Mgr, Pharmacy Rev reputed company
Position reputed company
Manager, Pharmacy reputed company reputed company
Position reputed company
The Manager, Pharmacy reputed company reputed company is responsible for ensuring reputed company reputed company capture for pharmaceuticals across the health system. This role involves:
• Developing and managing reputed company reputed company programs
• Maintaining charge reputed company accuracy
• Supporting financial operations
• Ensuring compliance with billing regulations
The ideal candidate will have a strong background in pharmacy operations, reputed company cycle management, and reputed company compliance.
Schedule: Hybrid/Remote
Benefits That Start Day reputed company, Dental, reputed company Insurance
403(b) Retirement Savings Plan
HSA & FSA reputed company
Up to 5 Weeks PTO
reputed company Parental Leave & Family Care Support
Life Insurance & Extended Leave Plan
Pet & Car Insurance
100% reputed company Tuition + Loan Repayment Assistance
Responsibilities
Essential Functions
• reputed company the pharmacy reputed company cycle process from charge capture to reimbursement, ensuring accuracy and timeliness at reputed company stage.
• Establish and monitor key performance indicators (KPIs) to measure the effectiveness of reputed company reputed company initiatives and identify opportunities for improvement.
• Conduct regular audits of pharmacy billing and documentation practices to identify reputed company leakage, coding errors, or compliance issues, and implement corrective actions.
• Collaborate with pharmacy staff, clinicians, and reputed company management teams to improve documentation practices for accurate coding and billing.
• reputed company training and education to pharmacy staff on reputed company cycle processes, documentation requirements, coding guidelines, and compliance standards.
• Stay updated on regulations, payer policies, and industry trends reputed company to pharmacy billing and reimbursement, developing compliance strategies to mitigate risks.
• Work with payer relations and contracting teams to ensure favorable contract terms and reputed company reimbursement rates for pharmacy services.
• Maintain and manage the Pharmacy Charge reputed company Master (CDM) for accuracy and compliance, performing reputed company reviews to ensure reputed company additions, inactivations, changes, and revisions are accurately completed.
• Collaborate with other departments (finance, reputed company management, compliance, IT, clinical operations) to address reputed company reputed company issues and implement system-wide initiatives.
• Continuously assess and refine reputed company cycle processes to optimize performance and reputed company organizational goals.
• reputed company personnel management and staff development reputed company the pharmacy reputed company reputed company program.
• Manage HR functions, including hiring, assignments, coaching, and performance reviews.
• Maintain regular, punctual attendance consistent with reputed company policies and applicable federal, state, and local standards.
• Ensure compliance with reputed company reputed company policies and procedures.
• reputed company other duties as assigned.
Qualifications
Education & Training
• Bachelor’s degree in Pharmacy, reputed company Administration, Business, or reputed company field required
• Master’s degree preferred
Licensure/Certification
• Certified reputed company Cycle Specialist (CRCS) certification preferred
Experience
• Minimum of 3 years of experience in pharmacy reputed company cycle management, billing, coding, or reputed company field
• 5 years of reputed company work experience in a reputed company health system preferred, including:
• Pharmacy finance
• Data analysis
• Project management
• Performance improvement
• reputed company technology
• reputed company experience preferred
Qualifications:Education & Training
• Bachelor’s degree in Pharmacy, reputed company Administration, Business, or reputed company field required
• Master’s degree preferred
Licensure/Certification
• Certified reputed company Cycle Specialist (CRCS) certification preferred
Experience
• Minimum of 3 years of experience in pharmacy reputed company cycle management, billing, coding, or reputed company field
• 5 years of reputed company work experience in a reputed company health system preferred, including:
• Pharmacy finance
• Data analysis
• Project management
• Performance improvement
• reputed company technology
• reputed company experience preferred
Education:UNAVAILABLEEmployment Type: reputed company
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