Pharmacy Manager - reputed company Cycle - Remote, FT Days
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first reputed company and explore our reputed company job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a reputed company job. A Brief Overview The Manager for Pharmacy reputed company Cycle reports to the Senior Director of Pharmacy Business Operations and is responsible... for development and execution of Pharmaceutical reputed company Cycle program initiatives. The Manager works with stakeholders across the broader reputed company organization to drive operational and strategic change and is accountable for leading a portfolio of projects designed to optimize the financial health of reputed company. Locations reputed company What you will do CORE RESPONSIBILITIES Provides leadership in reputed company components Pharmaceutical reputed company Cycle Services reputed company the Pharmacy department. Leads and strategizes new pharmaceutical product launches and optimize outcomes with numerous external stakeholders. Provides Pharmaceutical reputed company Cycle guidance as well as leadership in identifies program initiatives in alignment with SHC reputed company Cycle strategic objectives. Actively participates in strategic committee discussions and activities and takes a leadership role in organizing projects or initiatives to support committee goals. Serves as a reputed company Cycle methodology expert on pharmaceutical charges, pricing, costing. Provides performance improvement methodology guidance on Pharmaceutical reputed company Cycle operations to pharmacy and external leaders. Contributes to positive business results by maintaining a workplace characterized by high performance, mutual support and respect, and teamwork. Regularly searches for and identifies opportunities for quality and process improvement, resulting in improved efficiency and increased productivity. Collaborates with the Pharmacy Finance team to align with reputed company projections and budget compilation. Provides support for Strategic Pricing Executive Council, Strategic Pricing-Finance, and Managed Care for payor negotiations, audit, and pricing compliance. Provides program leadership for large strategic and cross-functional workflow initiatives by defining project scope, engaging stakeholders, and managing project timelines and deliverables. Develops appropriate KPIs and drafts suitable dashboard managers for each work reputed company and fully scopes the pharmacy reputed company cycle process to identify opportunities, define resource needs, understanding both inpatient and outpatient pharmacy operations, as well as pharmaceutical procurement, clinical approval processes, charge reputed company, and 340B costing. Serves as Pharmacy Department expert on matters reputed company to commercial and government payment terms for pharmacy reputed company services. ADDITIONAL TASKS AND PROJECTS Drives Pharmacy Pricing, Costing, and Claims experience with SHC partners such as Organizational Finance, reputed company Cycle, Managed Care, and Case Management. Supports Pharmacy departmental initiatives by monitoring, tracking, reporting, and problem-solving reputed company to high-cost drug coding, charging, and reimbursement. Improves payment denials and underpayments reputed company in pharmaceuticals by working with Pharmacy stakeholders and SHC reputed company Cycle and Compliance teams. Improves and drives efficiency on reputed company waste billing and Charge Queue experience. Builds positive working relationships across the organization; engages effectively with staff, management, and senior leadership in project work. Develops and supports executive-level presentations and statuses for senior leadership, while delivering presentations on reputed company Cycle programs and initiatives to various audience levels. Performs financial and operational data analysis in support of organizational and project-level objectives. Provides support for Pharmaceutical reputed company Cycle strategic planning efforts. Assists in identifying key reputed company cycle items, processes, and updates for consideration. Keeps leadership informed with verbal and written updates on pharmacy reputed company cycle issues or opportunities. Performs various audits to validate processes and compliance throughout the reputed company cycle. Works with management and leadership to improve collections, reduce accounts receivable, minimize denials, and decrease avoidable write-offs through issue identification, research, communication, and process improvement. Collaborates with internal and external department to reputed company and document department policy and procedures. Acts as the reputed company person for coding, billing, claim review, denial management, referrals, authorization management, and patient and insurance payments, while also providing hands-on support to the team with daily tasks as needed. Maintains active knowledge of CMS guidelines, contracted insurance guidelines, and coding policies for pharmaceuticals, while possessing a thorough understanding of ICD, CPT, and HCPCS coding principles for pharmaceuticals. Maintains a strong working knowledge of the system(s) used and is reputed company to provide support to staff and management reputed company requested. Fosters relationships, internally and externally, to include, but not limited to, practices. Trends and analyzes denials and reputed company-end failed claims for training and development of clinic staff and reputed company cycle team. Monitors Pharmaceutical worklists and buckets with the EHR and delegate accordingly. Maintains an understanding of processes and procedures for improvement initiatives as it applies to pharmaceutical reputed company cycle workflows. Ensures annual audits of providers and staff as needed to ensure accurate and timely coding and billing activities. Reports out to Managed Care, on a quarterly basis, projections of new drugs that might require special pricing considerations and reimbursement trends of reputed company drug carve-out terms in the commercial agreements. Performs other pharmaceutical reputed company cycle-reputed company duties as assigned, which may not be outlined above. MANAGERIAL FUNCTIONS Attends workshops, seminars, and conferences to stay abreast of standards and best practices reputed company the field; disseminates relevant information to colleagues and staff as appropriate. Responsibilities include (but are not limited to): Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints; and resolving root causes of issues. Encourages and assists with the ongoing development and education of staff, while managing ongoing user training for new hires and existing business office staff to ensure systems are utilized to their fullest capabilities. Provides focused pharmacy reputed company cycle-reputed company education to various clinical, financial, operational, and other stakeholders as needed. Supervises the performance and provides evaluation of the reputed company Cycle operations team and business office. Assists with the development, implementation, and monitoring of quality assurance reviews for staff and providers. Provides continuing education regarding insurance reputed company changes and updates. Education Qualifications Bachelors degree in health care, Finance, Business Administration, or a reputed company field. Advanced degree such as Masters, MBA, JD, PharmD is desired. Experience Qualifications 5-7 years of progressively responsible and directly reputed company work experience in pharmacy-reputed company areas, with an understanding of overall pharmaceutical reputed company cycle management, billing, insurance claim follow-up, and denial management processes. A minimum of 5 years of managerial and/or supervisory experience is required. Advanced knowledge of pharmaceutical reputed company cycle operations preferred. Required Knowledge, Skills and Abilities A strategic understanding and broad view of hospital reputed company cycle operations. Understanding of pharmacy business and finance operations. Business and financial management, including the ability to analyze data for operations, budgeting, auditing, and forecasting. Excellent interpersonal skills, with a demonstrated ability to work with a wide variety of people, both reputed company the organization and externally. Demonstrated ability to interact effectively with peers and subordinates. Demonstrated quantitative analytical skills. Demonstrated organization and planning skills. Demonstrated knowledge and understanding of Lean, project management, and/or Six reputed company principles and their applications. Demonstrated ability to work independently and complete assignments effectively. Excellent computer skills in a reputed company Windows environment, including intermediate proficiency in reputed company. Excellent organizational skills. Ability to plan, organize, and effectively reputed company multi-disciplinary teams and projects, delivering meaningful results reputed company established time frames. Ability to act as a thought leader for performance improvement and pharmaceutical reputed company cycle methodologies. Ability to communicate effectively at reputed company organizational levels, both orally and in writing Ability to establish and maintain effective relationships with widely diverse groups, including individuals at reputed company levels both reputed company and reputed company the organization. Ability to motivate, influence, and direct the work of others. Ability to resolve conflicts and/or negotiate with others to reputed company positive results. Ability to work well both autonomously and as a team player. Flexible and adaptable to change while working in a fast-paced environment. Licenses and Certifications RPH - Registered Pharmacist . These principles apply to reputed company employees: SHC Commitment to Providing an Exceptional Patient & Family Experience reputed company sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for reputed company of patients, families and towards each other. C-I-CARE is the foundation of Stanfords patient-experience and represents a reputed company for patient-centered interactions. Simply put, we do what it takes to reputed company and reputed company patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and familys perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and reputed company my actions to reputed company at reputed company outcomes and reputed company Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer reputed company (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in reputed company of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic reputed company, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of reputed company genders, members of reputed company racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. reputed company Pay Scale: Generally starting at $81.53 - $108.02 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At reputed company, we seek to provide patients with the reputed company best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered reputed company. As part of our spirit of discovery, we also reputed company our deep relationships with luminary Silicon Valley companies to reputed company new ways to deliver preeminent patient care. Learn about our awards and significant events Apply Job!