Pharmacy Operations Manager - Verificaiton and Clarification Screening and Doctor Call

Profile

Description

The Pharmacist Operations Manager is responsible for overseeing two teams that process the accurate and timely dispensing of prescribed medication to patients. This manager works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Pharmacist Operations Manager will oversee 2 departments within Mail Order operations and between 7 - 8 direct reports. These departments process the verification of prescriptions, resolution of drug utilization reviews, and clarifications of prescriptions (Screening and Doctor Call Queues.) The manager ensures adherence to quality assurance standards, accurate tracking techniques and a review process prior to shipping medications to patients. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

Scope of Role and Responsibilities:


Manage and direct all aspects of front end pharmacy queues within areas of responsibility.

Regularly present projects, improvements, and status of department to Pharmacy and PBM leadership.

Create and support a “Thrive Together” culture within core teams, and across the Pharmacy.

Demonstrate ability to understand and drive key specialty reimbursement strategies and patient support programs within the pharmacy.

Work with the directors and frontline leaders to develop and improve personnel, policies, procedures and work processes

Review and sign off all policies and procedures that affect the department.

Assist and oversee the development and implementation of quality and production standards and programs.

Complete reports to be reviewed and distributed by the department’s leadership team.

Proactively report trends and/or service issues to the management team to ensure service levels to our customers and business partners are not impacted.

Document quality issues and performance measures for management review.

Contribute to the departments success by partnering with other managers to continually review and improve operating procedures.

Interacts with other departments to ensure the department meets its objectives.

Track and present coaching opportunities and feedback to supervisors to provide superior customer service.

Monitor, identify and resolve performance/behavior/attendance issues using prescribed performance management techniques.

Other duties as assigned


Required Qualifications


Bachelor's of Science in Pharmacy or Doctorate in Pharmacy

2 years leadership experience as a supervisor, manager or director

Ability to manage multiple tasks and deadlines with attention to detail

Ability to communicate effectively and deliver presentations to senior leaders

Able to give direction and make sound business decisions

Focus on leadership development of direct reports

Focus on creating Humana's goals for culture and engagement

Working knowledge of MS Office: Excel, Word, PowerPoint and Outlook

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


Preferred Qualifications


Process Improvement Skills

Project management experience


Additional Information


If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview.

Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.


The following policy applies ONLY to associates working in the state of Arizona:

Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.

Scheduled Weekly Hours

40

About Us

Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact **** for assistance.

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Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact **** to validate the request.

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Company info

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