacy position
  • Experience with pharmacy benefits management
  • Superior clinical knowledge base
  • Ability to act as a leader
  • Graduate of a clinical residency program
4

Pharmacy Benefit Manager Resume Examples & Samples

  • 3+ years of relevant experience
  • PharmD and license in NY and/or NJ
  • Work experience as a Clinical Pharmacist
  • Microsoft Excel proficient
  • Solid analytical skills
  • Experience in managing vendors and/or teams
  • Strong project management and coordination skills
  • Experience as a pharmacist or administrator in a Health Plan, Managed Care Organization, and/or Hospital Network
  • Experience in a Insurance or a professional service environment
5

Lead Pharmacy Quality Improvement Specialist Resume Examples & Samples

  • Experienced NYS licensed pharmacist
  • Minimum of 7 years of experience in the healthcare industry with a focus on Quality Improvement
  • Hospital, pharmaceutical or corporate quality/safety improvement experience
  • Working knowledge of data analysis/statistical software tools with strong Word expertise
6

Senior Director of Pharmacy Services Resume Examples & Samples

  • BS in Pharmacy or Pharm.D
  • 10+ years experience in managed care or pharmaceutical industry
  • NY License
  • Understanding of Department of Health Compliance and Regulations
7

Pharmacy Information Systems Manager Resume Examples & Samples

  • BS in Pharmacy or Pharm D
  • NYS licensed
  • 5+ years experience as a pharmacist
  • 3+ years of progressive experience in implementation and support of a pharmacy clinical information system
  • Pharmacy managerial experience
8

Director of Pharmacy Marketing & New Business Development Resume Examples & Samples

  • 5+ years of previous Healthcare Marketing experience
  • Bachelor’s Degree in a related field
  • Background in Social Media Marketing and Analytics
  • Experience overseeing the design and production of print and online materials and publications
  • Familiarity with marketing applications used for marketing project management, content/asset management, marketing analytics
  • Experience managing marketing/research vendor/agency support
  • Proficient in relevant social media outlets including twitter, Facebook, LinkedIn, etc
  • Strong creative, strategic, analytical, organizational and personal sales skills
  • Microsoft Office/Suite proficient (Excel, Word, PowerPoint, etc.)
  • Able to multitask efficiently and effectively
  • Sales experience within Healthcare
9

Counter Manager Lancôme Casuarina Pharmacy Nt Resume Examples & Samples

  • Proven experience in achieving sales results
  • Strong experience in either a major department store or large pharmacy
  • Experience in working in the luxury cosmetics or skin care industry
  • Experience in people and roster management
  • A passion for luxury
  • Studies in makeup artistry
  • Exceptional presentation and an appreciation for luxury cosmetics and fragrances
10

Editorial Associate Pharmacy Resume Examples & Samples

  • Minimum 2 years experience as a pharmacy technician in a dispensing environment or other applicable work experience
  • Computer skills including working knowledge of MS Excel, MS Word, and MS Windows
  • Excellent internet information retrieval skills
  • General understanding of how drug product data is used in the healthcare industry
  • Motivation to work in a fast paced environment; must be capable of handling multiple tasks, working efficiently and meeting deadlines
  • Excellent interpersonal communication and organizational skills and a customer-oriented focus
  • Ability to balance team and individual responsibilities
11

Pharmacy Frontline Leader Resume Examples & Samples

  • 2 years of leadership experience
  • Pharmacy experience and knowledge
  • Experience in leading others
  • Proficiency in Microsoft Office Word, Excel and PowerPoint
  • Able to give direction and make sound business decisions
  • Certified Pharmacy Technician highly preferred
  • Associate's or Bachelor's degree
  • Previous supervisory experience in a mail order setting
12

Pharmacy Fraud Resume Examples & Samples

  • Health Plan experience
  • Previous Medicare/Medicaid Experience a plus
  • Experience in investigative methods
13

Pharmacy Fraud Resume Examples & Samples

  • Bachelor’s degree or equivalent combination of education and experience
  • Previous experience as an investigator in a plan SIU, government agency or other relevant environment
  • Knowledge of pharmacy claim processing and investigative process
  • Flexible and likes change
  • Familiarity with Humana's operating systems
14

Pharmacy Project Analyst Resume Examples & Samples

  • Ability to handle changing priorities yet maintain processes, projects and composure
  • Ability to work independently in fast paced, dynamic and changing environment while managing multiple projects simultaneously
  • Familiarity with pharmacy benefit management processes or organizations
  • Prior work history in a clinical, pharmacy or related setting
  • Previous experience as a key stakeholder dealing with special projects
15

Consumer Experience Strategic Consultant Pharmacy Resume Examples & Samples

  • Regularly review all internal/external opportunities to interact with Humana Pharmacy Solutions as a consumer, provider (physician or pharmacy), employer, or internal stakeholder and identify opportunities for improvement
  • Partner with various aspects of Humana Pharmacy Solutions - especially pharmacy clinical teams - to understand pain points of the experience and have clear initiatives to solve those issues
  • Regularly audit communications and certain processes and controls to ensure the expected experience is being delivered
  • Over time, develop understanding of levers that can be pulled, investments required, and potential impact on key experience metrics
  • Collaborate with CoE partners to ensure that Pharmacy strategies are incorporated into enterprise wide intiatives
  • Intermediate project management experience preferred
  • Master’s Degree in Business Administration or a related field
  • Six Sigma Certification also a plus
16

Pharmacy Network Process Consultant Resume Examples & Samples

  • Supporting IT initiatives such as improvements in our Pharmacy Locator tools and Pharmacy Web Portal
  • Management of department processes and procedure documents as well as provider and member communication templates
  • Leading team initiatives, including Medicaid network expansions and compliance requirements
  • Process Improvement experience with an emphasis on quality improvement
  • Demonstrated competency in both oral and written communication skills
  • Previous healthcare experience
  • Proficiency in Excel and Access (familiar with reporting, data entry and data manipulation)
17

Pharmacy Frontline Leader Resume Examples & Samples

  • Previous experience in a team leadership or supervisory position, mentoring or leading others
  • Prior experience in Pharmacy/Medicare Part D field
  • Proficiency in all Microsoft Office Programs, e.g. Word, Excel and Access
  • Excellent time management and communication skills, both verbal and written
  • Associates degree
  • Proven work experience in quality assurance and operational settings
18

Pharmacy Workforce Management Analyst Resume Examples & Samples

  • Proactively/effectively communicating with pharmacy management, production leaders, process management and IT/Systems Operations to understand planned and reactive changes that can impact workflow
  • Clear and concise oral and written communication skills
  • Organizes and manages multiple priorities and/or projects using appropriate methodologies and tools
  • Associates or Bachelor’s degree
  • Project management/business analyst experience
19

Pharmacy Analytics & Reporting Analyst Resume Examples & Samples

  • Perform deep-dive analysis and answer questions around metric variances
  • Participate in pricing strategy development and review of competitive information
  • Perform ad-hoc analysis on an as-needed basis to support the HPS Medicaid team
  • Bachelor Degree in Accounting, Finance, Computer Information Systems, Mathematics, or a related field
  • Strong interpersonal and communication skills and the ability to work on multiple projects with tight deadlines and multiple customers
  • Strong computer skills including Excel, SAS Enterprise, and SQL
  • Health care industry experience
  • Prior work history in a clinical, pharmacy, or related setting
  • Knowledge of Microsoft Access
20

Pharmacy Customer Care Specialist Resume Examples & Samples

  • Process Prior Authorizations via inbound calls to Humana Clinical Pharmacy Review
  • Interact with Physician's offices, Members, Long Term Care Facilities, and Hospitals
  • Experience as a Pharmacy Technician, Medical Assistant, or other relevant experience in a medical or healthcare setting
  • Understanding of Pharmacy terminology and tasks, or a demonstrated technical aptitude and an ability to quickly learn new systems
  • Work ethic that is focused, accurate and highly productive
  • Ability to verbally communicate information and ideas so others will understand
  • Must be able to multitask efficiently and effectively
  • Pharmacy Technician Certification or Certified Nursing Assistant highly preferred
  • Proficiency in Microsoft Office applications, such as Word, Excel and Access
21

Pharmacy Marketing Strategic Consultant Resume Examples & Samples

  • Oversee and manage successful, on-going delivery of effective marketing strategies that align marketing initiatives based on strong consumer/audience insights to meet defined business objectives
  • Ensure deep understanding of the consumer is leveraged across the business; lead creation of appealing messaging and solutions to meet the consumers’ needs; Advocate for and provide actionable insights on key consumer segments, trends in business environments, competitive position, product portfolio offerings
  • Shift Consumer/Customer and other key audience perceptions in alignment with our brand strategy and positioning; create permission space for Humana to deliver a new model of health and wellbeing
  • Partner with and leverage skilled marketing professionals in other teams as Subject Matter Experts to provide the optimal marketing answers to business challenges; Collaborate within broader Consumer organization to ensure consistency within market strategies, communications and messaging
  • Integrate with other segments, products and programs to ensure that the Humana Pharmacy offerings are part of a seamless consumer experience
  • Oversee and manage all strategy, planning, plan execution, financial management and measurement for the Segment Marketing team
  • Partner with stakeholders and peers to develop strategic solutions for business objectives; lead the development and execution of annual marketing plan
  • Provide context and strategic input for marketing initiatives based on overall Humana business and segment needs; oversee successful implementation; garner insights from metrics/results
  • Understand the Humana Pharmacy business model and industry as well as the long term vision and key opportunities/challenges to achieve that vision
  • Lead team in the understanding and integration of that business model
  • Bachelor’s Degree in Marketing, Advertising or a related degree
  • Possess at least 10 years’ progressively responsible experience focused on brand development and driving and executing winning consumer marketing programs
  • Excellent foundation in marketing strategy and best practices, with understanding and demonstrated experience in complex or regulated consumer purchases
  • Experience developing and managing a team of marketing professionals
  • Experience in influential leadership of peers and business partners
  • Master’s Degree of Business Administration or equivalent experience desired
  • Experience in Pharmacy, healthcare marketing and/or service industries
  • Experience marketing to seniors and Boomers
  • Demonstrated ability of managing and prioritizing a diverse set of projects
  • Possess excellent communication, negotiation and diplomacy skills
22

Pharmacy Desktop Audit Project Analyst Resume Examples & Samples

  • Knowledge of SQL or similar data manipulation experience
  • Prior pharmacy and/or health insurance claims experience
  • Retail/Hospital Pharmacy experience
  • Familiarity with Humana’s operating systems
  • Experience in a Fraud, Waste, and Abuse setting
23

Pharmacy Member Waste & Abuse Project Analyst Resume Examples & Samples

  • Bachelor’s Degree in Business or a related field or equivalent combination of education and experience
  • Certified Pharmacy Technician or willingness to obtain CPht upon hire
  • High attention to detail
  • Good written and verbal communication
  • Highly motivated, innovative
  • Prior work history in a pharmacy setting
  • System experience with CCP, MTV, CAS, CGX, PaHub
24

Pharmacy Analytics Resume Examples & Samples

  • Apply expertise and technical support, under the guidance of seasoned associates, in matters related to the successful and financially sound operation of the company’s business to the department’s external and internal customers
  • Perform root-cause analyses to support leaders in answering the “why’s”
  • Working knowledge of Microsoft Excel, Visual Basic, and some database application (e.g., Access or SQL)
  • Demonstrated learning agility
25

Pharmacy Analytics Actuarial Analyst Resume Examples & Samples

  • Develop a library of metrics, methods, processes and reports in support of clinical strategy and development
  • Research and identify trend drivers
  • Collaborate with fellow team members as well as build productive cross-functional relationships within multiple areas of the organization
  • Successful completion of at least 1 actuarial exam
  • Meets requirements for Humana’s Actuarial Professional Development Program (APDP)
  • Prior experience with data analysis and reporting
  • Previous direct or indirect leadership experience
26

Strategic Consultant Commercial Pharmacy Trend Resume Examples & Samples

  • Serving as the primary pharmacy subject matter expert with regards to all matters related to pharmacy trend
  • Supporting respective Markets via participation through Commercial Corporate Trend Committees, Regional Trend Units, Local Market Trend Committees, Market Trend Workgroups, and Outlier 1,000-Plus Member Group Meetings
  • Providing periodic reviews of pharmacy metrics, trends, and potential savings opportunities
  • Developing, delivering, and distributing publications and presentations consisting of consultative cost savings recommendations, reviews of pharmacy performance, and other related metrics
  • Providing information to market leadership teams regarding HPS products, services, and programs as they relate to pharmacy trend
  • Partnering and collaborating with team members, as well as other internal areas of Humana, to strategically address trend-related opportunities
  • Applying vision to identify opportunities and anticipate future trends, and drive change to create a positive impact
  • 2 to 5 years of pharmacy experience
  • Knowledge and experience working in the PBM, administrative, or other related businesses
  • Strong analytical, organizational skills and goal-oriented mentality
  • Ability to manage multiple priorities and projects
  • Past Pharmacy Benefit Management and Account Management experience
27

Commercial Pharmacy Rebate Contracting Executive Resume Examples & Samples

  • Develop relationships that build the strategic alignment between Humana’s pharmacy strategy and the key pharmaceutical manufacturers to implement industry leading terms
  • Monitoring the PBM and managed care landscape for competitive intelligence to improve contracting terms that achieve targeted therapy cost and financial results
  • Implement and monitor financial dashboards to track the success of deployed contracting strategies
  • Providing leadership to realize continuous operational and financial improvements for overall competitiveness while exploring unique contracting strategies
  • Effective negotiating skills specific to achieving favorable financial results
  • 2-5 years of experience in account management, contracting and financial analysis
  • Experience working within a PBM or the pharmaceutical industry
  • Strategic thinking, problem-solving, negotiation and decision-making skills
  • Leadership experience required with ability to work effectively across large organizations
  • Strong communication with excellent analytical skills
  • Pharmacist and/or Masters in Business Administration
28

Siu Pharmacy Investigative Lead Resume Examples & Samples

  • 1 - 3 years of management experience
  • Successful track record in facilitating and managing projects and teams
  • Likes to focus on the “big picture” and thrives in fast paced, multi-project work environment
  • Strong organizational, interpersonal, and communication skills
  • Computer literate (MS Word, Power Point, Excel)
  • Graduate degree and/or certifications (i.e., MBA, J.D., Masters in Criminal Justice, Masters in Forensic Accounting, CFE, AHFI, etc.)
  • Experience in Medicare and Medicaid regulations
  • Bachelor's or Associates degree required
  • Three or more years of investigative experience. (State or local law enforcement, FBI, CIA, DEA, Secret Service, OIG ,General Accounting Office, MFCU, government agencies, corporate investigations, insurance company, law firm, accounting firm)
29

Pharmacy Communications Consultant Resume Examples & Samples

  • Demonstrated ability to develop strategies and create communications that achieve business goals
  • Demonstrated ability to meet deadlines and implement projects/campaigns
  • 3-5 years of experience in marketing or communications related field (marketing leadership, project management, business strategy, etc.)
  • Bachelor’s Degree in marketing, communications or related field
  • Working knowledge of Microsoft Office applications, including Word, Excel and PowerPoint
  • Demonstrated leadership ability
  • Experience working with clients to deliver solutions that meet their needs
  • Master’s Degree in marketing, communications or related field
30

Pharmacy Network Services Front Line Leader Resume Examples & Samples

  • Oversee all NDS (Network Dispensing Systems) functions to include Billing and Collections of all claims and Cash Posting
  • Maintain reporting of NDS business functions from day to day operations through End of Month reporting
  • Oversee and participate in the maintenance of internal controls to protect cash assets
  • Assist in the development, maintenance, and enforcement of policies and procedures for the NDS department
  • Develop departmental goals and work with staff members to achieve and maintain goals
  • Report monthly status to Management Team and Staff
  • Communicate to staff company goals, policies, and announcements from the Management Team to staff
  • Identify and resolve large-scale collection issues, which may include working with payers, interdepartmental discussions, recommending deactivation, and other solutions
  • 2 years of previous experience in a supervisor role
  • Proactive, positive attitude, flexible and the ability to engage associates
  • Associate level or higher degree
31

Pharmacy Claims Specialist Resume Examples & Samples

  • Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do
  • Minimum of one year billing experience
  • Customer service and telephone related skills
  • Data Entry, organizing and processing information
  • Basic billing processes and functions
  • Computer systems, programs and applications
  • Windows/Microsoft Office applications
  • Knowledge of workers compensation policies and procedures
  • Knowledge of pharmacy claims or pharmacy technician certification
  • Skills in trouble-shooting client problems
  • Effective written and verbal communication and customer relations both with internal staff and outside customers
  • Experience operating standard office equipment (Fax machine, copier, etc.)
  • Able to quickly process information and make required corrections
32

Consultant, Pharmacy Client Services Resume Examples & Samples

  • Provide pharmacy support to assigned integrated ASO clients, including but not limited to reporting, member issues, file needs, communication requests, and annual drug list change meetings
  • Prepare Plan Compass reports and provide comments and recommendations for client/broker meetings
  • Monitor key trends in the market place for clients
  • Assist with requests for custom Printable Drug Lists
  • Provide market communications when internal global issues arise
  • Support markets and client executives regarding pharmacy benefits and questions
  • Track operational issues and work with Client, Employer Group, HPS Pharmacy Client Service Strategic Consultants and HPS Colleagues to drive to timely resolutions
  • Ability to manage multiple priorities and multiple accounts/projects
  • Strong analytical skills; written, verbal communication skills; ability to draft, prepare, and deliver presentations
  • Three to five years Account Management experience or three years Humana Pharmacy experience
  • Must be willing to travel 5-10% of the time
  • Ability to interact with varying levels of teams and management
33

Pharmacy Web Business Analyst Resume Examples & Samples

  • Bachelor’s Degree in Business Administration or comparable work experience
  • Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
  • Experience analyzing and presenting complex data and proven problem solving abilities
  • Aptitude for learning new tools, techniques, concepts, and technologies
  • Ability to work independently and with a team
  • Critical thinker with excellent judgment and strong initiative
  • Experience with CCP, ANS/MailRx, Argus, Medicare Part D, RxLookup, RightSource and MyHumana
  • Experience being a Product Owner
34

Pharmacy Financial Operations Strategic Consultant Resume Examples & Samples

  • Bachelor’s Degree in Accounting, Finance or a related field
  • Financial analysis experience
  • Progressive leadership and project management experience
  • Proven Process Improvement/Design Effectiveness
  • Ability to work with senior leadership across various business segments
  • Strategic thinking and planning capabilities; organized and detail-oriented
  • Intermediate to advanced proficiency with MS Access and/or Excel
  • Prior healthcare experience (5-7 years)
  • Knowledge of Humana’s internal policies, procedures and systems
  • Previous survey design experience
  • Experience with CMS and/or other regulatory requirements
35

Right Source Pharmacy Customer Care Specialist Resume Examples & Samples

  • Must be available to work any 8 hour shift Monday - Friday 4:45 AM – 8:00 PM AZ time and Saturday 4:45 AM - 3:30 PM AZ time including holidays (with the exception of Thanksgiving and Christmas)
  • Must have availability to work overtime as needed and during peak season, November through March
  • 3 – 5 years of inbound call center experience
36

Pharmacy Customer Experience Optimization Analyst Resume Examples & Samples

  • Generate comparative analyses of actual results to expected results and report your findings
  • Partner with the business areas for issue resolution and ensuring process efficiency
  • Determine root cause issues as they relate to people, process and technology
  • Recommend solutions based upon data and feedback
  • Bachelor’s Degree in Industrial Engineering, Computer Science, Business Administration or a related field
  • Familiarity with MS Access, Excel and VBA
  • .NET fluency
  • Experience in healthcare
37

Pharmacy Project Analyst Resume Examples & Samples

  • Ability to handle changing priorities while maintaining accountability, project timelines, organization and composure
  • Familiarity with Pharmacy Benefit Management processes or organizations
  • Prior work experience in a healthcare, pharmacy, well-being, insurance or related setting
  • Previous project stakeholder and/or project testing experience
38

Consultant Commercial Pharmacy Trend Resume Examples & Samples

  • Building and developing strong relationships with key members of Market leadership in areas including pharmacy, clinical, finance, and provider relations
  • Assisting in the development and delivery of applicable trend activity reporting to assigned markets in order to help improve prescribing habits, or other needs, that support market pharmacy goals
  • Introducing and developing competitive strategies and provide guidance for improvement of overall pharmacy trends
  • Previous experience with pharmacy trends and clinical programs
  • Demonstrates superior written, interpersonal, presentation. and overall communication skills
  • Ability to build relationships that foster trust, loyalty, and team work within HPS
  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test
  • Past Pharmacy Trend experience
  • Past Healthcare/Pharmacy Benefit Management and Account Management experience
  • Pharmacy degree (B.S. or PharmD)
  • MBA
  • Past Pipeline or Pharmacy and Therapeutic Committee experience
  • Database management experience
39

Pharmacy Audit Onsite Auditor Resume Examples & Samples

  • Prior group health insurance experience or retail pharmacy experience
  • Must have the ability to travel approx. 75%
  • Prior work history in a clinical setting
40

Pharmacy Inventory Analyst Resume Examples & Samples

  • Assess and reconcile inventory variations across multiple systems
  • Perform Quality Control analysis on all new drugs entering the pharmacy and coordinate with applicable contacts to resolve discrepancies
  • Perform daily, weekly, monthly and annual inventory audits & create associated status reports
  • Manage and distribute weekly and monthly rate reports for internal customers
  • Interpret data from multiple systems to identify anomalies & perform root cause analysis
  • Prepare and present financial data to management for review, trending and decision making
  • Research and analyze financial information necessary to support business as needed
  • Work with department leadership to provide appropriate, timely coaching documentation and feedback
  • Develop extensive knowledge of inventory management industry and pharmacy operations in order to identify analytical & process improvement opportunities
  • Assist with year-end reconciliation process by managing associated templates and reports
  • Adjust, report and manage all dispensing-inventory waste
  • Identify and coordinate vendor return opportunities with Drug File Team
  • Manage and maintain staffing models for Dispensing, Inventory, Shipping and OTC departments
  • Obtain or maintain Six Sigma level certification in order to lead various process improvement initiatives
  • High School Diploma or GED required
  • Proficient with Microsoft Office applications, including in-depth knowledge and experience with Excel
  • Demonstrated understanding of effective reporting and data visualization
  • Ability to work closely with system analysts and project managers on multiple projects
  • Develop and manage requirements definition from internal customers
  • Ability to troubleshoot issues by using extensive data analytics to identify root causes and provide solutions, configure inventory management systems to optimize operational workflow
  • Ability to communicate with both technical and non-technical audiences
  • Experience with Inventory Management Systems
41

Pharmacy Process Consultant Resume Examples & Samples

  • Lead process improvement reviews with functional areas within Pharmacy Operations
  • Oversight for Pharmacy Operations’ initiatives designed to support Humana’s business goals of service quality and cost effectiveness
  • Involvement in assigned projects with high development / Sales impacts
  • Identify departmental objectives and drive process methodology that will achieve all desired business outcomes
  • Ability to work well under pressure to meet deadlines
  • Ability to handle changing priorities yet maintain processes, project timelines, and composure
  • Knowledge of Microsoft Word and Excel
  • Knowledge of Microsoft Project, Access, and Visio
  • Previous operational / indirect leadership experience
42

Pharmacy PSM Technology Program Manager Resume Examples & Samples

  • Develop a consolidated management-level dashboard of relevant metrics, including number of implementations by month, number of open issues and defects, first pass rates and project status
  • Create and deploy a training curriculum for an audience of IT associates, educating them about process flow and system procedures
  • Design and maintain a cross-team release and project status reporting mechanism that can be used by senior management to ensure that projects are tracking according to schedule
  • Document current processes and recommend areas and approaches for process improvement and re-engineering
  • Develop a continuing process to identify poorly performing system components and improve their performance. This includes gathering results from monitoring tools and incident analysis; ensuring that root cause analyses are performed; creating an ongoing queue of improvement efforts that identifies both efforts required and benefits to be gained; and developing a mechanism to report progress
  • Create an ongoing system resource capacity planning process. This would involve gathering a baseline of data relating to CPU, disk, memory, etc.; building a process to incorporate resource needs into projects; and building a model to predict resource needs based upon organic growth
  • Drive the creation of dashboards and a performance monitoring portal. This would involve building and executing a multi-generational plan to synchronize and present pharmacy monitoring in a single user interface, using the tools used in the Clinical areas as a model
  • Develop standards for improved logging and monitoring processes to be incorporated into development and change control processes. This involves gathering current and emerging standards and processes, building appropriate documentation and socializing new requirements with appropriate stakeholders
  • Standardizing incident communication protocols. This would require gathering / developing communication templates; developing workflows for communication processes involving users, technical staff, the NOC, Incident Management, business and IT management, and vendors / third parties; socializing the protocols; and measuring effectiveness
  • IT management background, with demonstrated experience leading special projects and producing metrics, measurements and trend reports
  • Master’s Degree of Business Administration, Information Technology or a related field
  • Six Sigma and/or PMP certification
  • Demonstrated experience with process documentation and re-engineering
43

Humana Pharmacy Customer Care Specialist Resume Examples & Samples

  • Prior customer service experience and ability to multi-task
  • Experience using multiple computer applications simultaneously
  • Availability to work 8 a.m. – 9:00 PM Monday – Saturday, including holidays and up to 4 hours of overtime each day during peak season (January – March)
  • Flexibility to work overtime at various times throughout the year, based on business need
  • Bilingual (Spanish/English)
44

Humana Pharmacy Project Analyst Resume Examples & Samples

  • Bachelor’s Degree in Business or a related field or equivalent experience
  • Prior pharmacy experience
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, Project and PowerPoint
  • Relationship building skills
  • Strong problem solving, critical thinking and analytic skills
  • Ability to work on multiple projects
45

Pharmacy Investigative Researcher Resume Examples & Samples

  • Research background information and compile initial case facts for the investigator
  • Obtain information and evidence as outlined in the investigation plan
  • Provide initial analysis and synthesis of information to present to the investigator
  • Provide insight on methods to enhance the analysis of requested documentation to improve the outcome of the investigation
  • Maintain proficiency on all Humana databases, information and business operations to provide recommendations on available information resources that will support the investigation
  • Assist in preparing information for court, joint investigations with law enforcement, or internal presentations
  • Proficiency in Microsoft Word & Excel
  • Ability to handle multiple tasks and deadlines with attention to detail
  • Self-starter and problem solver
  • Strong personal and professional ethics
  • Understanding of a variety of information sources
  • Basic understanding of investigative process
  • Knowledge of various analysis techniques
  • Bachelor’s Degree from four-year college/university
  • Understanding of healthcare industry, claims processing, investigative process, and auditing a plus
  • Familiarity with Humana’s various lines of business and products
  • Prior paralegal or legal secretary experience a plus
  • Pharmacy Tech certification
46

Pharmacy Applications Consultant Resume Examples & Samples

  • Provide feature development, performance enhancements, and new software solutions as well as issue resolution for existing systems
  • Build a standards-driven, scalable, secure and dynamic portal for the information delivery of specific based applications
  • Partner with other business areas within Humana to understand application requirements and develop programming specifications for development staff
  • Develop enhancements, resolve issues, coordinate testing of software releases and oversee regular production updates
  • Competencies in object-oriented software design concepts and all aspects/stages of the Software Development Life-Cycle
  • Prior experience in C#.Net and/or Java development stacks: Core, Web Service, and Database APIs
  • Development experience using Visual Studio, C#.Net, Java, ASP, XML, XML Schemas, HTML and SQL
  • Demonstrated analytic and problem solving skills
  • Knowledge of Pharmacy Solutions
  • Health Care Industry Experience
  • Consulting Experience
47

Frontline Leader of Pharmacy Item Entry Resume Examples & Samples

  • Lead and engage a team of approximately 20 Pharmacy Technicians
  • Ensure appropriate staffing levels are achieved
  • Experience in a leadership or supervisory position
  • Proven ability to engage and professionally develop a team
  • Associate's or Bachelor's Degree
48

Pharmacy Benefit Management Subject Matter Expert Resume Examples & Samples

  • Has hands on experience with one or more pharmacy claims processing systems with automated prior authorization functionality and understands federal and state Medicaid regulations regarding drug coverage, benefit design, PDL, prior authorization and medication therapy management techniques used in commercial and Medicaid pharmacy management programs
  • Has demonstrated experience with successful public speaking and system demonstration. The successful candidate
  • Will serve as internal subject matter expert (SME) for clinical pharmacy functions commonly used in Medicaid pharmacy programs supporting business development & sales, RFP responses, and product development efforts
  • Will be significantly engaged with account management to support product and service enhancement requests and determine optimum solutions that meet client requirements in a cost effective manner
49

Pharmacy Services Specialist Resume Examples & Samples

  • 2+ years of Managed Care Pharmacy experience
  • Bachelor's Degree or equivalent degree in Pharmacy approved by the State Education Department
  • NYS license to practice as a Registered Pharmacist
  • Microsoft Office/Suite proficient (Word, Excel, PowerPoint, etc.)
  • Doctorate in Pharmacy (PharmD)
  • Experience in a Managed Care and/or Clinical Care setting and Geriatric Pharmacy Management, including experience in developing and providing professional and patient educational programs in Pharmaceutical Care
  • Experience in the use and analysis of pharmaceutical data and databases
50

Pharmacy Analytics & Reporting Consultant Resume Examples & Samples

  • Develop and maintain internal metric tracking reports to fulfill the needs of business owners
  • Bachelor Degree in Business, Computer Information Systems, Mathematics, Statistics or a related field
  • 3-5 years of experience with analysis and reporting
  • Strong Excel skills, with emphasis on automation and report development
  • Masters’ degree in Analytics, Business, Computer Information Systems, Mathematics, Statistics or a related field
  • Prior experience in a Medicaid and/or Medicare role
  • Knowledge of VBA programming
51

Director of Pharmacy Resume Examples & Samples

  • 7+ years OF experience managing or directing a Hospital Pharmacy
  • NYS licensed Pharmacist
  • Comprehensive understanding of pharmacy services, the preparation, storage and distribution of drugs, compounding and dispensing medications according to standard and physical chemical procedures, and to direct a hospital- wide drug program
  • Previous Management experience
  • Solid analytical
52

Pharmacy Systems Program Manager Resume Examples & Samples

  • 5+ years of Pharmacy IT experience
  • NYS Board Licensed Pharmacist
  • Proficient in EMR and BCMA applications
  • Microsoft Office/Suite proficient (Word, Excel, etc.)
  • Degree in Informatics
53

Pharmacy Call Quality Production Lead Resume Examples & Samples

  • Conducts accurate and efficient call monitoring that promotes Humana values and customer experience
  • Utilizes knowledge of products, services, processes and procedures of contact center being monitored
  • Contributes to trend analysis, and identifies strengths and opportunities
  • Willingly conducts coaching session, highlighting areas of excellences and areas of improvement to improve member/provider services
  • Identifies and shares appropriate business solutions
  • Schedules and facilitates calibration session with leadership and peers
  • Attends and presents call quality data in Facility Governance meetings
  • Minimum 1 year experience in mail order pharmacy practice environment that include providing direct patient/provider consultations
  • Pharmacy Tech Certification
  • Experience in call center environment
  • Experience in a quality position
  • Experience providing positive and effective written and verbal feedback/coaching
  • Detail oriented
  • Able to interpret and synthesize data into meaningful solutions
  • Superior people skills
  • Understands the big picture and how quality monitoring works to drive process improvement and delivery of exceptional customer experience
  • Strong personal time management and organizational skills
54

Pharmacy Medicaid Encounter Project Analyst Resume Examples & Samples

  • Perform research and analysis on claims data for Medicaid Encounter errors
  • Establish root cause for Medicaid Encounter error claims
  • Provide written and verbal summaries of research results to leadership and Medicaid Encounter business partners
  • Creation of Microsoft Access databases utilizing PL/SQL Developer and Humana’s EDW
  • Responsible for backing up the Medicaid Encounter Process Consultant for all tracking and reporting needs
  • Responsible for documenting and distributing weekly meeting minutes
  • Maintain department, CMS, and State Compliance guidelines and timelines
  • Document and maintain process flows and work instructions
  • Ensure timely and effective communication with other departments who use, or obtain results from Medicaid Encounters
  • Prepare communication materials on behalf of the team to distribute to Medicaid Encounter business partners
  • Utilize Excel, Access, and SQL on a daily basis to perform pharmacy claims research, data analysis, to develop a root cause narrative
  • Comprehensive knowledge of all Microsoft Office applications specifically Access and Excel
  • Ability to detect and report trends
  • Experience with large volumes of data (summarizing, reviewing for anomalies)
  • Solid understanding of process and work flow concepts
  • Experience with Humana’s operating systems, specifically Argus Desktop and IPNS
  • Bachelor's degree or equivalent combination of education and experience
  • Experience reviewing and performing analysis on healthcare claims data
55

Humana Pharmacy Finance & Accounting Manager Resume Examples & Samples

  • Professional image and excellent communication skills
  • Possess a solid understanding of accounting, operations, technology and processes
  • Managing financials for multiple locations
  • Master’s Degree in Business Accounting is a plus
  • Six Sigma Certification is also a plus
  • Five plus years of Accounting and Supervision Experience
56

Pharmacy It-business Consultant Resume Examples & Samples

  • Consult with the various business areas to understand current capabilities and identify future needs
  • Develop an overall business model – current and future-state – to achieve business goals
  • Collaboratively work with the various architectural and solution engineering teams to define multi-year delivery plans
  • Assist in the development and execution of departmental strategic plans and objectives
  • Collaborate with Humana’s strategic partners to deliver superior business capabilities and experiences
  • Bachelor’s Degree in Computer Science, Information Technology or related Healthcare field
  • Directly applicable IT or Healthcare experience
  • Experience in Product Management and Claims
  • Pharmacy Benefit Management PBM experience
  • Prior experience managing client relationships
  • Prior product development and re-engineering experience
57

Pharmacy Services Specialist Resume Examples & Samples

  • Licensed and registered in New York State to Practice as a Registered Pharmacist
  • Bachelor’s Degree or equivalent degree in Pharmacy approved by the State Education Department
  • 2 years of pharmacy experience
  • Ability to use software and knowledge of Microsoft Word, Excel and Power Point
  • Doctorate in Pharmacy
  • Experience in a managed care and/or clinical care setting and geriatric pharmacy management, including experience in developing and providing professional and patient educational programs in pharmaceutical care
58

Humana Pharmacy Customer Care Specialist Resume Examples & Samples

  • Ability to multitask within several computer systems while on the phone
  • Aptitude for quickly learning and navigating new technology systems and applications
  • Previous inbound call center or related customer service experience
  • Excellent oral communication skills
  • Must be available to work any 8-10 hour shift Monday - Friday 6:30 A.M. – 8:00 P.M. (AZ time) including holidays (with the exception of Thanksgiving and Christmas)
  • Proficiency in Microsoft Office Programs, including Word, PowerPoint, Excel, and Access
59

Pharmacy Process Consultant Resume Examples & Samples

  • Involvement in assigned projects with high development / product strategy impacts
  • Ability to work within deadlines being resourceful, demonstrating independence, and using self-management, while exercising appropriate business judgment
  • Strong problem-solving and analytical background and ability to dive into data
  • Build, develop, and implement processes and documentation to support best practices
  • Willingness to take initiative to explore databases, identify relationships, and validate sources
  • Candidates should possess strong interpersonal and communication skills and the ability to work on multiple projects with tight deadlines and multiple customers
  • Ability to determine accuracy of data and reasonableness of results to identify and resolve errors
  • Ability to suggest creative methods to enhance the effectiveness of processes and procedures
  • Experience with developing Microsoft Access databases to meet business needs including, but not limited to, creating tables and writing complex queries which utilize multiple table/queries
  • Strong Microsoft Excel skills, with emphasis on automation and report development
  • Experience working with large databases in healthcare environment
  • Familiarity with pharmacy benefit management and/or eligibility processes or organizations
  • 3+ years of
60

Humana Pharmacy Customer Care Specialist Resume Examples & Samples

  • Prior experience with multi-tasking with an emphasis on typing
  • Must be available to work any 8 to 10 hour shift Monday - Friday 6:45 AM - 8 PM and Saturday 6:45 AM - 5:30 PM
  • Must have availability to work overtime as needed
  • Background in healthcare or pharmacy
61

Pharmacy Project Analyst Resume Examples & Samples

  • Proven experience with building and/or maintaining Access databases and utilizing other Microsoft applications including Excel
  • Associate’s degree or equivalent 2-5 years relevant experience
  • Knowledge of pharmacy claims processing systems and processes
  • Prior experience with creation of production-related metrics
  • Previous experience in quality assurance processes
  • Experience with PL/SQL
62

Pharmacy Resume Examples & Samples

  • Lead the development and execution of pharmacy-provider integration strategy
  • Be an agent for change within Humana’s Pharmacy organizations: provide thought leadership, champion causes, lead “test-and-learn” pilots; implementing best practice initiatives
  • Develop and maintain key partnerships with Medicare Segment Support team to assist in the implementation of strategies and initiatives
  • Develop and maintain partnerships with key leaders throughout Humana’s “provider” organizations, including but not limited to: Provider Development, Integrated Care Delivery Organization, National Network Operations
  • Develop and maintain partnerships with key provider organizations, including but not limited to national and multi-regional IPAs and MSOs
  • Assist in defining and developing HPS' approach to the provider Path to Value
  • Develop and maintain partnerships with key data / technology teams throughout Humana, including but not limited to Pharmacy Analytics, Provider Analytics, Corporate IT, Service Fund
  • Bachelor's degree in business, finance, pharmacy or a related field
  • 10+ years of experience developing and leading successful strategies
  • Success leading teams, including direct-reports/indirect reports and matrixed functions
  • A postgraduate degree such as MBA, MHA, PharmD
  • Experience in healthcare and PBM industry
  • Experience in product development
  • Experience in program management
63

Pharmacy Communications Consultant Resume Examples & Samples

  • As a Pharmacy Communications Consultant you will play a leading role in consulting with business partners and implementing communications solutions for providers, Humana associates, employers and brokers
  • Develop communication strategies, write content and implement campaigns for one of the company’s top business priorities: growing our mail order utilization
  • Build strong working relationships with business stakeholders in a matrixed environment
  • Play a leading role with other team members to achieve the business goals of Humana Pharmacy Solutions and the mail order pharmacy
  • Identify, analyze and evaluate business opportunities using historical campaign performance, market research and competitive intelligence
  • Use your problem-solving skills, be organized, show attention to detail and manage multiple high-profile projects
  • Demonstrated ability to implement communication plans that achieve business goals
  • Demonstrated ability to meet deadlines and implement/manage projects
  • Clear and concise written communication skills
  • 3 years of experience in marketing or communications related field
  • 2 years project management experience
64

Pharmacy Finance Manager Resume Examples & Samples

  • 2+ years of working experience in a Financial Analyst or Information Systems Analyst position
  • Bachelor's Degree in Finance, Business Administration, Information system management or a related field
  • CphT – PTCB Certified Pharmacy Technician
  • Basic understanding of Government 340B principles, accounting principles and operational procedures
  • Ability to adapt to new software environments and extract information from current organizational systems (Cerner, Mckesson Connect, Cumulus)
  • Solid analytical and problem-solving skills
  • Knowledge of programming languages (SQL) and other technical experience
65

Pharmacy Reporting Analyst Resume Examples & Samples

  • Work with business users to define and document requirements for analytics projects
  • Facilitate communication between business users and IT partners
  • Experience with Microsoft SQL Server database engine and associated technologies
66

Pharmacy Reporting Analyst Resume Examples & Samples

  • Bachelor's Degree from an accredited institution
  • Workbench/SQL Server Management Studio (at least one application)
  • Moderate understanding of how to use reporting, analysis and dashboarding as a means to measure performance
  • Microsoft Office/Suite proficient (Excel, Access, etc.)
  • Strong data reporting experience
  • Moderate understanding of how to use Business Intelligence/reporting tools – Base SAS / SAS EG / Qlikview / Aginity
  • Experience with Medicare Part D reporting and validation
  • Experience creating/managing a dept Sharepoint website
67

Pharmacy Communications Analyst Resume Examples & Samples

  • Clear/concise verbal and written communication skills
  • Proven track record of success implementing projects/programs and achieving business goals
  • Bachelor’s degree in marketing, communications or related field strongly preferred
  • 2-3 years’ work experience post Bachelor’s degree
  • Proficient with Microsoft Office applications, including Word, Excel and PowerPoint
  • Previous experience in business related field (project coordination, communications, marketing, etc.) preferred
68

Pharmacy Digital Analyst Resume Examples & Samples

  • Perform testing of new applications as they relate to enhancements and system issues
  • Prior longevity working within the health service industry and/or service operations
  • Data analysis experience
  • Excellent consultative, communication and analytical skills
  • Excellent interpersonal skills, including the ability to work across a highly matrixed organization, interacting, influencing, negotiating effectively with all levels of leadership and peers
  • Successfully demonstrated experience working in a fast-paced environment, with frequent and substantial priority changes, challenging timelines and major resource constraints
  • Build, develop and grow critical stakeholder relationships (internal and external to HPS)
69

Pharmacy Network Consultant Resume Examples & Samples

  • Must have a clear and active pharmacist license
  • Audit, fraud investigation, and/or compliance related work experience
  • Ability to handle confidential information
  • Working knowledge of MS Word, Excel, and database software
  • Excellent oral, written and interpersonal communication skills
70

Pharmacy Customer Service Specialist Resume Examples & Samples

  • High School Diploma or equivalent
  • Ability to speak both English and Spanish fluently
  • Experience as a Pharmacy Tech, Medical Tech, Medical office administrator or CNA
71

Pharmacy Technology Consultant Resume Examples & Samples

  • Bachelor’s Degree in Information Technology, Computer Science or a related field
  • Comprehensive knowledge of Microsoft Office applications, including Word, Excel and Access
  • Demonstrated capability using automated testing applications
  • Applied knowledge of health solutions processing
  • Demonstrated quality assurance methodologies experience
72

Pharmacy Process Consultant Resume Examples & Samples

  • Operationalize actuarial and clinical assumptions to support SAS-based pricing and forecasting tools
  • Perform deep-dive analysis and report on pricing impacts to retail, mail, and specialty pharmacy performance
  • Proficient knowledge of Base SAS programming
  • Strong computer skills including Excel
  • SQL experience
  • Base SAS or Advanced SAS programmer certification
  • Prior exposure to Project Management Institute concepts
73

Special Investigations Pharmacy Investigator Resume Examples & Samples

  • Two or more years of investigation experience. (Prior SIU or general insurance investigations, state or local law enforcement, FBI, CIA, DEA, Secret Service, OIG, General Accounting Office, MFCU, government agencies, corporate investigations, law firm, accounting firm)
  • Associates degree or Bachelor’s degree
  • Graduate degree and/or certifications (i.e., MBA, J.D., Masters in Criminal Justice, Masters in Forensic Accounting, CFE, AHFI, PharmD, RPh, CPhT, etc.)
  • Understanding of healthcare industry, claims processing, investigative process development, and auditing a plus
  • Prior healthcare fraud investigations experience preferred
  • Familiarity with Federal, state, and local law enforcement processes
74

Director of Pharmacy Resume Examples & Samples

  • Perform pharmaceutical care activities for assigned patient population
  • Monitor, evaluate, document, and report patient outcomes
  • Provide or coordinate preparation and dispensing of medication, and all related equipment and supplies, in accordance with physician orders, federal and state laws and regulations, and USC policies and procedures
  • Coordinate all clinical pharmacy care for assigned patient population
  • Evaluate all physician ordered medications for appropriateness of therapy, and maintenance of patient specific optimal therapy through clinical management of medications provided in relation to individual diagnosis
  • Evaluation for drug interactions, clinical monitoring, laboratory and culture monitoring, medication administration compliance and effectiveness
  • Provide drug information, perform clinical consultation and patient counseling; communicate with physicians, nurses and patients
  • Perform tasks and maintain documentation including but not limited to preparation of patient records, patient assessment, care planning, progress/communication notes, medication profile, pharmacokinetic monitoring, renal dosing, clinical case conferences, ongoing clinical assessment, supply management
  • Assist technician staff in securing prior authorizations, and assisting physician staff in completing prior authorizations in a timely manner
  • Participate in Quality Assurance and Performance Improvement activities
  • Precept IPPE and APPE students
  • Act as a preceptor for the USC Community Pharmacy Residency program
  • Exhibit peer leadership by maintaining pharmacy coverage and assisting other personnel in completing workload as required to maintain clinical pharmacy services and production services
75

Pharmacy Workforce Management Business Analyst Resume Examples & Samples

  • Preparation of daily and weekly workflow
  • Identifying gaps in current/new process
  • Understanding Pharmacy metrics and how they drive business decisions
  • General problem solving and root-cause analysis
  • Personal ownership over performance with minimal guidance
  • Strong analytical and creative problem-solving skills centered around forecasting, trending, process improvement
  • Ability to work in a fast paced environment
  • Proficient in all Microsoft applications, Word and PowerPoint, with highly intermediate to advanced Excel skills (Pivot Tables, VLookup, Macros)
  • Ability to present in a small or large group setting
  • A positive, proactive attitude, flexible and highly motivated
  • Six Sigma Green Belt
  • VBA/SQL experience
76

Pharmacy Reporting Analyst Resume Examples & Samples

  • Bachelor’s Degree in Business, Mathematics, Computer Information Systems, or other similar background
  • Strong presentation and communications skills, along with customer service, sales experience or similar work where an expectation was a high level of sensitivity and understanding of customer needs
  • Candidates should possess the ability to take initiative and work independently, and exercise appropriate business judgment
  • Knowledge and use of both PL/SQL, Microsoft SQL
  • Strong analytical and financial analysis skills, including reporting
  • Strong knowledge of Microsoft Office applications including high level of understanding of Excel, Word and PowerPoint
  • Ability to handle changing priorities yet maintain processes and work flow so as to assure an on-time delivery of expected work
  • Previous experience in a clinical, healthcare or pharmacy-related environment
  • Knowledge and use of SAS, a plus
  • Experience in pharmacy benefit and/or health insurance industry,
  • Previous experience planning and managing deliverables to support various types of projects
77

Pharmacy Quality Analyst Resume Examples & Samples

  • Partner with SME’s to develop realistic and innovative solutions
  • Demonstrated ability to implement projects/campaigns and achieve business goals
  • Bachelor’s Degree or equivalent work experience
  • Demonstrate the ability to think critically and evaluate problems from different points of view
  • Proficient with Microsoft Office applications, including Word, Excel and Access
  • Familiarity with Verint scorecards and reporting capabilities
  • Familiarity with Qlikview reporting
  • Be familiar with Quarx (quality) database
  • Possess a detailed understanding of Humana Pharmacy workflow processes – a firm understanding of how processes impact multiple departments
  • Understand the relationships between the different Humana Pharmacy Solutions businesses
  • Six Sigma Green Belt Certification
78

Pharmacy Claims Reviewer Resume Examples & Samples

  • As a Pharmacy Claims Reviewer
  • National CPhT Certification
  • 5 years retail pharmacy experience
  • Long Term Care/Infusion pharmacy experience favorable
  • Proficient in Windows and Microsoft Office preferred
79

Director of Pharmacy Benefit Management Operations Resume Examples & Samples

  • Director is responsible for developing, leading, and timely executing on pharmacy initiatives that meet the business needs. Will work collaboratively with cross-functional teams to deliver compliant solutions including by influence, within and outside of Humana Pharmacy Solutions
  • Leadership that combines broad vision with a critical eye for internal operations and quality assurance is a requirement for a high performing organization
  • Contributes to the success of Humana's business strategy by formulating and executing the pharmacy strategy, driving for exceptional results, inspiring managers and associates
  • Assesses, develops and rewards talent, encouraging progression throughout the enterprise. Motivates and inspires associates to higher levels of engagement, productivity and personal achievement. Provides regular, timely guidance/feedback to encourage developmental opportunities for associates, both direct and indirect reports
  • Optimizes Humana's business strategy by aligning the procedures, people, and technology used to deliver guidance and support to Humana's consumers
  • Seven + years of operations experience within managed healthcare / Pharmacy Benefit Management (PBM) markets
  • Understanding of market management, to include contracting, sales, clinical, community visibility, and integration with other company processes and functional areas
  • Five + years as a operations leader with responsibility for direct reports and multiple teams (staff of 25 +)
  • Demonstrated commitment to quality implementation and execution
  • Reputation as an influential and creative business leader, with successful examples of working across functions to gain consensus and support for new initiatives and programs
  • Executive references who will confirm core strengths and skills including solid business acumen, a high level of emotional intelligence, and a track record of building collaborative relationships with key internal and external stakeholders
  • Ability to recognize and embrace the unique philosophy, mission, values and vision of Humana Inc., and the requisite competencies to demonstrate these values in leadership practice
  • Bachelor’s degree in Pharmacy, Business, Finance or equivalent
  • Vendor management experience
  • Master’s degree in Business Administration
  • Extensive Medicare Part D experience
80

Keck Chief Pharmacy Officer Resume Examples & Samples

  • 7-10 years of progressive management experience in a hospital setting. Additional experience in community and satellite healthcare sites beneficial
  • Demonstrated job-related experience with and/or commitment to diversity in the work/academic environment is required
  • RPH – Pharm.D
81

Pharmacy Frontline Leader Over-the Counter Resume Examples & Samples

  • Identify reasons for variation in individual performance and take appropriate actions leading to improved performance
  • Ability to multi-task in several environments
  • Monitors quality and production. Holds associates accountable for meeting and exceeding expectations
  • Drive engagement and associate development
  • High School Diploma or Associates Degree
  • 2 years or more of experience in a team leadership or supervisory position
  • Ability to lift a minimum of 25 lbs
  • Ability to stand entire shift
  • Proficiency in Microsoft Office Word, Excel and Outlook
  • Six-sigma Black Belt
82

Humana Pharmacy Ohio OTC Team Lead Resume Examples & Samples

  • Apply technical expertise in solving complex problems
  • Monitor and recommend improvements to increase team productivity by providing expert advice and assistance to other associates
  • Act as representative during conference meetings with other departments and markets
  • Identify training needs for team members
  • Focused, accurate and highly productive work ethic
  • Flexibility to work overtime and weekend hours as business requires
  • Demonstrated history of successful person-to-person interaction
  • Solid work history characterized by consistent top performance
83

Pharmacy Customer Care Representative Resume Examples & Samples

  • Interact with Medicare members via the telephone
  • Use your Pharmacy Tech certication and license to enter OTC and allergy information into the system
  • Facilitate positive member experience
  • Strive to exceed departmental and individual goals for production and quality
  • Maintain proactive communication with other internal stakeholders within the RxMentor team
  • Collaborate with other clinical areas to provide support for Clinical Strategies and STARs work
  • Be passionate about helping our members
  • Strong communication, computer and telephonic skills
  • Aptitude for quickly learning and navigating new systems and applications
  • Working knowledge of Microsoft Office products (Microsoft Office Word, Excel and PowerPoint)
  • Should be available to work any shift 6am – 4:30pm AZ time
  • Fluency in Spanish Certified strongly preferred
  • Previous experience in a Call Center environment
  • Experience in a pharmacy setting
  • Previous Medicare/Medicaid experiences
84

Pharmacy Development Applications Engineer Resume Examples & Samples

  • Interpret production trends and abnormalities in order to determine root causes
  • Answer incoming customer calls, resolving specific questions about specific applications
  • Create process improvements for various business segments
  • Participate in Humana’s Disaster Recovery exercises
  • Bachelor’s Degree in Computer Science, Information Systems or equivalent experience
  • Experience in software development and support
  • Understanding of SDLC, OO principles and design patterns
  • Development experience in C# with Visual Studio and the following: JavaScript, CSS, HTML, ASP.Net, MS SQL Server
  • Ability to work well in a team development setting
  • Experience with SSIS, SSRS, Oracle and Informatica
  • Experience implementing MVC for high volume processing systems
  • Experience with Rapid Application Development software tools
  • Business Knowledge of Insurance, Healthcare
85

Humana Pharmacy Shipping Clerk Resume Examples & Samples

  • Packaging and shipping items
  • Opening mail
  • Working with cold packing technology
  • Self-directed, versatile and also able to work well in a group
  • Must be able to stand in a stationary position for over 8 hours
  • Ability to lift up occasionally 25-40 lbs
  • Must be available to work 4 10 hour shifts from 5:30 am to 5:30 pm including Saturdays
  • Must be available to work overtime as business need requires
  • Packing and shipping experience in a mail order or similar facility
86

Pharmacy Order Entry Specialists Resume Examples & Samples

  • Ability to enter data accurately and proficiently into computer systems
  • Proficiency in Microsoft Office Programs
  • Ability to type 40+ wpm (subject to typing test)
  • Data entry experience
  • Pharmacy experience or Pharmacy Technician Certified
87

Pharmacy Rework Process Consultant Resume Examples & Samples

  • Previous operational experience
  • Progressive Quality, Process Improvement or Reengineering experience
  • Strong Project Management experience
  • Comprehensive knowledge of all Microsoft Office applications, Visual Basic, Access and multi-dimensional databases
  • Solid understanding of process / work flow concepts
  • Excellent interpersonal and teamwork skills
  • Master’s Degree in Business, Finance or related fields
  • Experience reviewing healthcare claims data
  • Experience with Oracle DBMS
  • Strong knowledge of SQL
88

Pharmacy Benefit Management Solution Architect Resume Examples & Samples

  • Has experience in new business development, including proposal processes, preferably in a public sector healthcare environment
  • Has experience in pharmacy benefit operations or related operational activity
  • Has the ability to multi-task and handle multiple projects, market analyses, and proposals that are being supported in unison and possibly along the same concurrent timeline
  • Directs the development and implementation of comprehensive solutions focusing on one or more specialized pharmacy disciplines to meet client needs. The individual will serve as the Solution integration expert that will coordinate, supervise, and oversee activities from internal capability providers to promote a comprehensive solution in response to bid and proposal requirements from start to finish including attending and presenting at initial sales calls and best and final presentations
  • Develops the comprehensive solution specifications and forwards to the proposal and business development staff. The individual manages the effective use and consideration of departmental staff, subject matter experts, and resources to define client solutions
  • Organizes, collects, and drives pricing models from external and internal entities and assemble for the PCMO team to build a comprehensive cost model. The individual will evaluate the pricing models and determine feasibility of pricing versus price to win and negotiate better terms/rates for the prospective deal
  • Oversees revisions to an applicable solution to ensure client needs are addressed and communicated in a timely manner consistent with the business development process
  • Manages the teaming and partnering process on prospective deals as well as managing partner relationships on existing solutions and new to market opportunities
  • May assist management in the performance of special assignments and projects in support of Xerox Pharmacy Solutions strategic planning efforts
  • Analyzes Xerox Pharmacy Solution services and products and performs needs assessments in an effort to align information and technology solutions with business initiatives
  • Works with departmental staff, subject matter experts, and resources to define market opportunities, gap assessments, and potential weaknesses in Xerox pharmacy solutions and drive corrective actions through either internal or external planning, development, and execution
  • Interfaces with management to understand and provide solutions consistent with business needs. Participates with the Product Review Board to ensure technical solutions discussed align with internal strategy and external market demands
  • Ability to travel 25-30% of the time
89

Pharmacy Analytics Analyst Resume Examples & Samples

  • Generating and maintaining metrics dashboards used to support both Humana Inc., and Humana Pharmacy Solutions
  • Generating tracking reports to track spend and utilization of targeted drugs
  • Communicating high level summary results to business owners and leadership
  • Developing and improving processes and documentation to support best practices
  • Strong problem-solving and analytical skills
  • Experience with data extraction and manipulation
  • Candidates should have the ability to work on multiple projects with occasionally tight deadlines
  • Candidates should also possess the ability to take initiative, work independently, and exercise appropriate business judgment
  • Moderate to advanced technical abilities in Excel, SQL and/or SAS
  • Prior healthcare industry experience in a clinical, pharmacy, or related setting
  • Familiarity with Medication Therapy Management
  • Experience manipulating large, complex data sets
90

Pharmacy Benefit Mgmt POS Sme-remote Resume Examples & Samples

  • Will serve as internal subject matter expert (SME) for pharmacy claims processing functions supporting business development & sales, RFP responses, and product development efforts
  • Will prepare and deliver public presentations of current and potential systems to internal and external audiences
  • Will provide information to the Product Management team on product development and solutions teams related to Xerox and other pharmacy adjudication systems to assist in ongoing product development efforts
  • Will be significantly engaged with account management to support product enhancement requests and determine optimum solutions that meet client requirements in a cost effective manner
  • Will have demonstrated strong verbal and written communications skills capable of leading discussions with internal and external stakeholders; assisting in writing and/or reviewing sections of proposal material, creating presentation material, and creating and maintaining data in spreadsheets
91

Pharmacy Benefit Mgmt POS Sme-remote Resume Examples & Samples

  • Has hands on experience with one or more point of sale (POS) pharmacy claims processing systems and understands retail pharmacy operations, and NCPDP POS standards
  • Understands the technology components of POS claims systems including system architecture, system development life cycle processes, database functionality, and infrastructure components
  • Has demonstrated experience with successful public speaking and system demonstration
92

Pharmacy Benefit Mgmt Sme-remote Resume Examples & Samples

  • Understands the technology components of claims adjudication and automated prior authorization systems including system architecture, system development life cycle processes, database functionality, and infrastructure components
  • Will prepare and deliver public presentations of current and potential systems and capabilities to internal and external audiences
  • Will provide information to the Product Management team on product development and solutions teams related to Xerox and other clinical pharmacy systems and processes to assist in ongoing product development efforts
  • Will support stakeholders and leaders in solutions and product management, account management, sales, finance and accounting, technical infrastructure and development partners as a member of the Pharmacy Solutions Product Review Board to ensure the best information and documentation is available for appropriate decision-making and achievement of planned and ad hoc business objectives
  • Will possess background and ability to successfully operate and deliver results utilizing a combination of skillsets in account management, product management, and project management in an environment of healthcare and pharmacy solution delivery
93

Humana Pharmacy Customer Care Advocate Resume Examples & Samples

  • Proficiency in Microsoft Word and Excel, and experience using multiple computer applications simultaneously
  • Ability to adapt to change quickly
  • Ability to show empathy
  • Demonstrated ability to work in a team environment
94

Director of Pharmacy Services Resume Examples & Samples

  • 5+ years of experience at the Assistant Director / Manager-level with a proven successful track record in Pharmacy Operations and Clinical / Fiscal Management
  • Master's Degree in a related field; PharmD
  • Experience managing in a hospital pharmacy
95

Pharmacy Technology Manager Resume Examples & Samples

  • Directly applicable IT experience leading software development teams
  • Significant experience with Agile practices
  • Knowledge of pharmacy technology or pharmacy benefit management practices
  • Prior experience in the health solutions industry
  • SaaS Vendor Management experience
96

Pharmacy Analytics Manager Resume Examples & Samples

  • Continually build the strategic alignment between the various Supply Chain groups (Networks, Trade, Purchasing) to improve financial performance
  • Lead the pharmacy contracting optimization by providing the mathematics for forecast and actual financial impacts for our pharmacy contract renegotiations and MAC program
  • Provide drug utilization insights for Clinical and Field presence, particularly the Specialty Class
  • Providing leadership to realize continuous pricing improvements in PBM contracts pricing competitiveness and analytics thru provider network contracts, rebate, or trade agreements
  • Provide key insights into historical drug trend drivers for price and volume trends
  • Monitoring the PBM contract landscape for competitive intelligence and work with Humana Pharmacy Solutions finance and analytics teams to collaborate on future pricing strategies or forecasting financial (rebate, network rates, etc.) for mergers and acquisitions
  • Develop and train a team of 5-10 people and perform management duties as required
  • Bachelor Degree in Accounting, Finance, Business, or related field
  • 3-5 years of experience in PBM contracting and financial analysis
  • Strong project management and analytical skills
  • Proven record of identifying process gaps and implementing improvements
  • Strategic thinking, problem-solving, negotiation, and decision-making skills
  • Knowledge of financial modeling and strong computer skills including: Excel, Access, Word, and PowerPoint applications
  • CPA, MBA, or ASA/FSA preferred
  • SAS experience preferred
97

Process Consultant Pharmacy Coordination of Benefits Resume Examples & Samples

  • Identification, management, and oversight of claim types related to coordination of benefits (COB)
  • Interaction with Argus to vet changes, build business requirement, and coordinate testing
  • Work with COB Project Analysts to ensure adequate project and regression testing
  • Oversight of COB production processes – including process enhancement and compliance
  • Anticipating and meeting needs of internal and external customers
  • Create and provide guidance in weekly, monthly, and quarterly analysis reports
  • Developing documentation to support and improve COB projects
  • Prior experience with process improvement or process design and implementation roles
  • Working knowledge of all Microsoft Office applications, including Word, Visio, and Excel
  • Strong consultative skills
  • Pharmacy knowledge
98

Humana Pharmacy Director of Dispensing Operations Resume Examples & Samples

  • Delivering outstanding member experience
  • Evolving people, process and technology
  • Leading, mentoring and developing people/talent to achieve their professional goals and Humana's business needs in a fluid, changing environment
  • Developing and implementing improved processes taking advantage of the latest technologies
  • Identifying opportunities for improvement and using metrics and feedback to manage day to day operations
  • Cultivating cross functional relationships within Pharmacy and Humana
  • Supporting expansion of Pharmacy to new locations as volume and business needs dictate
  • Executing to key operational metrics around quality, service and cost for the organization
  • Previous experience in management of multiple departments and large number of associates
  • Previous experience in managing automated systems, production lines and/or pharmacies
  • Strong Leadership and associate engagement skills
  • Demonstrated successful experience in delivering results in a matrix environment
  • Experience at consistently delivering superior quality, service, and cost effectiveness with a highly engaged workforce
  • Previous continuous improvement training and demonstrated experience leading process improvement and large scale system change projects
  • Ability to travel 25% of the time
  • Advanced degree (i.e. MBA)
99

Pharmacy Process Consultant Resume Examples & Samples

  • Provide support on a claim level for the pharmacies with outstanding balances. Collaborate with Pharmacy Audit when needed to gain a sufficient understanding of causes for the balances
  • Update various reports on a timely basis
  • Maintain written correspondence related to recoveries. Utilize existing, approved letters and make changes as required
  • Make direct phone calls to pharmacies in Humana’s network to perform financial recoveries related to overpayments and audit adjustments
  • Lead conference calls with internal areas during discussions related to upcoming claim adjustments, pharmacy terminations, fraud and abuse cases, etc
  • Maintain relationship and exchange of information and reports with external collection agency partner
  • Participate in conversations with Humana legal department in cases of unsuccessful attempts to collect through available means
  • Ability to focus on multiple priorities
  • Experience with handling a large number of phone calls on a daily basis
  • Quick learner and ability to work independently with minimum supervision
100

Pharmacy Analytics & Reporting Analyst Resume Examples & Samples

  • Pharmacy network pricing and savings forecasting
  • Bachelor Degree in Accounting, Finance, Computer Information Systems, Mathematics, related field or professional related experience without a degree
  • Strong technical skills including Microsoft Excel and Microsoft Access
  • Familiarity with SAS and SQL
  • Dashboard/BI front end development
101

Pharmacy Customer Care Specialist Resume Examples & Samples

  • Ability to learn and then multi-task using several computer programs, such as Customer relationship management systems, Word, Excel, internet and database software
  • Strong typing and computer skills
  • Ability to work an 8 hour shift anytime between the hours of 6 a.m. to 8 p.m., Monday through Friday with the flexibility to work overtime based on business needs (Including Saturdays)
  • Prior experience in the pharmacy (i.e. Pharmacy Tech) or healthcare field
  • Ability to demonstrate patience and empathy for our members
  • Exhibit agility, adaptability and openness to new ways of thinking and operating
  • Excellent interpersonal skills with ability to show emotional intelligence and compassionately interact with members
  • Must display an ability to prevent irrelevant issues or distractions from interfering with work completion
  • Fluency in Spanish both written and Verbal
102

Pharmacy Sales Director Resume Examples & Samples

  • Knowledge and demonstrated competency in interpreting, developing, executing and maintaining marketing and sales activities within the regulatory and contractual requirements of;The Centers for Medicaid and Medicare Services (CMS), Medicare Advantage Part D plans, The Agency for Health Care Administration (AHCA) Managed Medical Assistance (MMA) plans
  • Polished and professional demeanor
  • Demonstrated sales and management experience for Medicare and Medicaid health plans or closely related field
  • 2-15 and 2-40 licensure
  • Experience with Pharmaceutical Sales, Specialty Pharmacy Sales, Nutritional Sales or other related Healthcare sales
103

Pharmacy Dispensing Analyst Resume Examples & Samples

  • Must have advanced knowledge of and experience with Excel
  • Experience with gathering, analyzing, reporting, and communicating data
  • Excellent oral and written communication skills
  • Aptitude for learning new technical concepts quickly and eagerness to develop technical skills
  • Positive attitude and team player who adapts to a variety of work needs and quick deadlines
  • Experience with Visual Basic
  • SQL Reporting experience
  • Bachelor degree
104

Project Analyst / Pharmacy Audit Resume Examples & Samples

  • Responsible for the import of vendor claim files into Audit platform
  • Generate claim file requests for lump sum pharmacy deductions and credits
  • Respond to inquiries from pharmacies related to adjustments and appeals
  • Responsible for tracking and reporting of adjustment metrics
  • Testing of system changes that impact pharmacy adjustments
  • Building/Maintaining Access databases for adjustment & recovery tracking
  • Bachelor’s Degree in Business or a related field
105

Pharmacy Project Analyst Resume Examples & Samples

  • Strong project management skills, including the ability to prioritize work and meet deadlines
  • Strong planning, organizational and leadership skills
  • Strong interpersonal skills, including the ability to make effective presentations and communicate technical concepts to non-technical stakeholders
  • Strong meeting facilitation and negotiation skills
  • Extensive knowledge of project management processes, project definition methods, organizational change management concepts, and business process improvement methods
  • In-depth knowledge of project planning techniques and automated project planning tools
  • Experienced at developing detailed task lists, timelines and resource budgets to complete projects. Aligning resources to tasks to accomplish projects
  • Ability to communicate projects status to key personnel including project stakeholders, decision makers, sponsors and project team members on a periodic basis. Provide monthly management reporting on the status of all projects
  • Progressive experience managing small to mid-scale projects
106

Crm-pharmacy Communications Analyst Resume Examples & Samples

  • Excellent planning and organizational skills
  • Master’s degree in marketing, communications or related field
  • Experience working with copywriters, graphic designers, and print/email/phone vendors
  • Knowledge of healthcare, pharmacy and/or clinical concepts and conditions
  • Experience in a results-oriented marketing and communications environment
107

Pharmacy Finance Consultant Resume Examples & Samples

  • Financial validation of production claim activity and financial reporting including weekly reconciliation and payment activities
  • Monthly claim processing system testing for various project improvements and break fixes
  • Liaison for project development and testing activities including driving resolution for issues and determining impact to current financial processes
  • Completing various ad-hoc reports and data analyses
  • Comprehensive knowledge of all Microsoft Office applications
  • Strong analysis skills
  • Master’s Degree in Business Administration or a related field or Certified Public Accountant license
  • Previous health insurance industry experience working in a Finance/Accounting department
108

Employer Group Pharmacy Pricing Associate Actuary Resume Examples & Samples

  • Associate of Society of Actuaries (ASA) designation
  • Meets eligibility requirements for Humana’s Actuarial Professional Development Program (APDP)
  • MAAA
  • Advanced Technology Skills
  • Ability to certify statements of Actuarial opinion
  • Ability to translate technical issues to staff and manager
  • Team building skills
  • Project management capability - able to plan and organize work for self and others on a team
  • Experience in more than one discipline (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)
109

Pharmacy Business Analyst Resume Examples & Samples

  • Perform deep-dive analysis and answer questions around data/metric variances
  • Identify and document data quality issues and data capture gaps that will assist in decisions for operations
  • Perform ad-hoc analysis on an as-needed basis
  • Assist facilitation of communication between business users, IT partners, Reporting partners
  • Partner with the Project Team, Reporting, and IT to assist in the design of system enhancements and issue resolutions, and throughout the testing process
  • Bachelor degree in Business, Computer Information Systems, Mathematics, Statistics or related field
  • 1-3 years coursework and/or commensurate professional experience with analysis and problem-solving
  • Experience with data extraction, manipulation, and reporting
  • Ability to work on multiple projects with tight deadlines
  • Ability to take initiative, work independently, and exercise sound business judgment
  • Proficiency with data extraction tools, including Access and SQL
  • Healthcare, managed care experience
  • Proficiency in computer programming and/or SAS
  • Experience with forecasting and predictive modeling techniques
  • Experience with reporting and creating metrics for management
  • Experience with pharmacy reporting or the pharmaceutical industry
  • Experience with data mining and using data to drive business outcomes/ decision
110

Pharmacy Enrollment Specialist Resume Examples & Samples

  • Minimum of 1 year experience in customer service or telesales
  • Experience using Microsoft Word, Excel and Outlook
  • Availability to work an 8 hour shift between the hours of 5:00 am and 5:00 pm Monday – Friday (possible overtime, Saturdays and some holidays)
  • Healthcare or Pharmacy background
  • Call center or sales experience
111

Pharmacy Analytics Analyst Resume Examples & Samples

  • Customer self-service tool development and automation
  • Bachelor’s Degree in Business, Computer Information Systems, Mathematics, Statistics or a related field
  • Prior experience in a Medicare and/or Medicaid role
112

Pharmacy Project Analyst Resume Examples & Samples

  • Prior healthcare experience
  • Comprehensive knowledge of all Microsoft Office applications, including Excel
  • Pharmacy background
  • Pharmacy Tech experience, but not required
  • Knowledge of Pharmacy benefits
113

Cerner Pharmacy Systems Consultant Resume Examples & Samples

  • Manages the impact of technology implementation to optimize the pharmacy and the Cerner PharmNet application
  • Analyzes business and client processes to integrate and align applications to Cerner standards and client's needs
  • Resolve customer concerns raised during installation, operation, maintenance, or product application, along with compatibility matters
  • Must have expertise in diagnosing problems and coordinating the appropriate additional resources to determine and deliver resolution
  • Bachelor's degree or equivalent experience in health care related knowledge or experience and/or information management or application/systems environment
  • 1-3 years in Cerner Experience
  • Procedural experience preferred, either Pharmacy, Surgery, Scheduling, Billing Application(s)
  • Pharmacy/PharmNet Inpatient/Retail/Ambulatory Implementation experience
  • Surgery/SurgiNet Inpatient/Outpatient/Ambulatory Implementation experience
  • Willingness to assist with developing and facilitating end user training and ensuring that systems capabilities are evaluated to meet end user requirements and organizational strategic planning objectives
  • Effective communication, organization, and problem solving skills
  • Leadership ability and collaborative style
  • Ability to manage multiple activities and priorities within complex systems
  • Ability to function in unstructured environments
  • Ability to work with all levels of personnel to achieve positive patient outcomes as well as achieve solution integrity
114

Pharmacy Claims Auditor Cpht Resume Examples & Samples

  • All applicants must have a minimum of 5 years experience working in a retail pharmacy
  • Strong knowledge of third party billing is required
  • Experience in other areas of pharmacy in addition to retail setting is a plus
  • Individual we seek must be able to work independently, have strong organizational skills, be self motivated, and be detail oriented
  • Candidate MUST be able to travel approximately 75%
  • Candidate MUST have Pharmacy Technician certification
115

Pharmacy Customer Care Advocate Resume Examples & Samples

  • Must be available to work any 8-10 hour shift Monday - Friday 8:00 A.M. – 6:30 P.M
  • Must have availability to work overtime as needed based on business needs and during peak season (November through March)
  • Bilingual-Fluent in Spanish and English
116

Pharmacy Investigator Resume Examples & Samples

  • Strong knowledge of Microsoft Office Suite
  • 2 years of Pharmacy experience utilizing claims, investigations, and/or common practices
  • Ability to effectively lead investigations from a desktop environment
117

Pharmacy Resume Examples & Samples

  • Works with technical and clinical teams on Pharmacy and Medication process workflows and build within Cerner EHR
  • Understand and consult on Cerner business process with client work groups
  • Provide gap analysis and process redesign recommendations, support client and project teams
  • Consult with client to develop and apply appropriate policies and procedures
  • 2+ years’ experience with Cerner Millennium Meds Process (specifically pharmacy) workflow OR design and build experienceOrders workflows)
  • Strong build, design, workflow, assessment, and validation testing knowledge as well as ePrescribe, ePrinting and PowerChart experience with PharmNet
  • College degree or equivalent years of experience
  • 3+ years of experience
118

Pharmacy Project Analyst Resume Examples & Samples

  • Experience working in Argus IPNS
  • Ability to run queries in Microsoft Access
  • One year experience in the Pharmacy/Medicare Part D field
  • Experience with Smart Summary
  • Experience working in our EDW
  • PL/SQL experience highly desirable
119

Pharmacy Sales Manager Resume Examples & Samples

  • Manage a highly experienced and successful pharmacy representative team
  • Take complete ownership of the key accounts for the business in NSW and ACT
  • Manage and develop crucial business relationships with independent accounts/stores
  • You will also need to work closely with the national account management team alongside with other marketing team
120

Pharmacy Sales Representative Resume Examples & Samples

  • Your self-drive and ability to effectively manage your own time
  • Independently problem solve and create solutions
  • Identify opportunities for business growth
  • Possession of astute commercial business acumen
  • Well-honed analytical skills and budget management
  • Ability to travel interstate for 2-3 nights every twelve weeks
121

Assistant Dean-operations, School of Pharmacy Resume Examples & Samples

  • Provides teaching contributions in alignment with the needs of the program andas assigned
  • Designs and delivers learning-centered instruction in alignment with the expectations of the South University model
  • Relates professional/life/industry experience to learning by continuing professional/ technical skills development, introducing professional/industry perspective into courses, and the remaining aware of professional/industry trends
  • Promotes student success by showing flexibility in style and work schedule as well as exhibiting a passion for teaching and students
  • Manages the educational process to ensure a positive educational experience
  • Practices effective outreach to at-risk and/or absent students
  • Communicates consistently and effectively with supervisor(s), Faculty, and other South University Administrators
  • Participates in the Faculty development process to enhance knowledge, skills, and abilities via learner-centered instruction
  • Manages the learning environment through keeping accurate records and enforcing academic policies consistent with the School, Campus, or Online Division
  • Enables the achievement of pre-described outcomes for student achievement and evaluation of learning by providing proficient and comprehensive teaching
  • Ensures that credentials of Faculty meet university and accreditation requirements and are properly documented
  • Contributes to the annual reviews of all facultywith the Department
  • Provide overall management, planning, budget, personnel resource allocation, program development and implementation for the campus location.Adheres to University policies as described in the Employee Handbook, the Faculty Supplement to the Employee Handbook, job description, or other separate guidelines
  • Participates in Departmental leadership meetings held by the College/School Dean
  • Serves the College and University on committees as requested by the College/School Dean
  • Actively and professionally promotes the School of Pharmacy to the Public
  • Serves as an advocate and leader for pharmacy in local, state and national pharmacy affairs, appropriately representing the image and standing of South University at all times
  • Supervises) the full-time and adjunct faculty and faculty evaluation processes
  • Completes at least one professional development activity per year
  • PharmD or Ph.D. in Pharmaceutical Sciences or other related discipline
  • Successful record of increasing responsibility or project/initiative leadership within a university or industry setting
  • At least 3-4 years teaching experience at South University or another post-secondary education institution preferred
  • Active, valid, and unencumbered state licensure or certification as applicable to the discipline
  • Practical experience in the discipline of the program
  • Evidence of management experience or potential
  • Strong leadership and strategic planning skills
  • Strong analytical and change management skills
  • Strong fiscal and personal management experience
  • Excellent verbal and written communication skills including the ability to build successful relationships with students and Faculty
  • Excellent time management and detail-oriented skills
  • Excellent critical thinking, conflict resolution, and decision-making skills
  • Excellent teaching skills as evidenced in prior teaching evaluations
  • Computer based skills (i.e., software, analytical, and report writing skills) and experience with computerized learning management systems
  • Ability to manage multiple tasks and successfully meet deadlines
  • Ability to develop professional rapport and work effectively, cooperatively, and flexibly in a diverse team environment
  • Ability to read, understand, interpret, and implement academic policies and procedures
  • Ability to resolve inquiries and complaints from employees, students, and Faculty
  • Ability to effectively present information to employees, students, Faculty, Academic and Campus Leaders, and Corporate Leaders
  • Ability to develop and complete projects without continued direct supervision
  • Ability to learn from students’ participation, demonstrate fair and consistent behavior in all matters, and show compassion without being ineffectual
  • Ability to hold required office hours and respond to student questions and administration within the required response time
  • Ability to successfully complete the New Faculty Orientation and other assigned/required training (e.g., Code of Conduct) through South University
  • Ability to physically work in the United States while performing all responsibilities of the position for the University
  • Ability to embrace and lead change when necessary
  • Ability to read, analyze, and interpret accreditation criteria, state agency regulations, and academic journals
  • Percentages provided reflect an estimated amount of time that may be spent completing assigned duties in each job element. Actual percentages may vary based upon Departmental/Program needs and/or operational needs
122

Pharmacy Tehnology Instructor Resume Examples & Samples

  • Bachelor's degree in a field related to the classes to be taught with a Master's degree preferred
  • Demonstrated time management and detail-oriented skills
  • Ability to work effectively under pressure and to meet frequently occurring deadlines
123

Accounting Clerk Ii Duke Retail Pharmacy Resume Examples & Samples

  • Budget Projections
  • Statistical Reporting
  • Data Entry Calculator
  • Accounting/Bookkeeping
  • Duke Accounting System
124

Assistant to the Chief Pharmacy Officer Resume Examples & Samples

  • Knowledge of UW Ariba Travel system and other UW systems
  • Knowledge of HR procedures
  • Healthcare experience is preferred
125

Inpatient Pharmacy Operation Manager Uwmc Resume Examples & Samples

  • Working knowledge of desktop computers, including proficiency with MS Office applications
  • Highly-detailed organizational skills
  • Experience using UW administrative systems (ex. OWLS, Kronos, OPUS, My Financial Desktop)
126

Health Services Manager Hmc Pharmacy Resume Examples & Samples

  • Assist with strategic planning for drug shortages with pharmacy purchasing staff and the Inpatient Operations Supervisor and communicate plans to all clinical staff as appropriate
  • Maintain effective communication with staff of the pharmacy, other medical center departments, and the School of Pharmacy
  • Ensure that protocols and guidelines regarding medications are clinically appropriate
  • Serve as a member of committees as assigned
  • Participates in development, implementation and evaluation of departmental policies
  • Assure compliance with departmental and organizational policies and procedures, and state and federal laws and regulations
  • Assume other responsibilities in the management of the Pharmacy Department as delegated by the Assistant Director of Clinical Services
  • Participate in professional Pharmacy organizations
  • Promote an image of service and goodwill to patients, family members, the public, and other medical center staff
127

Pharmacy Compliance Consultant Resume Examples & Samples

  • Minimum of an AA/AS degree
  • Must have experience in healthcare industry
  • Exposure to research and auditing tasks
  • Intermediate knowledge of MS Word, Excel and PowerPoint
  • Ability to work independently under general instructions and with a team
  • Knowledge/understanding of regulatory and legislative requirements with an emphasis on Medicare Part D
  • Pharmacy experience
  • Consulting and compliance experience
  • Project coordination or management experience
  • Metrics and report development experience
128

Humana Pharmacy Solutions Manager Resume Examples & Samples

  • Bachelor’s Degree in Engineering or Business
  • Strong understanding of data and processes
  • Understanding of project management tools and approach
  • Demonstrated ability to run large scale, highly visible programs with responsibility for multiple project teams
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Project, and Visio
  • Prior experience managing a PMO
  • MBA and/or Master’s Degree
129

Pharmacy Resume Examples & Samples

  • Positions focused on the provision of full service account management for the MAPD divisions/regions, risk providers and Provider Organized Delivery System (PODS) for all pharmacy-related needs
  • Engaging clinically through provider joint operating committees and other provider engagements
  • Engaging the MAPD markets with Humana Pharmacy Solutions (HPS) programs and leading the pull-through of HPS initiatives to meet goals
  • Provide financial and utilization analysis to provider practice groups as needed
  • Extensive written and oral communication skills required
  • Excellent presentation skills required
130

Pharmacy Ownership Consultant Resume Examples & Samples

  • Manages the Pharmacy Ownership Program nationally to maximize drug distribution business through the expansion and retention of existing community pharmacy business
  • Facilitate pharmacy acquisitions, existing business expansion, and new business start-ups by confidentially matching prospective buyers and sellers
  • Assists with the development of strategies and tactics designed to improve ABC’s effectiveness relative to pharmacy ownership
  • Functions as a subject matter expert on all aspects of pharmacy ownership transfers and start-ups
  • Serves as consultative support to prospective pharmacy buyers and sellers
  • Works closely with ABDC Finance, Treasury, and approved outside lending institutions to secure appropriate financial consideration for the prospective borrower
  • Engages with the appropriate ABC Regional associates to ensure a mutually beneficial transaction between all involved parties
  • Establishes strategic relationships with schools of pharmacy, buying groups, and the ABC field sales teams to promote awareness of this ABC offering
  • Maintains a comprehensive and confidential database of prospective buyers and sellers and record transactions in the market place via The Hub
  • Provides regular in-service training to acquaint the ABC field sales force with this initiative
  • Must be willing to work extended hours, as needed, in order to meet business objectives; must be willing to travel extensively
  • Requires broad training in fields of business administration, accountancy, finance, sales and marketing, computer sciences, pharmacy business operations, or similar vocations generally obtained through the completion of a Masters in Business Administration or equivalent work experience
  • Normally requires a minimum of ten (10) years directly related and progressively responsible pharmacy experience, including a minimum of five (5) years of management experience
  • Exemplary consultative skills
  • Extensive knowledge of pharmacy operations and drug distribution
  • Extensive financial knowledge and experience
  • Ability to effectively communicate with field sales teams
  • Ability to effectively communicate with management
  • Effective negotiation skills
  • Creativity skills, focused, disciplined, and confidential
  • Remains current with industry trends and makes prudent recommendations in response to such trends
  • Interpersonal skills sufficient to develop and maintain cooperative working and business relationships with others
131

Pharmacy Business Development Manager Resume Examples & Samples

  • Develops productive business relationships with Retail and Alternate Care pharmacy prospective customers that build individual customer trust and confidence in the ABDC selling process
  • Continually develops and demonstrates “nuance” level market trade class and customer type knowledge that builds sales trust and confidence both internally and externally
  • Successfully develops relationships and works collaboratively with internal ABC subject matter experts business stakeholders distribution center management operations and sales team members as required/appropriate to sell new business
  • Successfully implements a prospecting strategy that results in a minimum of 12 active and potentially profitable Level 2 & 3 Retail and Alternate Care pharmacy Prospects in their individual sales pipeline at any time
  • Successfully implements consultative selling skills with Level 2 & 3 customers as required and appropriate to uncover individual needs and build a tailored ABDC proposal
  • Develops and persuasively presents ABDC proposals that meet the needs of individual prospective Retail and Alternate Care customers and move them towards Prime Vendor Agreement signature
  • Closes new Retail and Alternate Care customer business in each fiscal year in order to meet the new business revenue generic solution and program goals
  • Effectively and efficiently manages the entire new business sales pipeline such that customer time at each level is minimized time to close is continually improved and close ration goals are met
  • Continually works in collaboration with the Director Business Development and other internal personnel to create customer proposals that offer financial terms with mutual benefit for ABDC and the customer; effectively maximizing profitable revenue for each opportunity. Sells both internally (selling terms to decision-makers within ABC) and externally (to potential customers/influencers) in order to progress customer prospects through the sales pipeline. Effectively builds coalitions both internally and externally
  • Ensures that account is fully operational before transitioning to service/expansion roles. Works directly with Director Business Development Sales Executives Customer Care Representatives Inside Sales Account Managers and corporate sales associates as necessary to transition new business after opening the account
  • Develops and maintains a strong base of working knowledge through the use of ABDC training Director Business Development mentorship industry information and company literature
  • Participates in required sales training that will allow the AmerisourceBergen sales force to continually maintain a consultative sales approach with all customers. Actively seeks additional training and professional development opportunities to enhance knowledge and skills
  • Must be willing to work extended hours as needed in order to meet sales objectives
  • Must be willing to travel extensively (including overnight travel) within the assigned customer base and geographic territory; travels to events such as conferences national and regional sales meetings
  • Requires a minimum of five (5) years of demonstrated and successful direct new customer acquisition sales experience including territory prospecting individual customer needs analysis tailored proposal development and successful presentation and contract signature
  • Broad training in fields such as business administration accountancy sales marketing computer sciences or similar vocations generally obtained through completion of a four-year bachelor's degree program or equivalent combination of experience and education
  • Excellent and persuasive consultative selling skills
  • Ability to rapidly build trust and credibility with prospective customers
  • Excellent new customer sales pipeline management skills
  • Excellent understanding of specific business segment; industry and competitive knowledge
  • Strong acquisition and leadership skills
  • Excellent customer probing skills
  • Able to build internal collaboration with subject matter experts and others as necessary
  • Able to build customer relationships and trust quickly to challenge customer mindsets; comfortable closing sales
  • Strong analytical skills; quick thinker
  • Highly competitive and goal oriented
  • Good understanding of value and profit principles
  • Thorough understanding of AmerisourceBergen Solutions and which would apply best to their individual customer's needs
  • Strong presentation skills; up-to-date knowledge of presentation software and equipment
  • Meticulous follow-up skills; assertive in promoting ABC solutions to prospective customers
132

Pharmacy Care Coordinator Resume Examples & Samples

  • Answers and resolves patient inquiries within committed time frames
  • Understands the physical, psychological and social challenges of specific disease states and assists the patient with drug therapy and pharmacy care issues
  • Promotes drug compliance
  • Reports all adverse events related to drug therapy and pharmacy care
  • Establishes and maintains strong customer relationships with physician practices to streamline communication to the patient, payers, pharmacist, nurse, lab and other healthcare related parties
  • Participates in administration of patient's pharmacy care plan
  • Troubleshoots and resolves patient and payer issues in a timely fashion
  • Works in a team-structured environment to provide support to other members of the healthcare team
  • Embraces a continuous quality improvement customer service approach by pro-actively identifying areas of improvement and communicating those ideas to the healthcare team
  • Maintains current notes and documentation related to patient's drug therapy and pharmacy care plan; flags issues that need to be addressed
  • Coordinates responses and resolutions with appropriate internal and external parties
  • Actively participates in discussions with pharmacists, nursing services, pharmacy support manager and other pharmacy care coordinators to review cases and related drug therapy and pharmacy care plan issues
  • Strong customer service skills, time management, organizational skills, initiative, professional demeanor and positive attitude
  • A strong knowledge of medications/drugs. Certified Pharmacy Technician preferred
  • Attention to detail, quick study, self-motivated, proactive, and the ability to work independently with a high degree of initiative
  • Ability to promote a positive team environment
  • A champion for excellence, efficiency and quality
  • Working knowledge of Microsoft Office Suite including Word, Excel, Access and Outlook
133

Lead, Pharmacy Care Coordinator Resume Examples & Samples

  • Must demonstrate organizational and time management skills
  • BAAN and Goldmine knowledge required
  • Good oral and communication skills necessary
  • Knowledge of ASD’s operations required
  • Knowledge of USBioservices’ operations
  • Demonstrated leadership skills in a team environment is a required
  • Computer literacy with MS Office application such as Outlook Word Excel Access
  • Strong time management organization skills initiative professional demeanor and positive attitude
134

Pharmacy Business Coach Resume Examples & Samples

  • Requires broad training in fields such as business administration accountancy sales marketing computer sciences or similar vocations generally obtained through completion of a four year Bachelor’s Degree Program
  • Normally requires a minimum of five (5) years industry experience and/or directly related and progressively responsible experience
  • Pharmacy or healthcare sales experience is desired
  • Experience having business relationships with independent pharmacy owners is desired
  • Excellent management skills
  • Ability to work with multi-source vendors
  • Proven successful business tactics; credible image in the industry; good marketing skills
  • Ability to forecast set goals and train others
  • Knowledge of product and customer service standards
  • Understanding of value and profit
  • Creative focused and disciplined
  • Good understanding of programs
  • Project and budget knowledge
  • Advanced analytical skills
135

Pharmacy Warehouse Inventory Coordinator Resume Examples & Samples

  • Ensures contract compliance and inventory control
  • Regularly validates invoices to ensure compliance
  • Ensures bar coding and packaging requirements/needs are met
  • Oversees and trains repackaging associates and ensures adequate supplies of bar coded product
  • Assists in and keeps abreast of contract issues with the various manufacturers
  • Keeps track of and orders all supplies as needed to maintain supply inventories in the pharmacy
  • Works with Manufacturer partners and other companies to maintain relationships and work through issues and problems
  • Keeps inventory and supplies stocked throughout the day and as needed for maximum efficiency
  • Must be currently registered as a pharmacy technician in the State of Kentucky or become registered upon hiring
136

Pharmacy Account Specialist Resume Examples & Samples

  • Provides inbound / outbound call center and email support
  • Supports corporate vital level customers, buying group and GPOs related to pricing errors, contract loading, forms and document follow up, quality assurance, pricing integrity, terms consistency, contract pricing issues, as well as product availability support and stocking requests
  • Supports decisions related to overall customer account services offerings included within ongoing relationship. Participates from prospecting through contract award
  • Implements the training and development activities for the team to support and respond to customer inquiries, requests and issues
  • Supports allocation, drug shortage, product availability and other relevant activities
  • Produce, identify and analyze purchasing trends within vital customer base and escalate to appropriate internal and external stakeholders
  • Produce and monitor reports such as Allocation, SOA, Market Shortage, and Key Shortage Update for key customers as well as facilitation/coordination of additional reports based on customer requests
  • Deliver designated customer-facing training plan designed to reinforce adherence to level buying practices, allocation and SOA policies at the corporate/GPO level
  • Submit credit memos prior to generating final credit to the customer
  • Normally requires a minimum of one (1) to two (2) years related and progressively responsible experience
  • Influencing ability
  • Ability to communicate effectively both orally and in writing
137

Pharmacy Business Development Manager Resume Examples & Samples

  • Develops productive business relationships with Independent Retail and Alternate Care pharmacy prospective customers that build individual customer trust and confidence in the ABDC selling process
  • Successfully implements a prospecting strategy that results in a minimum of 12 active and potentially profitable Level 2 & 3 Independent Retail and Alternate Care pharmacy Prospects in their individual sales pipeline at any time
  • Continually works in collaboration with the Director Business Development and other internal personnel to create customer proposals that offer financial terms with mutual benefit for ABDC and the customer; effectively maximizing profitable revenue for each opportunity
  • Sells both internally (selling terms to decision-makers within ABC) and externally (to potential customers/influencers) in order to progress customer prospects through the sales pipeline. Effectively builds coalitions both internally and externally
  • Requires a minimum of five (5) years of demonstrated and successful direct new customer acquisition sales experience including territory prospecting, individual customer needs analysis, tailored proposal development, and successful presentation and contract signature
138

Commericial Pharmacy Care Coordinator Supervisor Resume Examples & Samples

  • Serves as the back-up and support of the manager as needed
  • Responds to patient inquiries requests and issues when situations get escalated to a higher level of authority other than a Customer Service Representative
  • Overseas the reporting of adverse events related to drug therapy and pharmacy care
  • Establishes and maintains strong customer relationships with internal and external parties
  • Actively participates in roundtable discussions with pharmacists nursing services program manager and pharmacy care coordinators to review cases and related drug therapy and pharmacy care plan issues
  • Tracks daily reporting of hours worked and Time Off Bank (TOB) through the Kronos time-keeping system
  • Knowledge required in PathPointRx and US Bioservices operations
  • A champion for excellence efficiency and quality
139

Sales Specialist, Pharmacy Resume Examples & Samples

  • Post Secondary Education
  • Pharmacy or Nursing
  • Pharmacy or Nursing work experience
  • 1-3 years experience Pharmacy or Nursing experience and/or experience in the related field
  • Strong business acumen
  • Strategic thinker
  • Analytical capability
  • Nursing or Pharmacy experience - as identified above
140

VP, Pharmacy Solutions Resume Examples & Samples

  • PharmD. MBA or advanced degree in business preferred
  • 7+ years of clinical or operational pharmacy services experience, including 5+ years of experience in pharmacy benefit management
  • Strong experience and understanding for utilization management of specialty drugs, through the pharmacy benefit, with insights into managing specialty drug spend covered in the medical benefit
  • Strong understanding of contemporary clinical, operational, pharma relations, and regulatory pharmacy practices
  • Thorough understanding of prescription benefit management programs and practices, contracting, products/services, cost structures, pricing, and business practices
141

Customer Service Team Lead-pharmacy Representative Resume Examples & Samples

  • Maintain current knowledge of DaVita Rx policies, procedures, and rules and maintain compliance at all times
  • Know, understand and follow DaVita Rx teammate policies and procedures
  • Bilingual - Spanish preferred
142

Pharmacy Business Development Director Resume Examples & Samples

  • Oversee the evaluation of potential proposals and business plans for senior management review and approval incorporating environment assessment, competitive analysis, needs assessment including market studies, product design, cost/benefit analysis, financial and operation impact, and evaluation of risks and opportunities
  • Develop and implement a new business development plan, including a repository of marketing and sales collateral and RFP response toolkit, designed to maintain and increase (as appropriate) existing business and capture new opportunities
  • Manage a strategic decision-making and governance process for reviewing and assessing new business opportunities. Manage relationships with multiple stakeholders and customers, including health plans, pharmacy benefit managers, physician groups, and others. Assesses needs and provide ongoing data reporting and business reviews, respond to questions and concerns within a timely manner, and identify business solutions that can be deployed to address customer or stakeholder needs
  • Direct the development of proposals in response to requests for proposals (RFPs). Once new business has been won, work with other operational departments to coordinate hand-offs for account setup, product delivery or program implementation
  • Support change management initiatives to ensure the organization is equipped with adequate infrastructure and process to support business growth
  • Provide high level evidence-based, strategic guidance for brand management through the direction of primary and secondary market research
  • Develop and manage market research functions to build a knowledge base of local, regional and national market trends, opportunities and threats; gather competitive intelligence and product information; monitor the industry, identify trends and perform market scans and analytics
  • Assess risk using financial, statistical and economic data and create management solutions. Assimilate clinical, financial, and humanistic data from multiple pathways into business review summaries and disseminate across a broad array of stakeholders
143

Pharmacy Patient Advocate Resume Examples & Samples

  • Researches clinical data necessary to complete and maintain prior authorization, and interfaces with prescribers to ensure that referrals are complete and include all necessary clinical and demographic information. However, PPAs are prohibited from conducting evaluation or interpretation of clinical data
  • Performs test claims to determine copayment/coinsurance amounts, with applicable patient assistance programs. Understand copays, formularies and special pricing to ensure claims are adjudicated correctly and adjustments are performed when applicable
  • Builds and maintains strong relationships with patients, and serves a primary point-of-contact throughout the duration of therapy. Educates the patient about coordination of benefits and plan of care
  • Obtains applicable financial resources, such as patient assistance and foundation grant support, to assist in covering the patient's portion of therapy. Interfaces with revenue cycle to establish payment plans, when necessary, and coordinates communication with the patient regarding patient financial responsibility
  • Documents coordination of benefits and plans of care in pharmacy applications, and communicates to stakeholders as needed to ensure optimal medication therapy. Partner with others to handle and resolve escalated issues when appropriate and act urgently when necessary
  • Input orders efficiently with attention to detail, includes order entry, billing, crediting, and updating medical records. Meet departmental standards for production and quality improvement strategies, schedule adherence as well as participate in training and self-development opportunities when appropriate
  • Attends to customers and answers telephones in a courteous and timely manner. Serves as a liaison between the customer the pharmacists, physicians, and third party members. May also take requests for prescription refills and obtain necessary prior authorizations
  • Works with various parties such as third party payers, providers, and other pharmacies while providing proper documentation for adjudication discrepancies or to obtain prior authorizations when needed
144

Pharmacy Senior Manager Resume Examples & Samples

  • Responsible for all routine operations of Pharmacy Services. Participates in the recruitment, selection, orientation, professional development and evaluation of employees. Serves as a change agent, role model, and serves as facilitator for education, consultation, and research. Accurately and completely documents patient assessment data and clinical interventions
  • This position is accountable for an effective departmental operation within the budgetary constraints through the monitoring and controlling of expenses and through promotion of rational, cost-effective utilization of medication therapy
  • Assists with development of goals, objectives, and programs for the pharmacy department consistent with those of the organizations overall strategic plan. Demonstrates effective inter-disciplinary and inter-facility collaboration. Plans efficient and effective utilization of resources. Ensures compliance with regulatory agency standards. Implements decisions of the Pharmacy and Therapeutics Committee and other hospital committees in relation to formulary management and process improvements. Assumes accountability for special projects as assigned
  • Defines and resolves issues with the medication distribution system. Continually evaluates performance relative to need for improvement of processes to assure the safe and appropriate delivery of medications to all patient care areas. Provides leadership for development and implementation of innovative systems
  • Provides leadership and direction to the pharmacy staff. Promotes positive relations and actively contributes to a supportive work environment. Fosters a team environment within the department and across the system. Communicates with their direct supervisor regarding personnel issues
  • Helps to establish and revise, when necessary, standards of care for pharmacy practice. Monitors and ensures compliance with departmental and organizational policies and procedures, Federal and State laws, and regulatory agency standards. Investigates and initiates the resolution of customer complaints. Plans, supports, and leads Quality Improvement efforts for pharmacy services. Provides pharmacy representation and leadership on hospital and medical staff committees
  • Serves as a professional resource in facilitating inter-disciplinary practice and communication
145

Retail Pharmacy Senior Manager Webb Resume Examples & Samples

  • Pharmacist In Charge (PIC) for retail pharmacy location. Organizes and coordinates daily activities of the Retail Pharmacy. Determines, evaluates, and cultivates internal and external relationships with respect to Banner Family Pharmacy to grow business and maintain patient care along the healthcare continuum. Reviews, revises and assures compliance with departmental and organizational policies and procedures, Federal and State laws, and accrediting bodies standards
  • Monitors drug therapy for appropriateness of medication use, screens for drug interactions, incompatibilities, and contraindications, and recognizes potential adverse effects, intervenes as appropriate. Identifies areas needing improvement, and suggests possible solutions. Accurately prepares and documents scheduled/controlled medications transactions
  • Participates in the planning, development, implementation, maintenance, and evaluation of the Pharmacy information systems. These activities may include oversight of database building, data collection and cataloguing of gathered information, and documentation of the process. Maintains an up to date understanding of the process involved in these activities
  • Participates in the day-to-day duties of the Staff Pharmacist. Performs immunization administration upon patient request
146

Coordinator Pharmacy Regulatory Resume Examples & Samples

  • Coordinates pharmacy continual readiness efforts and participates on continual readiness rounds with Office of Accreditation
  • Generates reports and metrics to support and develop efficient workflow operations
  • Analyzes and summarizes data to support and develop efficient workflow operations
  • Coordinates activities and schedules of pharmacy regulatory technicians to ensure maximum efficiency and outcomes
  • Trains the technicians, and performs continual quality assurance monitoring to ensure consistency and effectiveness of technical staff
  • Coordinates monthly ASC financial reporting for end of month close for specialty pharmacy
  • Prepares organization for continual readiness for URAC accreditation
  • Performs necessary audits and training required for internal quality efforts and external customer requirements
  • Assesses licensure for market expansion efforts
  • Two years experience with inpatient and/or Ambulatory Surgery Center service areas
  • Excellent organizational and interpersonal skills are required to effectively communicate with physicians, nurses and other allied health professionals
  • Demonstrated ability to utilize current word-processing and spreadsheet software
147

Director, State Pharmacy Resume Examples & Samples

  • Reviews prescribing practices on high utilizing physicians and intervening as needed providing drug information on pharmacy expenses Recommends changes in prescribing practices to improve quality and lower costs
  • Reviews pharmacy data to look for savings opportunities
  • Provides clinical pharmacy support for Pharmacy, Disease Management programs, Quality and Utilization Management with and emphasis on Diabetes and asthma
  • Provides drug utilization reviews as needed
  • Provides clinical reviews of DER request as time permits
  • Performs special duties as needed
  • 7+ years experience as a certified pharmacist with experience in managed care. 3+ years of management experience
  • Experience in pharmacy operations
  • Ability to evaluate information from both oral and written sources and develops clear, concise and crisp reports
148

Director, State Pharmacy, Kentucky Resume Examples & Samples

  • Implements and maintains the pharmacy benefit program for the State
  • Implements and maintains the NIP program specific to pharmacy utilization
  • Provides in service education to staff
149

Pharmacy Caseworker Resume Examples & Samples

  • Set up new patients in Kroll pharmacy software
  • Enter and adjudicate prescriptions to 3rd party payers
  • Determine insurance payment breakdown
  • Prepare and dispense Rx’s according to provincial and Health Canada guidelines
  • Ensure prescription meets requirements and communicate with Health Care Professional when necessary
  • Conduct 3-way insurance calls
  • Follow up on Special Authorizations
  • Follow up on manual 3rd party claim submissions
  • Coordinate benefits between multiple insurance (3rd party) companies
  • Monitor inventory levels and place orders accordingly
  • Accounts receivable follow-up (clinics, programs, patients and 3rd party insurance)
  • Arrange deliveries to patients (compliance calls) based on delivery schedules
  • Troubleshoot 3rd party coverage issues
  • Patient follow-up via email/telephone (ensuring that all medical questions are referred to a pharmacist)
  • Triage incoming phone calls accordingly
  • Participate in inventory counts
  • Check pharmacy emails and voicemails
  • Secure and process payments
  • Develop and maintain professional relationships with health care providers and external contacts
150

Supplylogix Pharmacy Account Manager Resume Examples & Samples

  • Account manager should be considered a thought leader to clients and will work with them to create and maintain client inventory goals. The position also audits success of current services and is responsible for analyzing programs and making recommendations to increase program ROI. Tasks Include
  • 3+ years experience in pharmacy industry - clinical operations, supply chain, and/or technical experience
  • Prior knowledge and exposure to projects as well as demonstrated leadership skills
  • Ability to manage and produce results by motivating and influencing project/implementation teams and all stakeholders involved
  • Excellent follow through, strong attention to detail, with superior organizational and problem resolution skills
  • Ability to demonstrate thought leadership across multiple channels and become a trusted advisor to pharmacy executives and business decision makers
  • Adaptable to changes in work environment, work assignments, and/or changes in priorities
  • Motivated self-starter & ability to plan and execute with minimal supervision
  • High level of initiative and ability to work well in a team environment
  • Ability to apply problem-solving and experience-based judgment to resolving complex challenges
  • Strong analytical, problem solving and multi-tasking skills to work across all levels
  • Proficient in MS Excel/PowerPoint
  • Understanding of complex sales cycles at strategic level
  • Prior experience and/or exposure to pharmacy operations, retail or technology
151

Pharmacy Caseworker Resume Examples & Samples

  • Perform all technical duties involved in successful dispensing of medications
  • Provide exemplary customer service that meets the standards of McKesson Canada
  • Billing prescriptions through pharmacy software ensuring all required documentation is adequate and appropriate including (but not limited to) accounts receivables, dosage and dosing intervals, third party billing restrictions, scheduled appointment dates, clinic locations, copayment management, coordination of benefits, assignment of benefits
  • Accurately dispensing medications to ensure arrival to the appropriate destination on time
  • Patient follow-up calls for outstanding accounts (ensuring that all medical questions are referred to a pharmacist)
  • Effectively communicate with both external and internal contacts
  • Accurate data entry into various systems
152

Pharmacy Solutions Specialist Resume Examples & Samples

  • With marketing assistance build an effective strategy to meet our sales goals for 2016-2017
  • Promote the diem connectivity bundle to all stores across the IDA, Guardian, MSC and Remedy’sRx banners
  • Provide sales service to all stores
  • Provide implementation services to all new stores
  • Manage implementations and ongoing service effectively
  • Provide customer service to all client stores
  • Provide training to stores and their staff
  • Manage and monitor outsourced relationships with Group Association Plus (call centre vendor)
  • Manage and monitor in house services provided by PTS to client stores
  • Report regularly on business status
  • Responsible for maintaining enhancement lists and working with appropriate groups to move these enhancements forward
  • Responsible for all analysis , testing and new releases from a user perspective
  • Continue to enhance program
  • Manage and monitor Ateb solution Time My MedsR implementations
  • Be able to manage department budget
153

Group Leader Pharmacy CMC Mercy Resume Examples & Samples

  • Lead, supervise, administer, plan and support the development and coordination of teammates, process improvements, and support pharmacy operation on all shifts
  • Teach and develop direct reports to perform their roles. Lead daily huddle and weekly leader huddle. Coach and develop direct reports to lead problem solving activities
  • Ensures the quality of pharmacy services distributive and clinical - in area of responsibility. Investigates quality issues and implements permanent countermeasures to prevent reoccurrence. Documents abnormal conditions or quality issues and provides feedback to appropriate personnel concerning quality issues
  • Identify sources of waste; develop and implement plans to eliminate sources of waste. A minimum of 30% of each day is focused on continuous improvement
  • Communicate direction, plans and goals. Lead the implementation of tactics required to meet organizational goals
  • Ensures that the pharmacy department adheres to regulations set forth by the DEA and North Carolina Board of Pharmacy and maintains standards set forth by TJC, ASHP, OSHA and DFS
154

Pharmacy Audit Representative Resume Examples & Samples

  • Applies knowledge/skills to activities that often vary from day to day
  • Demonstrates a moderate level of knowledge and skills in own function
  • Requires little assistance with standard and non-standard requests
  • Solves routine problems on own
  • Works with supervisor to solve more complex problems
  • Prioritizes and organizes own work to meet agreed upon deadlines
  • Works and communicates with Client directly
  • Demonstrated ability to organize material from various, sometime unrelated, sources, analyze and draw logical conclusions
155

VP, Pharmacy Resume Examples & Samples

  • Matrix leadership oversight of branch pharmacists in charge (PIC) to include selection, training and meeting of all State Board of Pharmacy Rules and Regulations
  • Creation and oversight of policies, procedures and best practices related to Infusion and Specialty pharmacy operations
  • Develops and maintains programs for auditing and inspecting pharmacies on performance and compliance of policy, to ensure quality patient care, and to meet regulatory and accreditation standard requirements
  • Works closely with the Regional Operations VPs to support business needs and maintain compliant operational rhythm focused on patient care
  • Leads regularly scheduled Clinical and Operational meetings to ensure current regulations, training and new drug therapy information is disseminated effectively to the staff, including monitoring of all manufacturer requirements of participation in FDA REMS program, drug recall reporting, and other industry related information
  • Develop and ensure mandatory education is provided to pharmacy staff upon hire and annually so that staff is competent in services provided
  • Travel as needed approximately 25% (up to 75% if not in Lenexa, KS)
  • Current and unrestricted R. Ph. license in the state you reside
  • Doctor of Pharmacy degree preferred or R. Ph. and extensive experience
  • 10+ years of direct, hands-on Pharmacist experience
  • 5+ years of Home Infusion experience and knowledge of USP 797 standards – sterile compounding standards
  • 5+ years of management experience within a healthcare environment
  • 3+ years of Specialty Pharmacy experience
  • 1+ years of experience managing geographically dispersed groups
  • Demonstrated expertise or Board Certification in one or more areas of pharmacy practice
  • Exceptional communication skills / professional presence with ability to lead and drive change on a national scale
  • Operational performance management include use of metrics to measure performance
  • Some experience managing vendor relationships: i.e. clean rooms, pumps, hoods, etc
  • Budgeting and cost containment experience
  • Accreditation experience: knowledge of policies / practices to meet and maintain accreditation requirements (TJC, ACHC, URAC)
156

Regl Pharmacy Market Support Manager Resume Examples & Samples

  • Provide education to regional staff in support of new and existing pharmacy management strategies to facilitate their conversations with stakeholders in the field (e.g. clients, brokers)
  • Participate in the portfolio development process in conjunction with the regional and national product teams to support the utilization of optimal pharmacy benefit designs
  • Facilitate conversations with regional stakeholders about opportunities to enhance affordability through greater implementation of management programs and/or increased uptake of optimal pharmacy benefit designs
  • If regional modifications to pharmacy management strategies are justified, lead the business case development and participate in the operational implementation of the change
  • Work with regional regulatory teams to address objections to Qualified Health Plan filings and support projects stemming from other state regulations that impact UHC pharmacy management strategies
  • Support the long-term maintenance and monitor the impact of region and state level changes made as a result of regulatory or competitive demands
  • Respond to competitive intelligence on pharmacy strategies utilized by UHC competitors in each market
  • 4 year degree required, advanced degree/PharmD preferred
  • 4+ years of experience in a healthcare related field
  • 3+ years of experience in a managed care pharmacy environment
  • Experience in reviewing, analyzing, interpreting pharmacy and medical claims data
  • Proficient Microsoft Word, Excel, PowerPoint, Outlook; Excel in particular
  • Demonstrated strong presentation, communication, interpersonal skills
  • Active pharmacist licensure
  • Front facing, client interface
157

Pharmacy Fulfillment Lead Resume Examples & Samples

  • Works independently
  • May act as a resource for others
  • May coordinate others activities.- Extensive work experience within own function
  • Assist in monitoring packaging inventory within pharmacy
  • Maintains steady workflow on the production line to keep metrics and KPI's at correct standards
  • Makes decisions on labor usage throughout the day
  • Collaborates with management on needs for production line
  • 1+ years of experience with ScriptMed, GlobalShip, and HVS
  • Forklift experience a plus
158

Pharmacy Program Manager Resume Examples & Samples

  • Coordinate the completion of required prescription drug list documentation for Essential Health Benefit impacted business segments
  • 3+ years of experience with written and verbal communication as well as presentations in front of large groups
  • Advanced level proficiency in MS Excel
  • 2+ years of experience with pharmacy and healthcare regulations
  • 2+ years of experience with Pharmacy Strategy Development, PDL Change communication / implementation processes, and Demand management project teams
  • Pharmacist designation
159

Pharmacy Systems Administrator Resume Examples & Samples

  • Establish, maintain and monitor Catamaran medication expiration process
  • Supervises and facilitates process to optimize inventory management in the automated dispensing cabinets monthly
  • Ensure process of daily cycle counts, maintains records along with taking appropriate action when discrepancies are realized
  • Acts as liaison with Inventory staff ensuring adequate inventory levels are maintained
  • Proactively manage staffing scheduling as deemed by volume
  • Coordinate staffing of floor as directed by Manager
  • Utilize dashboards within HVS system to uninduct and reinduct orders
  • Balances stock in multiple uber and parata units
  • Assists with testing, implementation, maintenance and optimization of automated pharmacy system
  • Participates in the identification and resolution of automation system functionality issues. Serves as the division subject matter expert and vendor liaison. Activities include: investigation of system issues and concerns from pharmacy staff; discrimination between user errors/educational needs vs. system problems; reporting system problems; communication and follow up with system vendor to ensure timely and accurate resolution to issues or concerns
  • Participates in new employee training regarding the automation system (including, but not limited to, assist with development and maintenance of appropriate training manuals, conducting initial and ongoing training and validation of staff competency with pharmacy automation system
  • Collects system and/or related processes or facility performance metrics and generates periodic management reports
  • Adjust inventory min/max levels in system and reallocates monthly or as directed by Facility Director
  • Monitors dashboard and future interfacing pertaining to central fill director (CSD) to allow for the filling of medications across multiple facilities concerning stock issues, postage requirements, and ensuring best practice for patient medication delivery
  • Ensure adherence to all applicable Catamaran policies and procedures
  • Lead special projects as assigned
160

Supervisor Fulfillment Pharmacy Resume Examples & Samples

  • Provides training and development for new and existing staff
  • Work effectively with other production areas
  • Ensure product integrity and cold chain management process for refrigerated items
  • Maintain relationship with representatives of outside vendors
  • 2+ years experience in pharmacy field or production / warehousing environment
  • Proficient computer and organizational skills with the ability to focus on workload and achievement of both production and quality objectives
  • College Degree (2 - 4 year) or equivalent in Business or Medical Field
  • Experience with pharmacy inventory
  • Ability to work second shift 2:30-11:00 PM
161

Pharmacy Pricing Analyst Resume Examples & Samples

  • Anticipate customer needs and proactively develop solutions to meet them
  • Serve as a key resource on complex and/or critical issues
  • Solve complex problems and develop innovative solutions
  • Perform complex conceptual analyses
  • Review work performed by others and provide recommendations for improvement
  • Forecast and plan resource requirements
  • Authorize deviations from standards
  • May lead functional or segment teams or projects
  • Provide explanations and information to others on the most complex issues
  • Motivate and inspire other team members
  • Undergraduate degree or equivalent work experience
  • 1+ years of experience with provider payment methodologies and healthcare products
  • Intermediate level of proficiency in performing financial impact analysis, risk management, and data manipulation
  • 2+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
  • Experience with data mining data sets in excess of 20 million
162

Senior Pharmacy Pricing Analyst Resume Examples & Samples

  • Predict emerging customer needs and develop innovative solutions to meet them
  • Solve unique and complex problems with broad impact on the business
  • Participate in the development of business strategy
  • Develop and manage business plans to achieve objectives
  • Lead large, complex projects to achieve key business objectives
  • Translate highly complex concepts in ways that can be understood by a variety of audiences
  • Influence senior leadership to adopt new ideas, products, and/or approaches
  • May have segment-wide impact
  • Direct cross-functional and/or cross-segment teams
  • 5+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline
  • 2+ years of experience with provider payment methodologies and healthcare products
  • Expert level of proficiency in performing financial impact analysis, risk management, and data manipulation
  • Knowledge of SQL / SAS and the ability to write and run queries to extract meaningful metrics and activity for analysis
  • 4+ years of experience in data mining
  • Post-graduate degree
  • Experience with pharmacy pricing
  • Previous experience managing complex financial projects
  • Experience with data mining data sets in excess of 2 billion records
163

Manager, Clinical Pharmacy Resume Examples & Samples

  • Develop and manage workforce models that identify staffing needs required to meet service commitments to clients
  • Provide leadership to team members, as well as cross functional workgroups, with accountability for the performance to achieve business goals
  • Implement an appointment scheduling protocol, aligned with workforce plans, to meet service targets and optimize operational efficiencies
  • Pharm D
  • 3+ years of experience in pharmacy / operations management
  • 3+ years of experience managing staff
  • Prior experience building, or directing programs used to monitor and manage operational processes
  • Prior experience leading projects and / or meetings comprised of stakeholders with varied backgrounds and levels of experience, including senior level management
  • 3+ years of experience working with pharmacy data, including familiarity with Medi-Span drug classifications
  • Proficiency with Excel, Access, Outlook and PowerPoint
  • Highly motivated and self-directed with the ability to motivate and inspire teams
  • Demonstrated ability to interact cross functionally within the organization, assess various viewpoints and arrive at a solution that best meets organizational needs
  • Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities
  • Prior Medicare Part D experience
164

Pharmacy Audit Representative Resume Examples & Samples

  • Pharmacy Technician License in the State of California
  • Microsoft Word - Creating/Updating Documents /Excel-Creating/Updating Spreadsheets, pivot tables, formulas
  • 2+ years of Pharmacy Technician experience
  • Ability to travel up to 25% of the time
  • 2+ years LTC (Long Term Care), Specialty, or compound Pharmacy experience
  • 2+ years Medicare Part D and B experience
  • Pharmacy Benefit Management (PBM) knowledge/experience
165

Clinical Pharmacy Director, Injectables Resume Examples & Samples

  • Lead the planning and implementation of pharmacy programs and initiatives
  • Manage and coach the direct reporting individuals in the Pharmacy Department
  • Manages injectable drugs under Part B by developing medical necessity policies for key injectable drugs, management of the specialty pharmacy sourcing for injectable drugs
  • Update and maintain pharmacy program policies and procedures to ensure compliance with CMS requirements
  • Reads, analyzes, and interprets common scientific and technical journals, financial reports, and legal documents
  • Responds to inquiries or complaints from customers or members of the business community and effectively presents information to top management and/or external constituents
  • Communicates effectively with key external constituents as needed (clinics, physician group, hospital) regarding pharmacy program, preferred drug list and pharmacy processes
  • Provides routine, timely and accurate communication to health plan management regarding pharmacy programs, cost issues, utilization issues, budget performance, etc
  • Supports health plan initiatives that include pharmacy components
  • Develops and implements clinical cost of care strategies and quality initiatives as needed to help reduce pharmacy cost and utilization
  • Develops and implements clinical cost of care strategies for auditing of B vs. D claims in coordination and collaboration with claims and configuration
  • Manages relationships with Physician Business Managers (PBMs) to ensure information is shared with providers for improvement of utilization and quality
  • Participates in QI and other committee meetings as appropriate
  • Travels for business up to 25% either in the TX market or to FL market
  • Completes significant special projects and performs all other related duties as assigned
  • Active, unrestricted pharmacy license in Texas
  • 2+ years of supervisory/management experience
  • 3+ years of experience with Medicare Part D programs
  • 1+ years of experience in Part B injectable drugs
  • Experience working with provider relations, working within various payer environments, and risk management
  • Ability to travel up to 25% in the TX or FL market
  • 5 day work week, includes Saturdays with 1 weekday off
  • Injectable drug experience
  • Board certification by the Board of Pharmacy Specialties (BPS)
166

Healthcare Economic Consultant, Pharmacy Resume Examples & Samples

  • Provide claims, premium, capitation and membership data in support of a variety of analyses
  • Identify potential areas for pharmacy cost improvements and alternative pricing strategies
  • Create and update automated processes
  • Analyze reporting tools utilized by the internal customer groups
  • Produce and review reports specific to risk adjustments for various markets
  • Work with very large data sets performing data extraction, manipulation, cleaning, quality checking, and analysis
  • Demonstrable experience in pharmacy space, working in data analytics and reporting
  • At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc
  • Basic level of proficiency with Access
  • Intermediate level of proficiency in performing data analytics
  • Ability to quickly learn and use computer software tools effectively
  • 2+ years of health care experience
167

AVP, Pharmacy Resume Examples & Samples

  • Oversees and is accountable for the development and monitoring of all safety and quality assurance aspects of medication preparation, distribution and administration
  • Oversees and is accountable for the development, monitoring and maintenance of all aspects of the pharmacy budget and statistics for payroll and supplies
  • Oversees and is accountable for administrative management of all aspects of pharmacy operations including inpatient and outpatient pharmacies to provide drug therapy to patients within all legal and regulatory requirements
  • Oversees and is accountable for clinically relevant IT integration for Pharmacy Services
  • Oversees and is accountable for the Steward Healthcare Drug Formulary in conjunction with the Steward System Pharmacy & Therapeutics Committees and the cost effective purchasing of all medications
  • Oversees and is accountable for the design and implementation of all aspects of required technologies related to the medication use process
  • Monitors and manages the performance of major Pharmacy suppliers to ensure optimal value and effectiveness from those relationships
  • Develops a system pharmacy dashboard tracking monthly performance on key indicators such as safety, quality, staffing, and budget
  • Acts as functional system leader, and has dotted line relationship with hospital pharmacy directors
  • Serves on various committees and planning groups as requested or required
  • Collaboration with clinical leadership to develop drug use initiatives and assure appropriate use of pharmaceuticals. He/she will be responsible for the execution and consistent implementation of drug use initiatives and care management initiatives
  • Collaboration with Patient Safety Leadership to develop quality initiatives, processes and tools. He/she will be responsible for the execution and consistent implementation of quality initiatives across all pharmacy practice settings. He or she will also be responsible for ensuring enforcement of all applicable policies, standards and regulations related to Medication Safety, Medication Management and AR&L (Accreditation, Regulatory and Licensing)
  • Collaboration with Pharmacy Informatics personnel to ensure successful implementation and maintenance of technology systems and to contribute to the development of technology innovation
  • Oversight of all aspects of hiring, evaluation, discipline, and termination of employees. Assurance that all objectives and assignments given to department managers are completed on time and conform to applicable standards, rules, and regulations
  • Achievement of all pharmacy productivity targets (Inpatient, Outpatient, and other functional areas), goals and performance metrics across Steward
  • Collaboration with the Institution's Compliance Officer to ensure adherence with the pharmacy program's compliance plan and to ensure corrective action plans are developed and completed in response to compliance issues. Responsibility for leadership over compliance in all aspects of Pharmacy Operations
  • Consistent involvement in the training of pharmacy students and residents
  • Collaboration with the Directors of Pharmacy to develop strategy and plans for recruitment, training and workforce development. Work with the Directors to ensure implementation of grievance and arbitration decisions, legal settlements, and other high-level personnel related decisions. Achievement of identified workforce metrics in all Pharmacy Operations and Services
  • Collaboration with designated Service Line Leaders to develop policies, procedures, systems, tools and communication strategies to ensure compliance with Pharmacy Laws
  • Collaboration with the Pharmacy Directors to ensure operational compliance with policies, procedures, systems, tools and communication strategies applicable to supply chain requirements
  • Development of opportunities for the continued education and professional development of staff
  • Achieve budget objectives and targets for each pharmacy cost center across the system
  • Provide executive leadership to seek out, promote and facilitate the rapid adoption and assimilation of best practices and innovations in service, work methods, technology, and operational systems which improve pharmacy service, quality and productivity in the region
  • Provide executive leadership to assure workforce planning and leadership/management development programs are in place and to ensure an effective team necessary for the long term success of Pharmacy Services
  • Provide executive leadership and direction to assure compliance with Massachusetts Pharmacy law and regulations, pharmacy business practices, accreditation standards, and other institutional policies
  • Collaborate with various senior health care executives (CEOs, CFOs, COOs, etc.) to develop operating plans and to ensure that strategy, initiatives and monitoring systems and tools are aligned with the operating plan. Responsible for all financial targets and performance metrics
  • Develop and implement appropriate productivity management programs for each area of pharmacy practice across the system
  • Be responsible for adherence with inventory management, drug procurement and drug distribution requirements, standards and regulations
  • Demonstrates an ability to utilize effective communication, presentation, financial management, and analytical skills, exhibiting a record of self-initiative, strategic thinking, successful planning, and innovation
  • Able to work collaboratively with health care executives, providers, and administrators
  • Knowledgeable and experienced in various areas of pharmacy, including but not limited to: operations, systems, technology, and personnel management
  • Demonstrates an ability to apply and utilize knowledge of quality management process, regulatory compliance, accreditation, healthcare laws, integrated care delivery system related to pharmacy, medicine, and nursing
  • Demonstrates ability to lead and manage professionals and others collaboratively across multiple sites. As an Associate Vice President, applicants must display abilities to successfully lead and direct peer group and interdisciplinary project teams
  • Demonstrates success in meeting/exceeding performance expectations, with consistent delivery of results to the satisfaction of internal and external stakeholders
  • Proven ability of balancing execution of the strategic vision through leadership and delegation, with a willingness and competence to dive into the details as needed
  • Decisive, action-oriented, personal integrity, capable of executing strategic vision/plan while persevering in difficult situations with focus on strategic leadership issues. Incumbent should be able to lead through delegation and an open, collaborative style
  • Shows an ability to lead large scale (region-wide), complex and significant redesign, reorganization, performance improvement and change management efforts
  • Able to travel frequently within geographic area may be required
  • Proficient with using computers as needed to monitor and report financial and operational performance
168

Clinical Specialist Infectious Disease Pharmacy Services Day Resume Examples & Samples

  • One year of professional experience as a Pharmacist, preferably in an acute care setting. Proficient in project planning and management in the field of antimicrobial therapy
  • Must possess knowledge of Pharmacy Department Operations
  • Knowledge of all medications used within the scope of antimicrobial therapy
  • Knowledge of word processing and spreadsheet applications, preferably Word and Excel
  • Demonstrates ability to resolve drug distribution system issues
  • Strong oral and written communication and interpersonal skills
  • Ability to write reports, business correspondence, and procedure manuals
  • Ability to effectively present information and respond to questions from employees and patients
  • Proactive Team Player
  • Excellent Time Management Skills to meet schedule and report deadlines
  • Occasional out of town travel required to attend training
  • Recertification of competency relating to systems administration
169

Pharmacy Production Clerk Resume Examples & Samples

  • Ensure each package receives the correct paperwork, envelopes, medications, packing and or shipping labels before sealing and sending packages to patients
  • Consistently work on only one order at a time at their work station at all times
  • Ensure that the address prints correctly on each package
  • All bags are correctly sealed; Printers are accurately loaded with the correct paper
  • Work collaboratively with all co-workers to ensure that best-practices are shared while maintaining productivity and quality standards
  • Previous experience in mail room, customer service or pharmacy very helpful
  • Basic PC skills preferred
  • Ability to read and compare and differentiate data
  • Ability to stare/review small medications or bottles for long periods of time
  • Ability to be on feet walking for long periods of time
  • Detail oriented with excellent organizational skills
170

Pharmacy Production Clerk Resume Examples & Samples

  • Ensure that the address prints correctly on each package; All bags are correctly sealed; Printers are accurately loaded with the correct paper
  • Work collaboratively with all co workers to ensure that best-practices are shared while maintaining productivity and quality standards
  • Previous experience in mailroom, customer service or pharmacy very helpful
171

Director SP Pharmacy Processing Coe-interfaces Resume Examples & Samples

  • Partner with the Specialty Operations organization to drive operational & technical strategies across specialty applications and order management. End-to-end accountability inclusive of Freedom Fertility, Clinical & Nursing services, Manufacturer and Payor Engagement, Patient Oncology Services, and Specialty Shared Services engagement
  • Partner with other enterprise verticals (Home Delivery / Patient Systems, PBM, Infrastructure, etc) to align and integrate to the broader enterprise technology stack and growth drivers
  • Define baseline metrics around specific rx and order processing, system quality, speed to market, and budgets. Drive an increase in user productivity & satisfaction, with focus on the patient and order management
  • Lead a team of up to 50 staff members, consisting of 50% employees, with responsibility for delivering end-to-end services in this space
  • Lead the implementation and accountable for the technology changes in this space for Specialty, including the PRB portfolio, ITPRB, the technology transformation of the future state platform, while working closely with Reliability
  • This role will have oversight of an expected annual investment in new capabilities of up to $20MM per year
  • Recruit and onboard new team members in the next 3-6 months at all levels. This role will have the added responsibility of creating an environment across multiple Specialty locations where new talent can feel welcome
  • Provide vision and guidance around the analysis, design, development, and release of new capabilities utilizing multiple development paradigms, including agile
  • Partner with the Specialty Operations organization to create roadmaps and strategies, and then drive the design and development using best of breed technology, with the overall aim of improving patient and member experience
  • Transform the work structure for getting IT work completed, generating increased efficiency to lower the overall cost of IT projects
  • Conversant on the future direction of the enterprise, and how current and future systems can be exploited for the benefit & needs of the Company
  • Develops relationships and negotiates with vendors providing software development and related services to the Company
  • Bachelor’s Degree Required
  • 10-14 years of IT leadership, 1-2 years in the Specialty PBM industry strongly preferred
  • Proven skills in leading high talent teams in local and remote locations
  • Strong ability to motivate employees, handle difficult employee relations issues and create a culture that supports high employee morale
  • Strong communication skills; able to manage Sr. Staff relationships
  • Advanced problem solving skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions
  • Demonstrated ability to prioritize work load and meet project deadlines
  • Experience with strategic work planning and budgeting required
  • Demonstrated ability to manage toward budget and work plan goals
  • Must have proven leadership skills, team-orientation, and a proactive and optimistic management style
  • Broad technical experience and understanding of the technology environment
  • Knowledge of programming concepts and procedures
  • Ability to adapt in a dynamic work environment and make independent decisions
  • Excellent communication skills, including presentations and negotiations
  • Familiarity with the Specialty PBM industry very helpful
  • Willingness to work a flexible schedule to accommodate project deadlines and travel requirements
  • PC skills including Microsoft office, email and internet
  • Demonstrates the Leaders Lead and Express Way values
172

Pharmacy Production Clerk Resume Examples & Samples

  • Ensure each container receives the correct drug and is labeled properly
  • Ensure each container is scanned appropriately into inventory
  • Ensure proper Personal Protection Equipment is used/worn when bulking utilizing a bottle cutter or for a dusty or hazardous drug
  • When working Validation, ensure each container is validated to the appropriate shelf location and placed in that corresponding location
  • When working Bottle Spotting, ensure that every bottle is viewed completely and that any bottle with an issue or any spill found is reporting promptly for Quality Review
173

Pharmacy Production Supervisor Resume Examples & Samples

  • Schedule and monitor staff and day to day workflow. Develop employee’s skills, evaluate performance and provide feedback. Oversees resolution of employee relations. Conducts hiring, training, and evaluation of staff
  • Develop, track and monitor employee’s compliance to quality, service and production standards
  • 2-5 years experience, previous supervisory experience and experience in a pharmacy setting preferred
  • General PC knowledge including Microsoft Office, Internet, and email
  • Technical expertise of ESI’s systems and platforms very helpful
174

Pharmacy Automation Engineer Resume Examples & Samples

  • Troubleshoot, Install and Repair automated production equipment, to include Applications, Data/Information, Electrical, Robotic Programming, Electrical Controls and PLC Programming. Responsible for the technical support of Robot and PLC based hardware and software. Performs advanced level troubleshooting on Automated Equipment by using and understanding Electrical, Mechanical, and Pneumatic drawings and schematics, and using special test equipment and tools. Document all emergency, corrective, and preventive maintenance work via work orders associated with Computerized Maintenance Management System (CMMS - MAXIMO)
  • Plans and Implements automated equipment related new ideas and processes. Works with Developers, Designers and Production Engineers to improve quality of processes and/or machines, analysis of design and implementation of technical products and systems. Communicates with management on project goals and status. Drives change
  • Senior Point of Contact, responsible for Sr. Level Pharmacy Automation Service Technicians tasks to include equipment modification, upgrades and installs reports and spare parts inventory
  • Participate in continuous improvement studies, statistical analysis and functional reviews of unit operations. Operates onsite in an on-call capacity. Performs other assignments and special projects from the Development, and Sr Engineering teams
  • Maintain Fluent understanding of MM Automation system. Provide Controls training administration for EMT’s and Controls Specialist. Provide Controls training in the specific pharmacy programming applications
  • Bachelor’s degree in Engineering or related field or 8 – 11 years of equivalent working experience
  • 2 - 5 years of Electrical and PLC Systems experience; Mechanical/ Pneumatics /troubleshooting experience related to automated equipment/control systems and working in a high volume production or pharmaceutical environment preferred
  • May include some travel to other sites and ESI facilities
175

Pharmacy Automation Engineer Resume Examples & Samples

  • Troubleshoot, Install and Repair electro-mechanical automated production equipment, to include Electrical, Mechanical, Robotic, Electrical Controls and PLC systems. Responsible for the technical support of Robot and PLC based systems and hardware
  • Performs preventive and corrective maintenance on automated equipment. Develops maintenance related work instructions and procedures
  • Performs advanced level troubleshooting on Automated Equipment by using and understanding Electrical, Mechanical, and Pneumatic drawings and schematics, and using special test equipment and tools
  • Ensures system availability by providing high level technical support. Contributes to the completion of milestones associated with specific projects
  • Plans and Implements automated equipment related new ideas and processes. Works with Designers and Production Engineers to improve quality of processes and/or machines, analysis of design and implementation of technical products and systems. Communicates with management on project goals and status. Drives change
  • Participates in continuous improvement studies, statistical analysis and functional reviews of unit operations. Operates onsite in an on-call capacity. Performs other assignments and special projects from Sr. Engineering teams
  • Basic analysis on backend pharmacy applications and resolve basic
  • 8 - 11 years of Mechanical, Electrical Systems experience as related to automated equipment. Experience with Pneumatics and experience working in a high volume production or pharmaceutical environment preferred. Will also consider 2-5 years experience with degree
  • Ideally 5 years PLC experience including troubleshooting automated control systems in an emergency and corrective maintenance capacity within a production environment; programming and troubleshooting experience using RSLOGIX platform required
176

Pharmacy Director of Operations Resume Examples & Samples

  • Manage and direct site operations, maintaining and improving patient and client service through quality, accuracy, volume thru-put and on-time processing of prescriptions
  • Ensure department thru-put and quality levels, identify opportunities to optimize end to end flow of Rxs. Develop and implement changes that will improve thru-put and overall departmental performance
  • Oversee strategic and business planning for site operations by participating in planning activities company-wide, identifying project initiatives and operational issues, coordinating research and developing recommendations based on that research. Works with Sr. Director to develop and track department budget to meet corporate and site goals
  • Participate in internal/department and external meetings regarding the launch of new products, maintenance of existing programs and actively participate in cross-functional initiatives that support pharmacy operations
  • Oversee recruitment and performance reviews. Handle escalated employee issues. Actively engage in strategies to increase employee engagement, retention and satisfaction
  • Develop and build leadership talent and capability
  • Provide stretch learning and development opportunities to leaders in the Directors organization
  • Establish and communicate annual strategic work plan goals for the operation
  • Bachelor’s degree with 10-14 years of relevant experience
  • Detail oriented with strong analytical and problem solving skills
  • Ability to work collaboratively with other departments to resolve complex issues with innovative solutions
177

RN Research Clinician, Pharmacy Trials Resume Examples & Samples

  • MN State Nursing License (RN License)
  • One (1) to three (3) years’ research experience
  • Ability to problem solve effectively
  • Ability to follow policies and procedures and excellent communication skills
178

Pharmacy Executive Resume Examples & Samples

  • Maintains relationship with assigned customers and conducts in-person customer visits
  • Ensures customer understands where, and how, to access Standard Pharmacy Program offerings, such as contract catalog, reporting, clinical web site, communications and peer-to-peer meetings
  • Drives Pharmacy Contract Value
  • Shares responsibility with client manager to answer pharmacy contract questions on behalf of the customer (or alternatively identify the resource required to provide answer internally)
  • Connects customer with Pharmacy Analytics or other pharmacy technology applications
  • Serves as liaison between the customer and Pharmacy Analytics Platform or other pharmacy technology applications
  • Educates customers on all Pharmacy Program capabilities to maximize Vizient value
  • Generates new Pharmacy Program sales opportunities based upon specific needs of customer and brings in appropriate sales and/or consultant to work lead
  • Delivers standard reports on a quarterly basis to customer (and Client Management)
  • Delivers standard presentations to customer. Presentations will consist of standard metrics, reports and sales opportunities
  • Required is to have a college degree in pharmacy (BS or Pharm D), along with ASHP accredited Residency is preferred. Master degree is also preferred
  • 7+ years of experience
  • Multi-system Hospital setting background along with a broad range of experience required to include strong bedside and physician engagement experience
  • Experience as a Hospital Pharmacy Director, Clinical Manager and/or Clinical Pharmacy Coordinator and/or Pharmacy Consulting
  • Demonstrated ability to marry financial data with clinical data
  • Demonstrated experience leading and facilitating Council or Committee Meetings
  • Experience with pharmacy supply chain operations, pharmacy distribution, sourcing and pharmacy contract management, and purchasing activities
  • Ability to Evaluate for savings through clinical opportunities and contracting
  • Hospital pharmacy experience working with GPO's
  • Well developed analytical skills and highly proficient in MS Excel. Must be able to analyze large amounts of data
  • Travel is required approximately 50%-70% of the time
  • This candidate must live 1 hour to 1½ hour from a major airport
  • This position is a remote role that will be covering clients primarily in the West Coast region
  • Highly preferred that the candidate reside in Mountain or Pacific time zone
179

Pharmacy Network Process Consultant Resume Examples & Samples

  • Responsibility for the contractual relationship and provider relations support of up to two hundred regional chain pharmacy organizations
  • Achievement of network financial and network adequacy goals
  • Experience in provider or vendor contracting or relationship management
180

Pharmacy Substance Use Disorder Program Supervisor Resume Examples & Samples

  • Coordinate and monitor operational aspects of the PSUD and MPRS Programs
  • Manage assigned PSUD and MPRS caseload and activities
  • Serve as HPL resource for addiction and SUD, toxicology screening, signs and symptoms of addiction, withdrawal, relapse and recovery
  • Implement the Staff Action Policies for admission to PSUD and MPRS for applicants who meet specified criteria
  • Initiate and maintain accurate individual records for all licensed health professional requesting admission to, participating in, and who are terminated, withdrawn or discharged from PSUD and MPRS
  • Monitor PSUD and MPRS participant compliance with monitoring contracts and take appropriate action upon receipt of evidence of non-compliance and/or relapse
  • Collaborate with Board Counsel and Prosecutors to ensure timely and appropriate action is implemented whenever a PSUD or MPRS participant’s license status and authorization to practice is changed
  • Provide expert advice and guidance on Board policies, regulations and decisions concerning SUD among licensed health professions
  • In collaboration with Board Executive Directors and Board Legal Counsel, implement on-going evaluation of PSUD and MPRS policies and procedures including utilizing data gathered to measure the effectiveness of the Programs
  • Serve as liaison between members of the Board of Registration in Pharmacy and the PSUD Evaluation Committee
  • Serve as liaison between members of the participating Boards of Registration and the MPRS Advisory Panel
  • Perform initial screening of licensees requesting admission to PSUD or MPRS
  • Initiate and maintain individual records for all licensees requesting admission to PSUD and/or MPRS and to licensees participating in and discharged from PSUD and/or MPRS
  • Formulate recommendations to the PSUD Evaluation Committee and the MPRS Advisory Panel regarding the admission of PSUD and MPRS applicants
  • Advise the PSUD Evaluation Committee and MPRS Advisory Panel regarding contract provisions for all PSUD and MPRS applicants and participants
  • Monitor PSUD and MPRS participants’ compliance with their contracts
  • Participate in development and administration of state-wide educational programs for licensees of the Boards of Registration and employers of such licensed health professionals related to the problem of SUD in licensed professionals
  • Initiate and coordinate special projects and research studies related to SUD
  • Compile and analyze data on the demographic and educational characteristics of licensees participating in the PSUD and MPRS Programs, and on the circumstances of such PSUD and/or MPRS admission
  • Coordinate the design and implementation of standard, systematic evaluation plan to assess the outcomes of participation in the PSUD and MPRS Programs
  • Analyze research on SUD as it applies to PSUD and MPRS and their participating licensees
  • Provide technical assistance and advice for HPL committees, sub-committees and task forces as assigned
  • Evaluate the performance of Board-designated treatment providers and Board-approved Medical Review Organization (MRO) providers for PSUD and MPRS
  • Prepare articles explaining PSUD and MPRS for HPL newsletters and for other regulatory publications
  • Plan and conduct state-wide HPL information sessions; attend and participate in conferences and meetings on health profession licensees with SUD
  • Provide expert advice and guidance to HPL on all policies, regulations and decisions concerning SUD in licensed health professions
  • Perform community outreach to recruit committee members and designated assessors
  • Preferred candidate will have demonstrated professional expertise in the field of SUD, of which the major duties involve program administration, program development, and program coordination of analysis
  • Preferred candidate will also have experience in a supervisory, administrative or treatment position in a rehabilitation program for individuals who have a SUD
  • Ability to supervise, including planning and assigned work according to the nature of the job to be accomplished, the capabilities of the subordinates and available resources; controlling work through periodic reviews and or evaluations; determining subordinates training needs and providing or arranging for such training; motivating subordinates to work effectively; determining the need for disciplinary action and either recommending or initiating disciplinary action
  • Ability to exercise discretion in handling confidential information
  • Ability to maintain accurate records
  • Ability to adjust to varying or changing situations to meet changing program requirements
  • Ability to understand, explain and apply laws, regulations, policies and procedures governing disciplinary activities
  • Knowledge of general report writing and ability to prepare reports
  • Ability to analyze and determine the applicability of data, to draw conclusions and make appropriate recommendations
  • Knowledge of the methods used in employee performance evaluations
  • Knowledge of the methods used in the preparation of charts, graphs and tables
  • Ability to gather information by examining records and documents and by questioning individuals
  • Ability to assemble items of information in accordance with established procedures
  • Ability to determine proper format and procedures for assembling items of information
  • Ability to prepare and use charts, graphs and tables
  • Demonstrated proficiency in operating computer programs and applications for word processing, database management, spreadsheets and presentations
181

Pharmacy Patient Process Manager Resume Examples & Samples

  • Manages BriovaRx’s Net Promoter Score (NPS) program to drive on-going operational improvement
  • Act as a catalyst for organizational process change and improvement
  • Responsible to manage programs that drive improvement in patient care service
  • Partners with marketing team to administer quarterly NPS survey
  • Partners with existing teams administering Voice of Customer VOC measures
  • Builds strong relationships with plan leaders at United Health Care and Optum to ensure successful implementation of patient prescription programs
  • Develops programs for improvement regarding NPS survey (both patient care operations NPS and quarterly department NPS survey)
  • Partners with the leadership teams to offer business requirements for Briova’s telephony initiatives that promote an exceptional patient experience
  • Drive Specialty patient experience roadmaps, business analysis, user acceptance testing and overall assistance with operational readiness on technology related initiatives
  • Develop cost efficient ways to improve the patient experience and patient contacts
  • Develop ways to reduce the number of inbound patient calls while providing an exceptionally high level of patient experience
  • Partner with technology teams to create solutions that improve patient experience
  • Partners with operations leadership to improve the efficiency of the patient experience
  • Works with finance and capitalization teams create ROI documentation to secure funding necessary to drive improvements
  • Create and maintain credible relationships at varying levels of the organization
  • Own the responsibility to develop technical solutions and processes that drive overall cost/call and cost/contact lower
  • Works closely with Operations and Strategic initiatives to build capabilities into the technologies
  • Bachelor’s Degree in related field
  • 7+ years of experience leading teams across all levels of the organization
  • 5+ years of successfully managing small and large business initiatives and projects
  • 5+ years working in or support customer (or patient) service operations
  • 3+ years of improving operational business processes or process improvement experience teams
  • Understands how to measure and report voice of the customer and/or net promoter scores
  • Has experience in administration of customer surveys, reporting, and analysis
  • Has ability to create a vision and articulate to others in the organization
  • Has a strong understanding of key customer service tools (IVR, Navigator, Auto Dialers and other proactive communication tools)
  • Has a strong financial acumen and understands impacts to operating expenses
  • Strong Power Point skills necessary to create clear, articulate presentations to communicate vision, updates, status, and other communications to peers and senior leadership teams
  • Has familiarity with health care industry
182

Pharmacy Helpdesk Resume Examples & Samples

  • High School diploma or equivalent, college courses preferred or equal of years experience
  • Clinical background or pharmacy technician a plus
  • Experience in customer service
  • Minimum 2 years’ experience in a PBM/managed care pharmacy experience required
  • Attention to detail
183

Director, Inpatient Pharmacy Resume Examples & Samples

  • Develop, recommend, implement, and enforce departmental policies and procedures
  • Develop, prepare, and administer annual budget which reflects equipment and supply needs of department
  • Order and purchase pharmaceuticals as needed to maintain inventory levels
  • Inspect all drug areas in Hospital to ensure proper drug utilization and quality of drugs
  • Maintain departmental records and statistics and all records required by state and federal regulations
  • Develop and maintain formulary system to identify drugs in stock; periodically review inventory to ensure all medications are stored according to established security and environmental conditions
  • Establish and maintain cooperative working relationships with Physicians,
  • Department Managers, Patients, and Sales Representatives to provide needed services, gather and exchange information and order supplies
  • Compound and dispense medication to fill written and prescriptions and medication requests
  • Adhere to and support all elements of Five Star Spirit Program
184

St Louis College of Pharmacy Resume Examples & Samples

  • Strong Microsoft Office, writing, and editing skills
  • Experience with Content Management Systems, Adobe Suite, and donor management software
  • Capable of handling multiple tasks
185

St Louis College of Pharmacy Resume Examples & Samples

  • A master’s degree is required; preference for diversity or inclusion related certification
  • Demonstrated leadership and proven record in the creation and delivery of campus-wide diversity, inclusion and intercultural competency programs
  • Demonstrated knowledge of, and commitment to, contemporary issues of diversity, inclusion, access, and equity, as well as general knowledge about scholarship and pedagogy that inform and can potentially address these complex issues
  • Successful record of influence, community engagement, and networking
  • Preference for terminal or doctoral degree in a relevant health profession
  • Preference for experience in a college or university
186

St Louis College of Pharmacy Resume Examples & Samples

  • Bachelor degree in Accounting
  • Two - five years of accounting experience environment
  • Knowledge of GAAP, FASB, and governmental regulations and standards
  • Familiarity with non-profit accounting is preferred
  • Proficiency using accounting software and reporting tools
  • Ability to communicate with a broad constituency base
  • CPA not required, but preferred
187

St Louis College of Pharmacy Resume Examples & Samples

  • A bachelor’s degree from an accredited institution of higher education
  • Two years of experience in admissions, student services or college counseling
  • Experience giving presentations to groups of various sizes
  • A master’s degree in Higher Education or related field from an accredited institution of higher education
  • Knowledge of or experience in the Missouri and Illinois high school market
  • Experience using a Customer Relations Management system Experience with holistic application review
  • Experience working with diverse populations
  • Demonstrated experience networking and/or building professional relationships
188

Senior Pharmacy Recruiter Resume Examples & Samples

  • Provide exceptional client/candidate experience and manage the strategic sourcing/recruiting strategies, intake sessions, presentation, selection, offer, negotiation, closing, and administrative components involved in full lifecycle recruiting
  • Develop and implement search strategies utilizing all recruiting resources such as social media, networking, associations and direct-calls to prospect candidates ensuring an effective pipeline of qualified candidates and performance metrics for all searches
  • Initiate, develop and maintain strong working relationships with Pharmacy and HR team, campuses and organizations to create a partnership
  • Maintain accurate and well-ordered documentation on all candidates, searches, hiring managers interactions, and other recruiting activities to ensure a safe and thorough audit if required
  • Regular follow up with the respective hiring managers and candidates to ensure timeliness of recruitment process
  • Manage the campus recruitment program for division, attend events and building strategic relationships with campuses and associations
  • Stay informed of current knowledge and understanding of regulations, industry trends, innovative recruiting techniques, new developments with competitors, and applicable laws regarding recruitment of candidates and be willing to share with team
  • Track and report key metrics designed to measure and predict staffing activity
  • Conduct 60 day follow up calls with new hires
  • Actively participate in all staffing related activities and engage in cross functional projects
  • At least three (3) years of full lifecycle recruiting experience
  • Campus recruiting experience preferred
  • Experience maintaining accurate and compliant recruitment records
  • Strong personal integrity, interpersonal skills, and presentation skills with team based project experience
  • Ability to use effective communication approaches that include proactively keeping others informed, appropriately expressing ideas and thoughts verbally and in written form and timeliness
  • Self-motivated and takes initiative; must be able to work independently and be a self-starter as well as a strong team player
  • Ability to handle multiple tasks simultaneously and prioritize in a fast-paced environment with attention to detail, sense of urgency and able to remain flexible, proactive, open-minded, resourceful, efficient with a high level of professionalism
  • Proven negotiation skills, the ability to persuade and influence decision makers
  • Proficiency in Microsoft Office Suite is required; very computer and web savvy to utilize professional and social networking media, data mining, internet searches and applicant tracking system
  • Experience recruiting for health positions preferred
  • Valid driver’s license and ability to travel when needed
189

Third Party Pharmacy Help Desk Coordinator Resume Examples & Samples

  • Determine whether system problems are software or hardware related and escalate to the appropriate department
  • Serve as a liaison between pharmacies and insurance plan or claims processors to resolve prescription problems
  • Familiarity with multiple pharmacy software systems a plus
  • Strong follow-through skills with focus on problem resolution
  • Ability to multi task and prioritize workload
190

Senior Pharmacy Audit Coordinator Resume Examples & Samples

  • Manage a project from start to finish of a client project to evaluate the accuracy and effectiveness of a claims administrators' performance administering the client's various health benefit plans
  • Request paid claims information for a specific period of time from the administrator which is submitted through the Mercer proprietary sampling software which generates forms for the on site review. The claims audit consultant arranges the date for the audit and sends the selected samples to the administrator in advance, arranges and coordinates the Mercer field audit staff, and sends all the required Mercer supplies required to perform the audit
  • During the audit, the claims audit consultant will serve as the team lead, oversee and manage the field auditors work flow, and review claims issues that have not been resolved by the administrator. At the end of the project the claims audit consultant will review all of the forms to be entered in the Mercer proprietary system and begin the reporting process
  • Run data to produce various statistical accuracy rate reports and then create a written formal report based on a Mercer template or create a special report as needed for peer review prior to client presentation
  • Go to the claims administrator's audit site at a later stage in the project to gather claims and operations processing information for a specific period of time. The claims audit consultant will use this sample and view the carrier/administrator payment system to verify the following: eligibility, claims data was entered accurately, rates were applied and calculated accurately, other insurance was investigated and benefits coordinated, duplicate submissions were identified and denied, claim processed correctly under term of plan, benefit payments calculated properly and paid to the correct party, clinical review was conducted as required, processed claims were supported by adequate documentation and claims processed properly according to the client plan
  • Document audit notes on the forms provided and if an there is an error or question, the claim audit consultant will document the Mercer form and present it to the claims administrator for review and response. Once the claims administrator provides a response, the claim audit consultant will review and determine if claim is correct and resolve the outstanding issue
  • Minimum 10 or more years of group medical and/or claims processing experience with health insurance carriers, managed care plans or third party administrators
  • Working knowledge of health plan designs and provisions including current claim processing policies and procedures
  • Solid understanding of health and welfare benefits claims processing and claims payment administration
  • Working knowledge of health claims administrators' systems and processing policies
  • Current claim coding knowledge including: CPT4, ICD9, HCPCs, CDT
  • Ability and flexibility for travel 50% of the time
191

Pharmacy Process Consultant Resume Examples & Samples

  • Experience with Microsoft Access
  • Bachelor’s Degree in Business, Computer Information Systems
  • Data and reporting experience
192

Supervisor, Fulfillment Pharmacy Resume Examples & Samples

  • Handles escalated issues
  • Hire, develop, and execute yearly performance appraisals and perform corrective action plans for personnel
  • Oversee the day to day work flow of staff in the following areas: inventory
  • Manage Quality Level of inventory processes
  • Oversee inventory specialist roles and responsibilities including maintenance of integrity and stock levels of on - site inventory
  • 2 years or more experience in pharmacy field or production / warehousing environment
  • 2 years or more of experience working with Pharmacy Technicians in a supervisory or lead capacity
  • Proficient in Microsoft Office, Word, Outlook, PowerPoint
  • B.S. Degree in Health Care field
  • Pharmacy Technician License and / or National Certification
193

Senior Pharmacy Appeals Reviewer Resume Examples & Samples

  • Self-starter who is able to work in a fast-paced environment, able to complete complex tasks quickly with attention to detail
  • Demonstrated strength in listening, problem solving, organizing and prioritizing
  • Handle pharmacy appeals cases that require clinical review. This includes verifying the need for clinical review. Verifying necessary documents. Verifying Member coverage and clinical programs that apply. Routing cases to the correct Pharmacist queue or Medical Directors (when required). Assure appeals are resolved within regulatory timeframes
  • Research and help resolve customer complaints submitted by consumers or UnitedHealth Group executives when asked by DOI/Consumer Affairs/ UHC Pharmacy leadership. Assure grievances/complaints and DOI issues are handled within regulatory timeframes
  • Provide training to new personnel or oversee/set up training led by others
  • Resource for many internal departments for pharmacy appeals questions including status update and routing assistance or determining if an appeal is necessary and appropriate
  • Current Pharmacy Tech Certification (state or national)
  • 1+ year of Healthcare Insurance or Pharmacy Authorization experience
  • 1+ year of experience working with MS Office including Word, Excel and Outlook
  • Some College
  • Previous Pharmacy experience
  • Prior Professional Appeals experience
194

Regional Pharmacy Ops Dir Resume Examples & Samples

  • ******This position requires up to 70% travel*********
  • 30% - PERFORMANCE:Collaborate with Regional SVPs, VPGMs, VPSs, HM leadership and central support services to drive care performance of the network. Perform targeted store support visits to observe and train pharmacist groups on clinical initiatives. Provide training programs to pharmacy groups on implementation of core programs. Work with central support services to drive detail implementation follow-up. Improve profitability of Health Mart franchise stores as compared to non-Health Mart Independents. Increase value proposition for Health Mart. Increase franchisee satisfaction resulting in customer retention, company profitability and franchise growth
  • 5-10+ years experience in a retail pharmacy segment required, either chain or independent. (Sales experience is preferred.)
  • Excellent project management, critical thinking, and analytical skills
195

Pharmacy Medicaid Administrator Resume Examples & Samples

  • Process and adjudicate prescriptions
  • Communicate with patients, payers, pharmacists, and other members of the care team to address eligibility issues and rejected claims
  • Ensure claims accuracy and completeness, including submission of CPT and ICD-10 codes
  • Establish, track and maintain state Medicaid licenses and associated renewals
  • Create and maintain credentialing database
  • Provide required information to payer in accordance with Medicaid contracts and HIPAA requirements
  • Work with Manager, Pharmacy Accounting to reconcile payments
  • Provide documentation in response to government program audits
  • Complete data collection and reporting activities as required
  • Strong familiarity with Medicaid regulations and billing
  • Experience working with CRM databases or tracking databases and MS Office products (Word, PowerPoint, and Excel)
  • Three to five years working in a health care/Specialty Pharmacy/pharmaceutical industry environment
  • Records management and project management experience, two to three years
  • Three years’ experience working as a pharmacy technician
  • Current Kansas Registered Pharmacy Technician
  • Two years’ experience maintaining compliance, regulatory or finance-related information in a health care setting
  • Two to three years’ experience processing Medicaid prescription claims for multiple states
  • Two years’ experience resolving Medicaid claims rejections and eligibility issues in all fifty states
196

Optumrx, Senior Pharmacy Account Manager Resume Examples & Samples

  • 5+ years of PBM experience
  • 5+ years of client and/or account management experience and a strong understanding of delivering on contractual obligations
  • The candidate should exhibit the ability to work cross functionally across operational, legal and regulatory departments to insure ORx is meeting the contractual obligations
  • Travel required as needed
  • Rx Claims experience
  • Salesforce experience
197

Consulting Director, Clinical Pharmacy Resume Examples & Samples

  • Consult with pharmacists to develop and implement clinical pharmacy programs that will reduce costs while maintaining or improving quality of care to patients
  • Develop and manage projects/initiatives for Health Care Organizations (HCOs) targeting non-salary expense reduction with a focus on standardization and utilization
  • Analyze pharmaceutical purchases and conduct key prescriber interviews with the HCO's Clinical Pharmacy Coordinator to validate and estimate identified opportunities for improved formulary management such as
  • Maximizing market share and product standardization, resulting in best pricing
  • Therapeutic interchange programs
  • Automatic therapeutic substitutions
  • Appropriate dosing (via an analysis of strengths and concentrations purchased)
  • IV to oral streamlining opportunities
  • Other related clinical programs which may aid in patient throughput and care
  • Work with clinical leaders to discuss and facilitate changes in formulary management
  • Assist members in evaluating and positioning requests for new and significant formulary additions; development of draft protocols, clinical tools and order sets as identified
  • Minimum Bachelor’s degree in Pharmacy.PharmD is preferred
  • A Masters in business or healthcare related fields is desired
  • Must have significant hands-on clinical pharmacy experience and excellent verbal and written communication skills
  • Previous experience as a Clinical Pharmacy Coordinator/Manager/Director and inherent responsibilities with at least five years in a progressive acute care medical center is required
  • Experience with Pharmacy and Therapeutics Committee activities is strongly desired
  • Knowledge of CMS/regulatory pharmacy billing requirements desired- e.g. J-Codes, NDC’s, Multipliers, 340B program, etc. is desired
  • Knowledge of Pharmacy price sourcing, purchase history, inventory cost reduction, etc
  • Knowledge of CPT, HCPCS, revenue codes, modifiers as it relates to a Pharmacy CDM preferred
  • Board of Pharmacy registration is preferred with Graduate training in an accredited College of Pharmacy (M.S. or post-baccalaureate Doctor of Pharmacy) and have completed a clinically-oriented pharmacy residency (ASHP approved residency)
  • A strong understanding of both inpatient and outpatient pharmacy services and trends is strongly desired
  • Advanced knowledge of spreadsheet and word processing software is required
  • Be able to travel up to 50%
198

Pharmacy Network Operations Manager Resume Examples & Samples

  • Accurately maintain customer and network specific pharmacy procedure documentation and/or the network product information database library
  • Appropriately manage company resources (e.g., evaluate staffing requirements, appropriately assign work, properly manage workflow, ensure proper use of company property, etc.)
  • Use The Enlighten Tool to manage daily workflows, track productivity and manage long term resource planning
  • Be proactive in identifying circumstances that might endanger the integrity of company products, the interests of the client, or the corporation
  • Cross-train within the Pharmacy Network team to understand and assist in each job function
  • Demonstrate compliance with company and departmental policies, procedures, and guidelines, performance guarantees and SLAs (Service level agreements)
  • Evaluate current internal department process flows and recommend and/or implement improvements, such as eliminating non-value adding steps. This may involve working with programming staff to enhance existing programs or create new ones that would be beneficial to both Argus and customer
  • Maintain appropriate tracking logs and create incident logs (e.g., pharmacy requests, customer service, contract/addendum status). Follow up as appropriate
  • Proactively lead resolution of issues. Serve as a resource and assist customer, pharmacies, and internal Argus areas with questions concerning pharmacy issues, customer issues, global files, communications documentation, etc
  • Produce standard and ad-hoc reports for internal and external customers (e.g., audit reports, network reports, quarterly network updates, geographical pharmacy reports, status updates)
  • Manage quality metrics and report to appropriate parties as required
  • Manage the creation of new customer networks and pharmacy plans during new customer implementations and serve as pharmacy networks expert for the implementation team. Establish network priorities. Apply pharmacy pricing structures to include discounts of brand, generic, MAC, and compound drugs. Apply dispensing fees for each category
199

Pharmacy Integration Testing Analyst Resume Examples & Samples

  • Manage multiple certification projects simultaneously. This includes coordinating tasks, activities, schedules, meetings and conference calls with customers, vendors, VIS team members and other departments at PointClickCare
  • Conduct User Acceptance Testing with end users while facilitating overall testing activities with the vendor and client
  • Write and execute SQL queries and test scripts in support of data compilation and analysis
  • Write and execute test plans and document test results, applying QA processes
  • Manage incidents as related to all integrations (investigation, troubleshooting, escalation, resolution, reporting and analysis of incidents)
  • Manage integration stability by troubeshooting and actioning urgent and critical alert notifications from the integration engine and third-party applications
  • Create documentation for new integration offerings (Certification, Implementation, Support Guides for the VIS Technical Writer) and conduct knowledge transfer session with the team
  • Work collaboratively with internal PointClickCare departments, PointClickCare customers and third-party vendors to achieve successful integrations
  • Keep well-informed of PointClickCare product offerings, and related industry, technical and business trends
  • Maintain performance standards and delivery with a professional demeanor and positive representation of PointClickCare
  • Assist with process improvement and efficiency on current and new integrations
  • Understand and comply with HIPAA regulations
  • Bachelor’s degree or diploma in Computer Science or Information Technology or a related field
  • 2 to 5 years of software support experience
  • 2 to 5 years of quality assurance or testing experience
  • Microsoft SQL: Read, write and execute SQL queries required
  • Data analysis and interpretation experience
  • Strong problem-solving and decision-making skills, with attention to detail
  • Ability to handle multiple urgent and critical issues
  • Strong inter-personal, verbal and written communication skills required
  • Experience or understanding of as many of these related areas as possible: Rhapsody Integration Engine, Active MQ Gateway, HL7 Standards and HL7 messaging structure, XML messaging structure, NCPDP Script standard, Web services, SOAP UI tool, long-term care and healthcare industry, PHI and HIPAA compliance, object-oriented programming
200

Pharmacy Account Manager Resume Examples & Samples

  • Support Implementation Manager with the Pharmacy Benefit set up and on-boarding activities for new clients
  • Act as the primary point of contact for OptumRx Client Services Operations Team and Service teams for resolution of customer issues, more complex issues, and inquiries for assigned accounts
  • Represent client internally and coordinate with other functional teams to complete projects and address ongoing service needs
  • Partner with Strategic Account Executives in strategic planning, education and promotion of OptumRx Value Story
  • Oversee all PBM operational functions pertaining to day-to-day management of the client
  • Log and track all issues in tracking tool
  • Coordinate and provide final resolution response on escalated issues and service concerns related to customers
  • Identify trends, document lessons learned, and drive continuous service and client process improvement
  • Partner with Strategic Account Executive to manage client Audit activities to ensure accuracy and timeliness
  • Set up and coordinate client system access and training
  • Represent OptumRx on client calls and visits
  • Support Sales in RFP responses and finalist presentations
  • Provide leadership and support to the Client Services Team in the management of member and client-specific escalated issues and/or service concerns
  • Create and conduct new customer training on OptumRX benefits
  • 5+ years of Account Management experience
  • 5+ years of Health Plan, Pharmacy or PBM experience
  • Ability to travel up to 25% nationally
  • Intermediate Excel skills
  • Experience in Claims Research and/or expertise in AS400
201

Home Delivery Pharmacy Business Liaison Resume Examples & Samples

  • Assist in documenting business processes to keystroke level detail for all processes
  • Identify undocumented processes and initiate documentation with assistance of Process Writers
  • Review process flow documentation is accurately translate into Work Instructions
  • Monitor for business processes changes requiring updates due to business documentation
  • Review and initiate Change Requests to begin update of existing documentation (process flows and Work Instructions) is updated and communicated to appropriate teams
  • Vetting processing questions / issues with leadership to close gaps and determine best practices
  • Review and update process and work instructions on an ongoing basis for accuracy
  • Review training material references to work instructions to ensure processes are accurately covered by training material
  • Serve as a SME resource to aid Process Writers in developing and interpreting business processes
  • 5+ years of experience with IRIS
  • 5+ years of experience with HDP (Home Delivery Pharmacy) Processes
  • 2+ years of experience demonstrating knowledge of Pharmacy practice
  • Knowledge of Change Management processes and methodologies
  • Experience working with Operations Leadership
  • Experience with developing and reviewing business processes
202

Director of Pharmacy Services Resume Examples & Samples

  • CA Pharmacy License
  • 5+ years pharmacy experience & 3+ years management experience
  • Must have experience working with Medicare Part D
  • Working knowledge/experience with health plans or managed care organizations
  • Strong communication skills, strategic thinking, & experience developing/implementing new processes
  • If you or someone you know would be interested in learning more about this opportunity, please reach out today!
  • Accomplish staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and implementing corrective action steps when necessary; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards. Complete performance evaluations in a timely manner
  • Responsible for development, implementation and monitoring of all Pharmacy initiatives
  • Develop an overall pharmacy business plan and budget that will establish goals/targets and strategies to educate physicians/providers, and will include methods to measure and monitor the effectiveness and success of all pharmacy programs and services implemented
  • Develop and implement pharmacy-related policies, procedures, guidelines and programs
  • Develop and oversees strategies to control pharmacy quality, utilization and cost as well as to reduce variations in pharmacy practices
  • Lead all pharmacy related quality programs including but not limited to pharmacy related Stars and HEDIS measures
  • Define strategy to communicate treatment guidelines and policies to primary and specialty care physicians
  • Work closely with Finance Department and informatics/analytics team to ensure accurate collection of pharmacy utilization data and reporting
  • Identify opportunities for new pharmacy management programs and provides regular reporting on program performance
  • Ensure that proper pre-authorization procedures are administered consistently and effectively while remaining up to date on all new medications and related policies
  • Ensure pharmacy department meets regulatory compliance requirements
  • Implement Medicare prescription benefit contracts
  • Act as a liaison between HPSM and its external Pharmacy Benefits Managers (PBMs) with a focus on oversight of pharmacy claims processing and all aspects of the pharmacy benefit plans
203

Cerner Pharmacy Support Senior Advisor Resume Examples & Samples

  • Will work on complex problems requiring evaluation of intangible variables and manage critical customer projects
  • Will work within the Cerner Application Support Team supporting the Cerner PharmNet applications
  • Will spend time in a customer facing role including interacting at key customer meetings and work across the IT organization to ensure IT successfully meets customer expectations
204

Pharmacy Program Oversight Senior Business 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
  • Support CMS audit initiatives by investigating samples, reviewing supporting documentation, identifying scenarios of concern, and researching claims within the pharmacy system
  • Drive follow-up activities required to address identified gaps
  • Collaborate with business stakeholders and PBM to obtain necessary information to support audits
  • Support Pharmacy Program Oversight business activities related to paid and rejected claim reviews and member impact reporting and remediation
  • Participate in business requirements development and system testing, research and analyze claim data for root cause identification, correction and remediation
  • Support development of Audit Support team infrastructure and proactive audit monitoring programs
  • Support for ongoing Audit Readiness activities
  • Prioritize and organize own work to meet deadlines
  • Bachelor's Degree or 4 years of equivalent education and / or work experience
  • 3 years Medicare Part D / Pharmacy benefit, and / or PBM experience related to eligibility, benefits and / or claims adjudication
  • 2 years of experience analyzing large amounts of data and handle complex requests
  • 2 years of experience with reporting
  • Intermediate level of proficiency with Microsoft Word, and Power Point
  • Experience in Excel including pivot tables, basic formulas, and importing and exporting data
  • Experience with business analysis and continuous process improvement
  • Certified Pharmacy Technician experience
  • Experience with Pharmacy Claim Analysis and quality practices
  • Knowledge of RxClaim (claims processing system)
  • Experience with either SAS or SQL and Oracle / SQL
  • Proficiency with SharePoint and Visio
  • Knowledge of Medicare Part D guidelines and regulations
  • Ability to travel up to 10 percent
  • Experience working in a Matrix environment
205

Pharmacy Partnership Programme Account Manager Resume Examples & Samples

  • Proven selling and influencing skills
  • A high level of drive, determination and persistence with a desire to exceed results
  • Able to plan efficiently
  • Strong Commercial acumen adopting a return on investment mindset
  • Excellent communication skills – verbal and written
  • Proven Organisation, prioritisation and planning skills
  • Ability to analyse and interpret data from a variety of sources and systems
  • An attitude which is positive, energetic, flexible and supportive in a challenging environment
  • Competent PC / IT skills with strong attention to detail
  • Strong ethical working behavior
  • Strong self-starter with energy and resilience. Capable of supporting the delivering new business solution
  • Humility to seek and act on feedback from peers
  • Educated to Degree Level or equivalent
206

Supervisor Inpatient Pharmacy Resume Examples & Samples

  • Assists the Inpatient Pharmacy Director with the development and implementation of pharmacy strategic initiatives and provides technical/clinical direction and supervision to pharmacy staff
  • Responsible for assigned pharmacy services /activities including day-to-day operations, drug distribution, drug education, pharmacists clinical activities, performance measurement/improvement, regulatory compliance, employee development and multi-disciplinary team development
  • As assigned, accountable for pharmacy quality, service and fiscal outcomes
  • Ensures that all staff have adequate and ongoing training to enhance and assure job performance
  • Minimum two (2) years of previous supervisory or functional direction experience required
207

Pharmacy Product Integration Analyst Resume Examples & Samples

  • Establishes & maintains excellent working relationships with other departments & other regions as needed to develop, implement & support appropriate Pharmacy product/benefit administration
  • Strategizes new product delivery for Pharmacy with Product Development & Benefits Administration on all benefit design issues including modification of current designs & implementation of new designs
  • Project manages and/or is SME for national & local product releases & changes, includes participation in National product launch teams & application assessment teams
  • Responsible for the implementation & project mgmt of new products & benefits. Delivers on project plan milestones, timelines & work efforts. Completes all required documentation for status reporting, issue identification & other documentation for Desktop Manual post implementation
  • Coordinates & communicates necessary changes to benefits configuration due to policy decisions, product or plan changes, new plans or products; understands business impact due to the changes
  • Demonstrates subject matter expertise & application of pharmacy benefits for all lines of business & products including but not limited to: HMO, Deductible products, MultiChoice & other POS products, & Medicare Part D for each of the pharmacy & PBM systems
  • Develops & maintains the Pharmacy Benefits Desktop Manual that includes but is not limited to: workflows & business processes, product & benefit guides, & research & reporting documentation to improve the build & updating of pharmacy products at KP & the PBM
  • Interacts with internal & external customers & vendors (Pharmacy staff & supervisors, interregional pharmacy benefits personnel, contracted PBMs, customer service, sales & marketing) to provide pharmacy benefit information & issue resolution
  • Provides pharmacy benefit & PBM systems support, including but not limited to: root cause analysis of benefit structure & system adjudication issues, performs system reviews of pharmacy benefit tables, develops test cases & performs tests of benefit configuration for accuracy, & manages benefit definition consistency across all pharmacy applications
  • Responsible for ensuring all Pharmacy product/benefit commitments & service level agreements are met in a timely & accurate manner
  • Develops & maintains processes & tools for conducting audits of pharmacy claim transactions, analyzes processing & benefit inconsistencies. Makes decisions and/or recommendations affecting system setups. Oversees resolution of discrepancies across applications & in processing
  • Develops recommendations based on findings & provides materials to assist in training of department personnel to resolve problems impacting the accuracy & consistency of pharmacy claim processing at KP pharmacies & through PBMs
  • Five (5) years of experience in a Managed Care Environment, Health Insurance or related field
  • Three (3) years of experience with pharmacy or claims applications
  • One (1) year of experience with claim adjudication analysis
  • Project management experience or certification preferred
  • Proficiency in MS Project preferred
208

Pharmacy Location Supervisor Resume Examples & Samples

  • Organize, supervise and operate location pharmacy services in a cost effective manner; develop, implement and evaluate ongoing design and workflow changes that improve the daily work methods, productivity, service and resource utilization by staff and members. Perform all aspects of budget accountability for the location; administer the operating budget for the location; assist the MMO & Pharmacy Coordinator and other location department managers by providing necessary resource information that could impact other cost centers. Routinely monitor ledgers, financial and productivity reports that correlate staffing, drug costs and other operating expenses with work volume. Maintain sound asset management practices and routinely communicate the importance of asset accountability to staff to insure protection of cash, legend pharmaceuticals, controlled substances, staff, facilities and equipment
  • Develop and retain a competent, motivated professional staff; recruit, interview, select, hire, orient, train, evaluate, counsel, discipline and terminate if necessary all pharmacy staff for the location (pharmacist-in-charge [organized labor position defined by contract], pharmacists, pharmacy assistants, pharmacy technicians, pharmacy interns) in accordance with organizational, legal, regulatory, organized labor, and quality of life standards, policies to staff and management; advocate, develop and empower pharmacists, pharmacy assistants and pharmacy technicians to optimize their potential and contribute meaningfully to the department, the member and the program. Direct the provision of satisfying pharmacy services to all Kaiser Permanente members; monitor and sustain pharmacy services in compliance with state and federal laws, all regulatory bodies, established quality standards and organizational service standards e.g. The Service and Behavior Guidelines. Implement and monitor member satisfaction measures. Personally investigate, respond and resolve member inquiries and concerns within the location
  • Maintain a contemporary professional knowledge of pharmacy practice; provide routine operational support to insure a clear understanding of daily work group/work flow issues; maintain requisite pharmacy licensure; assist in performance of daily staff duties as work load requires. Develop and implement clinical programs that support the department's strategic plan and the Program's quality of care objectives and strategies
  • Postgraduate business, pharmacy or management degree or residency
  • Working knowledge of National Data Corporation inpatient and outpatient "Datastat" pharmacy software package
209

Supervisor, Inpatient Pharmacy Resume Examples & Samples

  • Ensures compliance with state and federal laws, regulations, and standards
  • Works in collaboration with providers, department heads, and the Inpatient Pharmacy Director to implement, evaluate and improve quality management programs
  • Administers organizational and departmental policies and procedures on a day-to-day basis
  • Provides leadership, direction and supervision of pharmacy staff including recommendations regarding hiring, firing, promotion, demotion, discipline, training, performance evaluation/management
  • Participates in designing, implementing, evaluating/improving systems, methods and processes designed to enhance quality, improve service, and enhance cost effectiveness
  • Minimum two (2) years of supervisory or functional direction experience preferred
  • Pharm.D preferred
210

Pharmacy Chief Resume Examples & Samples

  • Directs, coaches, and mentors pharmacy supervisory personnel in management techniques and skills; oversees workflow processes and coordinates activities of supervisory personnel, pharmacists and support personnel to meet performance objectives
  • Develops and communicates service, performance and quality assurance expectations and sets goals with supervisors/staff that are consistent with department and regional goals and objectives; provides feedback and follow up
  • Directs and assists pharmacy supervisory personnel in managing and facilitating organizational change and conflict resolution
  • Interviews, selects, orients, instructs, counsels, evaluates, and disciplines pharmacy supervisory and other pharmacy personnel; reviews and approves performance evaluations, disciplinary actions and other issues
  • Monitors and evaluates existing service levels, systems, procedures and practices and recommends appropriate changes or additions as required
  • Coordinates and manages the budgetary needs
  • Serves as a liaison and resource for development and implementation of departmental, interdepartmental, interdisciplinary and community initiatives; collaborates with facility medical and administrative personnel on regional initiatives relative to the delivery of services
  • Assures compliance to all regulatory rules and regulations and Kaiser Permanente's policies and procedures and professional practice standards which include but are not limited to: Drug Enforcement Administration, State Boards of Pharmacy, HIPAA, Principles of Responsibility, Proper use of Kaiser Permanente personal computers and applications
  • Supports development and implements policies and procedures relating to pharmacy operations and professional practice standards; provides support in the development and assures implementation of departmental initiatives consistent with program goals and objectives
  • Resolves daily operational problems and performs general duties of a pharmacist
  • Promotes loyalty and morale by creating a climate that encourages professional development, individual creativity, innovation and a high level of productivity
  • Directs and assists pharmacy supervisory personnel in planning, developing, implementing, coordinating and supervising services and functions provided by each pharmacy in area of responsibility including legal and regulatory requirements
  • Minimum three (3) years of personnel management/supervisory experience required
  • Minimum four (4) years of pharmacist experience required
  • Experience in formulary, compliance, inventory management and cash control procedures required. If applicable, knowledge and experience in Home Infusion, Oncology and Allergy admixture services required
  • Minimum three (3) years of experience at Kaiser Permanente preferred
  • Advanced degree in business or health care administration preferred
211

Supervisor Ambulatory Pharmacy Care Resume Examples & Samples

  • Collaborates with the Clinical Operations Manager in meeting deadlines, participates on committees, and stands in as a representative of Ambulatory Pharmaceutical Care Services, as needed
  • Assists with the development and implementation of California pharmacy strategic initiatives which are designed to enhance quality, improve member service and enhance cost effectiveness
  • Works in collaboration with providers, department heads, and the Clinical Operations Manager to implement, evaluate and improve quality management programs
  • Ensures high level of quality, competency, and accuracy by developing and maintaining quality assurance and competency assessment processes
  • Ensures compliance with Federal and State laws, regulations and standards
  • Prepares and/or approves the biweekly payroll, and monitors personnel utilization in accordance with the operating budget or workload requirements
  • Proposes, develops and implements efficient innovations to improve the Ambulatory Pharmaceutical Care Services to meet the needs of KP members and physicians
  • Provides ambulatory care service backup coverage as needed
  • Two (2) years of previous pharmacy management, supervisory and/or functional direction experience required
  • Residency in Clinical Pharmacy OR two (2) years of equivalent clinical experience required
212

Area Pharmacy Director Resume Examples & Samples

  • Leads planning, development and implementation of Area Pharmacy Operations, both inpatient and outpatient
  • Supports and directs the implementation of California pharmacy strategic initiatives and goals
  • Provides ongoing leadership and direction to enhance member service
  • Provides leadership and direction to the Area pharmacy personnel
  • Responsible for the development and implementation of Area pharmacy operating and capital budgets
  • Responsible for all pharmacy activities, including drug distribution, drug education, pharmacist clinical role expansion, retail business expansion, performance measurement, employee development, regulatory compliance and multi-disciplinary team development
  • Provides leadership and collaboration within and outside of pharmacy operations, including the medical staff, nursing staff, ancillary care providers, customer/member services, marketing, external affairs, California pharmacy operations, community providers, other Area pharmacy leaders, and the Area Leadership Team
  • Ensures compliance with all pertinent state and federal regulations
  • Minimum five (5) years of management experience in an Integrated Delivery System or multi-facility hospital system
213

Pharmacy Services Supervisor Resume Examples & Samples

  • Monitor and maintain pharmacy workflows to ensure service delivery within expected parameters of satisfaction, quality and compliance. Depending on the operational setting (outpatient or inpatient), customers served can include members, patients, physicians, nurses and ancillary departments. Oversee and direct the work of subordinate employees according to departmental policies, procedures and standards. Subordinates include pharmacy technicians, pharmacy clerks and identified administrative staff. Maintain and adjust work schedules. Understand and apply relevant provisions of the UHW and Local 29 Collective Bargaining Agreements. Identify and resolve problems and complaints from members, patients, client departments, and/or customers. Develop and implement solutions using sound problem-solving and decision-making methods
  • Respond to immediate service interruptions and/or concerns to ensure satisfactory service recovery. Identify service concern trends and develops corrective plans of action. Serve as liaison between pharmacy and other departments on operational and service matters. Maintain and adjust resources to meet operational needs, within budget allocation Perform, direct and supervise ongoing training of staff including assessment of training needs and /or deficiencies relative to policy, best practices and/or established standards. Serve as train-the-trainer for the department. Reinforce, and hold direct reports accountable to Service Expectations, including Standards of Expected Behavior. Promote a team environment through modeling of collaborative behaviors; hold direct reports accountable to team oriented behaviors and ensure any necessary team building training is completed
  • Ensure compliance with organizational, departmental, Joint Commission, CMS, SOX, State Board of Pharmacy and other governing laws, regulations, standards, and policies and procedures, including the Principles of Responsibility
  • Ensure effective utilization of pharmaceutical inventory and maintenance of required record keeping. Oversee cash control process according to policies and procedures, including ordering money for cash drawers and management of over/short process. Advise supervisors of identified discrepancies and make recommendations to resolve issues. Assist the pharmacist manager with the development of departmental goals for Service, Quality, Finance, People and Compliance Utilize tools and reports to formulate departmental goals, develop operational plans, educate staff and monitor performance
  • Actively participate in local and regional manager Peer Group meetings to learn and share best practices relative to goal attainment. Interview applicants and hire employees into Technician, Clerk and Cashier positions and provide department orientation for new hires. Provide coaching and counseling to direct reports
  • In conjunction with pharmacist manager, prepare and administer performance evaluations (30/60/90 day and annual); administer formal discipline; respond to union (UHW and Local 29) grievances. Conduct monthly/quarterly attendance reviews. Conduct quarterly reviews on over/short reports. Perform TIME keeping functions. Facilitate at department staff meetings including assisting pharmacy manager with agenda planning. Analyze individual and team performance and develop operational/correction plans
  • Minimum one (1) year of experience supervising non-exempt staff across various job classifications, including technical and union
  • Experience in developing and conducting training programs for staff
  • Pharmacy Technician certification preferred
214

Director, Inpatient Pharmacy Resume Examples & Samples

  • Serves as the hospital's Chief Medication Safety officer, overseeing all aspects of pharmaceutical care w/in the hospital. Organize, supervise & operate location inpatient pharmacy services in a cost effective manner; develop, implement & evaluate ongoing design & workflow changes that improve the daily work methods, productivity, service, & resource utilization by staff & members. Perform all aspects of budget accountability for the location; administer the operating budget for the location; assist the NW Director of Inpatient Pharmacy & other location department leaders by providing necessary resource information that could impact other cost centers. Routinely monitor ledgers, financial & productivity reports that correlate staffing, drug costs & other operating expenses w/ work volume. Maintain sound asset management practices & routinely communicate the importance of asset accountability. Develop, design, implement, coordinate, & evaluate area-wide programs & projects as assigned by the Regional Pharmacy Director &/or NW Director of Inpatient Pharmacy e.g. managerial mentorship, professional development, quality improvement, quality assurance, member service, etc. Accountable for implementing programs to enhance drug therapy & ensure effective & efficient methods of formulary management consistent w/ department & program goals, objectives, strategies & missions w/ support from the NW Regional IP Pharmacy Clinical Coordinator; mentor & develop new leaders in addition to recruitment of potential new leaders
  • Develop & retain a competent, motivated professional staff; recruit, interview, select, hire, orient, train, evaluate, counsel, discipline & terminate if necessary all pharmacy staff for the location (supervisor, manager, technicians, pharmacist-in-charge, pharmacists, pharmacy assistants, pharmacy technicians, pharmacy interns) in accordance w/ organizational, legal, regulatory, organized labor & quality of life standards, policies & regulations. Direct the provision of satisfying pharmacy services to all Kaiser Permanente members; monitor & sustain pharmacy services in compliance w/ state & federal laws, all regulatory bodies, established quality standards & organizational service standards e.g. The Service & Behavior Guidelines. Implement & monitor member satisfaction measures
  • Minimum five (5) years of contemporary pharmacy practice; preferably in a comparable pharmaceutical setting
  • Minimum two (2) years of experience with first line supervision or comparable leadership experience with direct reports in a comparable pharmaceutical setting
  • Minimum five (5) years of supervisory experience, preferably in a comparable pharmaceutical setting
  • Postgraduate business, pharmacy or management degree, certification or residency
  • Pharmacy licensure in Washington and Oregon
  • Previous leadership position at Kaiser Permanente e.g. location supervisor, pharmacist-in-charge, pharmacist specialist
  • Working knowledge of all automated systems (Epic, Phone Systems, Bergen)
  • Demonstrated keyboarding skills
215

Director, Inpatient Pharmacy Resume Examples & Samples

  • Responsible for Inpatient Pharmacy activities, performance measurements, and regulatory compliance with Federal and State laws, regulations, standards, TJC, OSHA, Divisional & Departmental policies and procedures
  • May coordinate Inpatient Pharmacy Services and/or Home Infusion Pharmacy Services within a Service Area
  • Pharm.D (preferred) degree in Pharmacy
216

Pharmacy Data Warehouse ETL Developer Resume Examples & Samples

  • Uses business and technical knowledge to conduct highest level analyses regarding program/application/system and making strategic recommendations to management
  • Writes complex ETL code, SQL statements, Unix scripts and stored procedures to collect, analyze, and report on data across multiple systems in response to customer requirements
  • Expertly estimates project requirements internally and externally (internal staffing, client and vendor resources, etc.)
  • Supports the ETL Development Lead in providing on-going coaching to development team members to improve the effectiveness of the department
  • Anticipates and develops preventive action plans for interface issues or other cross-system problems
  • Acts as recognized SME across regional or functional programs/ applications/systems and as single point of contact across regions/systems
  • May conduct project management activities but typically serves as project advisor regarding architecture, approach, strategy and functionality
  • Designs, develops and tests cross platform ETL routines using Informatica
  • Implements ETL best practices
  • Documents and maintains project deliverables such as high level Design document, detailed design document, test plan and implementation plan
  • Performs code reviews, unit testing, and supports other QA activities
  • Detects data quality issues, identifies the root cause and implements fixes
  • Supports Project Manager, BI team, DBAs, IMG, Release management and other stakeholders to ensure timely completion of project deliverables as needed
  • Minimum eight (8) years related experience
  • 10 years of solid sql, RDBMS and Unix experience
  • 8 years of solid Data Integration, DW, BI experience
  • Strong oral, written and interpersonal skills for interacting with all levels of the organization; ability to clearly communicate complex business problems and technical solutions
  • Deep expertise in Informatica PowerCenter and broader understanding of all technologies in DW/BI area
  • Should have ETL architecture experience
  • Should have excellent performance tuning skills
  • Good understanding of Dimensional Modeling
  • On our team we work hard to maintain an atmosphere that promotes creativity, productivity accuracy, and harmony. The ideal candidate will be assertive but respectful and will help us maintain an atmosphere where we can all be successful
  • Bachelor’s or Associate’s degree preferably in the sciences. Degree can also be outside of the sciences. Both cases must have above mentioned experience
  • Experience working with Oracle Exadata and Hadoop is preferred
  • Experience in Kaiser Permanente or Healthcare industry is preferred
  • Understanding of Pharmacy systems and/or processes desired
217

VP Chief Pharmacy Officer Resume Examples & Samples

  • Leads and directs the development and execution of strategies for delivering pharmacy services across the Program in order to achieve high quality, affordable health care that improves our members’ lives
  • Leads and directs a team of national and regionally-based pharmacy executives in order to achieve consistently high levels of performance
  • Responsible for assessing external pharmacy industry trends and developments that represent risk and opportunities for the organization. Develops short and long term plans to respond to potential risks and to capitalize on opportunities. Expected to establish a participative presence on behalf of the organization in national pharmacy industry forums
  • Minimum seven (7) years of of senior leadership-level experience and documented record of success in management of a multi-disciplinary pharmacy operations, required
  • Bachelor's degree in Pharmacy preferred
  • Pharm.D. degree preferred, but will also consider master’s degree in Pharmacy, Health Services or Business Administration or related field
  • Licensure as a registered pharmacist preferred
218

Pharmacy Medication & Patient Safety Coordinator Resume Examples & Samples

  • Performs medication error analysis, trending and reporting of medication related events
  • Identifies and recommends process improvements to reduce medication related-events. Reviews policies pertaining to medication and patient safety, ensuring compliance with regulatory and accreditation requirements
  • Collaborates with regional physicians and nursing partners. Serves as a liaison between the pharmacy department and regional risk and patient safety committees
  • Assists in coordinating implementation needs and provides project support for pharmacy operations, clinical and support services, including systems, for matters related to medication and patient safety
  • Coordinates and manages development of documents related to classified drug recalls and market withdrawals to meet safety, accreditation and regulatory standards
  • Actively involved in interregional medication safety committees, professional associations and other committees supporting medication and patient safety agendas to ensure Kaiser Permanente's MAS interests are represented
  • Serves as workplace safety champion and performs other as duties as required
  • Minimum three (3) years of work experience in pharmacy operations; outpatient clinic, hospital, or pharmacy administration required
  • Minimum three (3) years of work experience with Kaiser Permanente preferred
  • Proven experience in results orientation and process improvement
  • Previous management experience preferred
  • Residency, special training, or clinical pharmacy practice highly preferred
  • Demonstrated customer-focus in work environment
  • Ability to apply humor and creativity in presentations, both oral and written
  • Ability to organize and prioritize multiple functions effectively
219

Pharmacy Coordinator Resume Examples & Samples

  • Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
  • Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
  • Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
  • Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team
  • Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process
  • Assist with the pharmacy utilization review and reporting process
  • Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
  • Assist with members’ inquiries related to the formulary process
  • High school diploma or equivalent of 3+ years of pharmacy experience, preferably in a managed care environment
  • Medicare and/or Medicaid experience preferred
  • Experience in data entry and processing pharmacy claim
220

Pharmacy Compliance Risk Advisor Resume Examples & Samples

  • Work closely with operations leadership to provide risk assessment of the current and proposed business activities related to Medicare Part C Clinical operations
  • Participate in multi-disciplinary teams and committees, providing compliance guidance and direction
  • Serve as subject matter expert on Medicare compliance issues, research issues and provide guidance to minimize risk exposure to the company
  • Collaborate with associates in Regulatory Compliance & Legal to clarify questions regarding regulations, Centers for Medicare and Medicaid Services (CMS) guidance and legal interpretation
  • Receive, investigate and respond to local, state and federal regulatory grievances, complaints and inquiries where appropriate
  • Participate in cross-functional reviews and readiness assessments
  • Facilitate internal regulatory compliance audits
  • Strong critical analysis skills
  • Possess the capacity to maintain confidentiality and work independently
  • Possess the ability to manage multiple priorities and work under pressure to meet deadlines
  • Ability to work independently to define and prioritize deadlines and seek help when necessary
  • Strong PC skills including web enabled technologies such as internet based applications; Microsoft Word, Excel, PowerPoint, Access and Project
  • Ability to quickly develop strong professional working relationships internally and externally
  • Strong attention to detail and accuracy
  • Previous regulatory audit experience
  • Proven research, problem-solving and negotiation skills
  • Juris Doctorate or Masters Level Degree
  • Have prior background working in a compliance related area
  • Knowledge of the healthcare insurance industry
  • Working knowledge of Part C/Medicare Advantage program is a plus
  • Prior work experience with project management
  • Experience interacting with governmental agencies
221

Appe Pharmacy Rotation Intern Resume Examples & Samples

  • Perform analyses of documentation and Medicaid claims data
  • Communicate with third-parties and teammates on a regular basis
  • Possess and apply a solid understanding of the work environment; be punctual and present
  • Possess a general understanding while able to articulate various services provided to clients
  • Respond to inquiries and requests
  • Strive to attain goals established by direct supervisors
  • Positive attitude toward self, other professionals, clients, and Myers and Stauffer
  • Ability to gain computer proficiency relative to administrative programs, spreadsheets, word processing, and internet research
  • Professional in appearance and manner
222

Pharmacy Technican Resume Examples & Samples

  • Reconstitutes medications by mixing with fluids
  • Calls members to pick-up completed prescription
  • One (1) year of experience as a Pharmacy Technician required
223

Pharmacy Benefits Analyst Resume Examples & Samples

  • Provide analytic services exclusively associated with the analysis of client pharmacy claims data
  • Manage client projects, assignments, and client deliverables
  • Bachelor’s degree from an accredited institution
  • A minimum of two years experience in the pharmacy benefits industry with advanced knowledge preferred
  • Knowledge of, and experience with, SQL or other programming languages
224

Infusion Pharmacy Technicians Resume Examples & Samples

  • Works efficiently, able to maintain a steady workflow
  • Maintains adequate levels of stock medications and materials
  • Participates in inventory management
  • Has working knowledge of and is able to use all technology required to perform functions of daily duties
  • Identify when technology is not working properly
  • Participates in quality control
  • Cleans pharmacy hoods and related areas as required by policy and procedure
  • High school graduate or currently enrolled in an accredited entry-level degree program for pharmacy or related field
225

Pharmacy Formulary Coordinator Resume Examples & Samples

  • Manages formularies for all LOB including Medicaid and Medicare
  • Updates formularies on the website
  • Prepares pharmacy memo updates for the website
  • Under the direction of a pharmacist, handles medical/drug information for call center staff
  • Provides in-service education to technician staff on formulary drug changes
  • Trains new hires, as well as current employees, to meet department standards and adhere to compliance
  • Under the director of management, assists in coordinating the Pharmacy and Therapeutic Committee. Prepares agendas and distribution of minutes
  • 3+ years as a Pharmacy Technician
  • Intermediate or stronger skill level with Microsoft Office including Excel and Power Point
226

Manager, Good Neighbor Pharmacy Resume Examples & Samples

  • Drive successful in-store execution by implementing onboarding processes as determined by management, with a focus on signage, front-end compliance and in-store implementation of Good Neighbor Pharmacy brand; acts as gatekeeper for Good Neighbor Pharmacy brand at the field and pharmacy level
  • Communicates with customers during the onboarding process offering them a concierge level of service
  • Creates content and conducts educational webinars that support the Good Neighbor Pharmacy solutions
  • Works closely with National Customer Support for CPA, Customer CARE and Inside Sales in order to sell a consistent solution
  • Implement features, solutions and services of Good Neighbor Pharmacy program while managing program compliance, including but not limited to cluster advertising, merchandising strategies, signage and retail programs
  • Understanding of and compliance to franchise requirements of Good Neighbor Pharmacy program as it relates to sign-up/sales process and branding requirements
  • Attends district sales meetings to train and update sales associates on customer benefits and implementation process of available programs and services
  • Supports sales team in facilitation of cluster group meetings on an annual basis; maintains cluster meeting calendar in respective territories
  • Works closely with customers and field advertising team to optimize local advertising initiatives and support adherence to cluster advertising programs
  • Act as field resource to drive health event participation at the store level, in conjunction with manufacturer funding and promotions
  • Provides expertise on program products and features as it relates to a customer’s business model
  • Assists sales associates with the delivery of corporate approved materials to ensure the most comprehensive and thorough customer product presentations via sales enablement and marketing teams
  • Must be willing to work extended hours, as needed, in order to meet sales objectives; must be willing to travel extensively to trade shows, conferences, national and regional sales meetings. Performs related duties as assigned
  • Requires broad training in fields such as business administration, sales, marketing or similar vocations generally obtained through completion of a four year bachelor's degree program or equivalent combination of experience and education
  • Normally requires four (4) years directly related and progressively responsible experience preferably in the generic drug industry
  • Working knowledge of pharmaceutical distribution with emphasis in generics
  • Thorough knowledge of ABC products, programs, and services
  • Ability to communicate effectively, both orally and in writing, for the purpose of preparing reports and disseminating information
  • Strong interpersonal skills; ability to develop and maintain cooperative working and business relationships
  • Strong presentation skills; ability to train others
  • Ability to interpret customer financial data and develop successful strategies to deal with financial issues that are identified
  • Strong creativity skills; focused and disciplined
  • Good understanding of Customer Value Chain
227

Spanish Speaking Pharmacy Lvn-office Based Resume Examples & Samples

  • Performs telephonic member evaluations to establish educational and care management needs and provide effective educational techniques
  • Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from provider
  • Performs all other related duties as assigned
  • High school graduate or GED equivalent
  • Knowledge of medications and ability to educate and counsel patients on medication taking behavior
  • Must be able to prioritize, plan, and handle multiple tasks, demands simultaneously
  • 3+ years of related LVN experience in a clinical setting
  • Bilingual (English/Spanish)
228

Optumrx, Senior Pharmacy Account Manager Resume Examples & Samples

  • Represent customer internally and coordinate with other functional teams to complete projects and address ongoing service needs
  • Provide support of Performance Guarantee report generation and distribution
  • 5+ years of client and / or account management experience and a strong understanding of delivering on contractual obligations
  • The candidate should exhibit the ability to work cross functionally across operational, legal and regulatory departments to insure OptumRx is meeting the contractual obligations
229

Manager of Managed Care-kmart Pharmacy Resume Examples & Samples

  • Develops deep understanding of evolving regulatory landscape and competitive market conditions that affect pricing for individual brands, therapeutic areas, and overall industry, and proactively makes recommendations on pricing strategies as related to managed care, reimbursement environment, federal and state regulations
  • Assesses contracting landscape, risk assessment, and shifts in trends or behaviors with key customer segments, including Health Plans, PBMs, SPs, and GPOs. Interprets likely impact and suggests appropriate contracting strategies
  • Drives business analytics to support contract strategy activities and partners with Customer Facing account roles, including National and Regional accounts, and Trade and Distribution Channels
  • Develops implementation and communication plan for innovative contracting, including indication-based and outcomes based contracts with Health Plans and PBMs
  • Works closely with Finance to ensure all contract strategies and offerings have financial justification and sound business judgement, and also assists in assessing the performance of existing contract strategies and offerings
  • Coordinates with operational activities around rebates, chargebacks, government reporting, contract writing, and process approvals
  • Analyze pharmacy network performance to assess performance against contractual requirements
  • Evaluate market rates and pharmacy performance (e.g., billing patterns; referral patterns; quality and effectiveness) in order to establish pharmacy rates and negotiation strategies
  • Demonstrate understanding of competitor landscape within the market (e.g., rates; market share; products; geo-access)
  • Balance financial, operational and regulatory impact of contracting when developing and/or negotiating contract terms
  • Demonstrate understanding of contract policies to ensure compliance and consistent contracting
  • Demonstrate understanding of contract language and terms of agreement in order to ensure that financial/operational impact and legal implications are aligned with business objectives
  • Communicate proposed contractual terms with payers and negotiate mutually acceptable agreement
  • Explain the organization's direction and strategy internally and to clients in order to justify methodologies, processes, policies, and procedures
  • Represent company in pharmacy meetings
  • Implement local, regional, and/or national initiatives and directives through contracting strategies and communication efforts
  • Develop and/or implement contracting strategies to support new benefits designs and plans
  • Support company in all pharmacy network audits
  • Monitor and communicate to the internal pharmacy team network performance from both a profitability perspective and CMS Stars performance
  • 5+ years of experience in a Network Management-related role handling complex network pharmacies with accountability for business results
  • 5+ years of experience in the Healthcare Industry
  • 2+ years of experience in contributing to the development of product pricing and utilizing financial modeling in making rate decisions
  • Must be able to communicate effectively (read, speak, and write) in English
  • Computer proficiency, knowledge of Microsoft Office products, and Internet experience
  • Attention to detail; organizational skills; analytical and critical thinking; superior interpersonal and customer service skills
  • Required education, training & Licensure/certifications
  • HIPAA, both Security & Privacy; Confidentiality, & Fraud, Waste and Abuse (FWA)*
230

Behavioral Health Specialist Florence Clinic Days CHI Health Florence Clinic & Pharmacy Resume Examples & Samples

  • Strong knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions
  • Strong knowledge of evidence-based behavioral assessments and interventions relevant to medical conditions such as disease management, treatment compliance and life style change
  • Strong knowledge of chemical dependency and evidenced based treatments
  • Ability to approach patients with the approach of population management
  • Ability to conduct brief, evidence-based and developmentally appropriate screening. Conduct or arrange for more comprehensive assessments when needed
  • Ability to work within brief client contacts to make timely and accurate clinical assessments of mental health and behavioral conditions
  • Comfortable with high pace of primary care setting and working within an interdisciplinary team
  • Strong communication skills to provide feedback and consultation in fast-paced setting to primary care physicians, nurses and clinic staff
  • Strong knowledge of, and comfort in working within, brief behavioral or psychological, strength-based, problem-focused interventions
  • Knowledge of community resources and understanding of when it is appropriate to make referral for continued, extended treatment
  • Good working knowledge with psycho-pharmacology and medical terminology
  • Ability to be flexible and adaptable, assertive, collaborative and innovative
231

System Clinical Manager of Pharmacy Services Resume Examples & Samples

  • Develops and maintains a harmonious working relationship with the medical staff, pharmacy personnel, students, and all other healthcare professionals
  • Develops, manages and mentors pharmacy clinical programs such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management, IV to PO, renal dosing and other programs as determined appropriate based on patient population and literature guidelines
  • Sustains the hospital formulary, minimizing non-formulary procurements, utilizing therapeutic interchanges and promotes rational drug therapy selection
  • At least 5 years of hospital pharmacy experience
  • Completion of hospital PGY2/ pharmacy specialty residency or fellowship
  • Specialty BCPS certification
232

Pharmacy Techinician Resume Examples & Samples

  • · Demonstrates basic operational knowledge in a moderate range of areas
  • · Applies known solutions to a limited range of predictable problems
  • · Applies and performs a defined range of skills and tasks where choice between a limited range of options is required
  • · Assess and record information from varied sources
  • · Take responsibility for own work outputs
233

Pharmacy Internal Medicine Clinical Specialist Resume Examples & Samples

  • Interprets medications orders (verbal and written) and transcribes to computerized patient medication profiles, timely and accurately. Maintains accurate, complete patient medication profiles
  • Delivers clinical, patient problem-based care according to the standards defined within the American Society of Health System Pharmacist (ASHP) and American College of Clinical Pharmacy (ACCP) Standards
  • Oversees, coordinates, or performs activities associated with potential exposure to hazardous drugs/cytotoxic drugs
  • Supports and promotes the organization's safety and risk management programs
  • Timely and effective management of orders assigned to your challenge queue
  • Grows and maintains professional relationship with at least four key physicians within area of specialty
  • Actively serves as mentor and preceptor for clinical staff pharmacists, pharmacy students, and pharmacy residents through example, training, and education
  • Conducts planned, written, and systematic evaluation of patient care-related issue or problem; produces program change to improve patient care (expectation of one such evaluation annually)
  • Develops pre-printed orders and/or pathways in conjunction with key attending physicians that optimize pharmacotherapy management of adult medicine patients (expectation of at least two such order sets annually)
  • Conducts and/or participates actively in the department's medication use evaluation (MUE) program (expectation is to lead at least one such MUE annually)
  • Doctor of Pharmacy degree (PharmD)
  • General practice residency (PGY1)
234

Division Director Clinical Pharmacy Resume Examples & Samples

  • Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies
  • Analytical Skills – Demonstrates ability to critically evaluate and appropriately act upon information
  • Leadership– Guides individuals and groups toward desired outcomes, setting high performance standards and delivering quality services
  • Contributing to Team Success–Actively participates as a member of the Center’s team to move the team toward the completion of goals
  • PC Skills – Demonstrates proficiency in Microsoft Office (Excel, Word, Outlook) applications; knowledge of, or ability to learn, AdvantX – Accounts Receivable System, Smart, HOST and other systems as required. Demonstrates ability to type on PC keyboard
  • Financial Management – Applies tools and processes to successfully manage drug cost budget. Able to direct cost-effective drug therapy via clinical protocols
  • Project Management – Able to assess work activities and allocate resources appropriately. Able to work independently and handle stress appropriately
235

Division Clinical Specialist Pharmacy Resume Examples & Samples

  • Demonstrated ability to communicate effectively with clinical and information technology personnel verbally and in writing Demonstrated customer orientation
  • Excellent leadership and teaching abilities Demonstrated advanced computer skills
  • Five to seven years experience in clinical application support
236

Director of Pharmacy Resume Examples & Samples

  • Must be able to demonstrate understanding of HCA’s and St. David’s “Patients First” safety initiative by strict compliance to all safety protocols and procedures
  • Reading (clinical and financial reports, journals, business correspondence)
  • Preparation of minutes, memos, reports, lectures, and newsletter articles
  • Communication via telephone, computer and face-to-face with individuals and large groups
  • Excellent interpersonal skills with all types of professionals
  • Must be autonomous and show independence
  • Ability to give lectures before large groups
237

Pharmacy Systems Analyst Resume Examples & Samples

  • Resource to Set Up retail pharmacy 340b data transfer between pharmacies and vendor. Converting to Epic Willow
  • Responsible for designing, building, testing, implementing, and maintaining pharmacy information systems, and the successful integration of pharmacy operations
  • Provides consultation to operational leadership on key projects and issues
  • Analyzes and proposes ways to improve the organization's information system efficiencies and pharmacy technology workflow
  • Responsible for the analysis, modeling, reporting, and reviewing of the operational reporting needs of the organization
  • Supports the integration of the pharmacy systems into organizational processes and activities
  • Acts as a consultant in reviewing, understanding and analyzing report requests and determining feasibility of providing data to management and staff
  • Assists in the development of information systems training programs involving new practice operations and procedures
  • Provides recommendations to client Pharmacy related to use of information technology systems
  • Develops and reviews practice policies and procedures for pharmacy automation and informatics
  • Provides input on capital expenditures including new technology
  • Communicates to end users updates and/or changes on information technology system functionality changes that impact pharmacy clinical operations
  • Ensures appropriate use and proper inventory control and billing to minimize inventory costs. Investigates issues with inadequate inventory levels and billing
  • Licensure, Registration and/or Certification Required
  • Education Required Bachelor's Degree in Information Technology or related field
  • Typically requires 3 years of experience in information technology, applications and operations system management experience that includes end user experience, functioning as the interface between operational and technical experts, providing operational support for systems, and analyzing business processes
  • Knowledge, Skills and Abilities Required Knowledge of computer operating system software and network hardware and software requirements for computerized systems in a health network
  • Knowledge of features, function, technical operations, and troubleshooting processes for automated pharmacy equipment
  • Advanced computer skills including experience in using Microsoft Office products (Word, Excel, Access or similar database, and pharmacy dispensing systems such as PDX or Epic)
  • Excellent interpersonal, communication, and organizational skills
  • Physical Requirements & Working Conditions Generally exposed to normal office environment
  • Must be able to sit frequently, and walk and stand occasionally
  • Occasionally will be required to lift up to 25 lbs. without assistance
  • Must have functional speech, vision, and hearing
  • Operates all equipment necessary to perform the job
238

Director of Pharmacy Resume Examples & Samples

  • Graduate of an ACPE accredited School of Pharmacy required. Pharm.D., MS or MBA degree preferred
  • Current licensed with Florida Board of Pharmacy
  • 8-10 years hospital experience preferred, with 3-5 years in a management position required
239

Senior Mgr-pharmacy Business Analysis Resume Examples & Samples

  • Oversee analytical team evaluating clinical rules; assuring
  • B.S. Pharmacy or PharmD
  • 8 - 12 years of benefit analysis in PBM industry
  • CAE or CPM experience
  • Familiarity with SQL would be
  • Ability to adapt to a dynamic work environment, solve problems and make decisions with minimal supervision
  • Ability to prioritize work to meet time constraints
240

Pharmacy Informaticist Resume Examples & Samples

  • Create and apply drug coding hierarchical methods and mapping for decision support solutions
  • Provide pharmaceutical expertise in the development and implementation of licensed solutions and projects related to health care cost, risk and quality - of - care
  • Work with methodologists and medical directors to facilitate the incorporation of clinical data sources into analytical solutions
  • Consult with internal and external customers or project teams in the use of the drug hierarchy and drug or lab test code sets
  • Develop process or content improvements to currently - supported analytic solutions
  • Provide pharmacy expertise to projects led by data science and machine - based learning teams
  • Oversee and participate in analytic product testing and validation activities
  • PharmD or BS Pharmacy degree from the United States with an active, unrestricted license
  • Experience as a practicing pharmacist in the United States
  • 3+ years working with clinical and / or pharmacy claims data
  • Demonstrated experience using Access or SQL
  • Demonstrated experience using Excel
  • Must live in Twin Cities, MN or be willing to relocate without assistance
  • Experience working within a managed care environment from either a payer or a provider perspective
  • Experience using medical, drug and lab test taxonomies
  • Possess a certification through the Board of Pharmacy Specialties
  • Possess recent knowledge and / or experience in quality measures (e.g., STARS, HEDIS, State Measures)
  • Demonstrated strong organization skills (e.g., prioritize and manage multiple tasks, meet deadlines, complete complex long - term projects)
  • Utilize your strong interpersonal skills to work cohesively in a team environment
241

Pharmacy Distribution Center Analyst Resume Examples & Samples

  • Performs functions related to drug purchasing and inventory control. Reviews pharmacy orders and assists staff in purchasing within the formulary/preferred guidelines to meet the criteria of the goals for pharmacy utilization targets and maintaining COGS budget
  • Verifies pharmacy wholesaler vendor orders and any direct invoices forwarded to PDC for appropriateness, quantity, item, and price for compliance with contract terms, codes to proper cost center, then forwards for payment
  • Assesses need, maintains and updates blocked product listing at wholesaler vendor to assist Mid-Atlantic pharmacy staff with contract compliant purchasing and approves the purchase of non-contracted items as they are requested for provider dispense as written prescriptions
  • Assesses, manages, and allocates available product during shortages and distributes information of manufacturer shortages and temporary product available for purchase to Mid-Atlantic pharmacy staff
  • Coordinates with external vendor for semi-annual (and/or required for business needs) pharmacy inventories and reviews all Mid-Atlantic pharmacy inventory data for correctness and forwards to General Accounting for inventory reconciliation
  • Collects and analyzes all manually entered Prita's (inventory transfers) for errors and ensures correct processing into the General Ledger
  • Collects and analyzes all Pharmacy Inventory Asset Mid-Atlantic KAP (Kaiser Accounts Payable) reports for correct coding and ensures corrections are made if errors are found
  • Responsible for the distribution processes for products for which manufacturers require direct shipment to member
  • Researches and rectifies credit for all centrally processed and returned obsolete expired pharmaceutical goods for Pharmacy Mid-Atlantic region and ensures proper reconciliation of credit is received for returned product
  • Under direction of supervision, is responsible for payment of all PDC invoices from wholesaler and direct purchases
  • Assists in the maintaining of various product databases to support PIMS system, Pyxis system, databases needed to support pharmaceutical deployment in the clinics and other applicable automation
  • Two (2) years of relevant experience in pharmacy or health care preferred
242

Pharmacy Benefits Consultant Resume Examples & Samples

  • Interact with members of the Managed Pharmacy Practice (MPP) client teams
  • Incorporate compliance and professional standards into all work processes, including transparency, actuarial, peer review and maintaining required licensure
  • 5-10 years of experience in pharmacy consulting
  • Superior analytical and mathematical skills, strategic planning, communication, and listening skills
  • Excellent organizational and project management skills with the ability to prioritize and handle multiple and complex tasks in a demanding work environment
243

Healthcare VP of Pharmacy Industry Relations Resume Examples & Samples

  • Develop, translate and execute strategies or functional/operational objectives for a region, line of business, or major portion of a business segment functional area
  • Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
  • Direct others to resolve highly complex or unusual business problems that affect major functions or disciplines
  • Drive programs that impact markets of customers and consumers
  • This position, Vice President, Industry Relations, is a leadership position, on the OptumRx Rebate Contracting Team
  • This position is responsible for leading a team of people who negotiate rebate contracts with Pharmaceutical Manufacturers
  • This position will also have account and contract responsibility for a number of Pharma contracts and will include some client facing responsibilities as well
  • 8+ years of experience in rebate negotiations with accountability for business results
  • 8 years of experience negotiating with Pharmaceutical Manufacturers including contract red-lining
  • 10+ years of experience in the health care industry
  • 5+ years of experience managing a team of people focused on results
  • 5+ years of experience managing the internal dynamics of a large organization
  • Expert level of knowledge of Medicare, Commercial, and Medicaid contracting
  • Strong customer facing skills
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to compliance standards
  • Pharmacy degree, RPh, or PharmD
244

Pharmacy Support Clerk Resume Examples & Samples

  • Labels incoming faxes in RightFax (or equivalent application) to help ensure critical pharmacy turnaround time frames are met
  • Logs, researches, and processes Direct Member Reimbursements received by the pharmacy department
  • Logs and processes medical claims received by the department
  • Runs reports and distributes to appropriate parties as necessary
  • Organizes a variety of administrative and clinical task and prioritizes job tasks in order of importance and impact on members and providers
  • Required Other 0-6 months experience in an office environment that allowed for attention to detail and the ability to work within time lines
  • Intermediate Other Ability to evaluate information from both oral and written sources
  • Preferred Beginner Microsoft Word Use of Microsoft products such as Word, Excel and email
  • Preferred Beginner Microsoft Outlook
245

Assistant Director of Pharmacy Resume Examples & Samples

  • Current pharmacist license in good standing with the California State Board of Pharmacy; will consider out of state candidates that are willing to obtain California license
  • Completion of a 1-year pharmacy practice residency, specialty residency, or fellowship, and 1-3 years acute care hospital experience; or 5 years of Pharmacy experience with a minimum of three years in an acute care hospital setting; supervisory experience preferred
  • Experience using computer applications including word processing, spreadsheets, and pharmacy information systems required
  • Thorough knowledge of state and federal laws and regulations governing pharmacy services
  • Proficient in the use and application of new medications and technology
  • Leadership, administrative, human resource, and managerial skills required
  • Demonstrated ability to effectively participate on interdisciplinary teams and committees
  • Business acumen including profit/loss understanding, contract negotiations, GPO function required
  • Effective verbal and written communication skills are required
  • Knowledge of pathophysiology, interpretation of diagnostic criteria, pharmacokinetics and
  • Pharmacotherapeutics
246

Senior Dir Pharmacy Programs Resume Examples & Samples

  • Lead a team of pharmacists and analysts and work cross-functionally and collaboratively on the initiatives described above
  • Develop, retain, recruit and mentor team members
  • Educate senior leaders of McKesson Specialty Health on evolving trends in pharmaceuticals/therapeutics that have the potential to impact care delivery and work to maximize the likelihood that divisional priorities align with needed investments in this service line
  • Participate in meetings with various stakeholders including company meetings scheduled at ASCO with pharmaceutical and biotech companies
  • Participate in strategic planning related to company and practice priorities, as related to care delivery
  • Co-lead the P&T Committee and support all efforts of the Pathways Task Force
  • Foster relationships and engagement with Network providers and practice pharmacists
  • Participate in OCM Steering Committee as a committee member
247

Pharmacy Documentation Project Analyst Resume Examples & Samples

  • Manage projects on a small-medium scale, from inception through deployment
  • Work with business (internal and / or private label) to elicit list of objectives and needs
  • Translate business needs into functional, non-functional, and technical requirements
  • Work with cross-functional teams (IT, Finance, etc.) to develop feasible solutions across multiple systems
  • Work with vendors to develop new functionality, obtain Statement of Work, set timeline, etc
  • Develop a clear understanding of the differences in business processes across different pharmacy sites and lines of business, in order to create standardized processes across the enterprise
  • Work with Processes and Work Instructions authors to develop concise, detailed documentation outlining various business processes
  • Demonstrate mid- to high-level proficiency in Microsoft Office (Word, Excel, Visio)
  • Generally work is self-directed and not prescribed
  • 5+ years of experience in business process documentation
  • 5+ years of experience as a Work Instructions author to develop concise, detailed documentation with technical writing experience outlining various business processes
  • Ability to translate business needs into functional, non-functional, and technical requirements
  • 3+ years of project management experience including managing projects from inception to deployment
  • 3+ years of experience with process improvement, workflow, benchmarking and evaluation of business processes
  • Intermediate level of proficiency in Microsoft Office (Word, Excel, Visio)
  • Bachelor’s Degree in Business, Finance or related field
  • PBM or Pharmaceutical Background
  • Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally
  • Ability to problem solve including multiple priorities and research conflicting and / or inaccurate data
  • Working knowledge of relational databases, database structures
248

Pharmacy Coordinator Resume Examples & Samples

  • Licensed in the State of South Carolina as a pharmacist
  • At least one year of hospital experience
  • BLS Certification Required
249

Pharmacy Customer Care Specialist Resume Examples & Samples

  • Minimal of High School Diploma or GED is required
  • Must be available to work an 8 or 10 hour shift Monday - Friday 7:00 A.M. – 7:30 P.M. including holidays (with the exception of Thanksgiving and Christmas)
  • Must have availability to work overtime as needed and during peak season, January through March (Can include Saturdays)
  • Prior experience in the Pharmacy field to include Mail Order Pharmacy
  • One call resolution call center experience
250

Pharmacy Billing Specialist Resume Examples & Samples

  • 1-3 years Call Center or Customer Service experience
  • Strong communication, telephonic skills, listening skills, and attention to detail
  • Ability to work in a fast paced environment and to handle a constant volume of phone inquiries
  • Comprehensive knowledge of Microsoft Word, Excel and Access
  • Proven ability to quickly learn new systems and processes
  • Minimum HS Diploma or equivalent required
  • Availability to work overtime as determined by business need
  • Prior accounting or related finance experience