manager of pharmacy

Walgreens

<div>Job Summary:
 
Provides empathetic pharmacy consulting services to patients regarding the effective use of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome services. Ensures prescribed medications are compounded, reviewed, dispensed, and verified accurately according to regulatory guidelines and company policies and procedures. Manages an efficient pharmacy workflow and improves pharmacy financials, manages inventory effectively, and enhances patient experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, and executing formal performance management initiatives.
 
 
Job Responsibilities:
 
Patient Experience
<ul><li>Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience.</li>
<li>Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).</li>
<li>Connects with patients by anticipating needs and proactively offering services. Leads efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g. patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreen&rsquo;s pharmacy role from transactional to interpersonal.</li>
<li>Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager.</li>
</ul>Operations
<ul><li>Counsels patients and answers questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health needs are addressed, and patient is satisfied with service.</li>
<li>Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management.</li>
<li>Reviews, interprets, and accurately dispenses prescribed medications, as required.</li>
<li>Ensures the pharmacy operates in accordance with regulations, company policies and standards. Establishes procedures that promote the efficient workflow of the pharmacy including overseeing staff scheduling, assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for opening and closing the pharmacy and shift changes.</li>
<li>Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present.</li>
<li>Collaborates with Store Manager to define and develop new strategic business opportunities.</li>
<li>Maintains information technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers. Supports pharmacy staff and patients with information technology. Finds opportunities to improve productivity</li>
<li>Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits.</li>
<li>Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services.</li>
<li>Performs clinical and wellness services such as immunizations, diagnostic testing, disease state management, and other healthcare services</li>
<li>Partners with centralized support for patient registration, exception resolution, and assists with resolving patient issues. In virtual environments, conducts virtual product review by following specific company procedures and guidelines</li>
<li>Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs, cleaning, new equipment, and layout changes to ensure a functioning, presentable and efficient pharmacy.</li>
<li>Prepares and submits all records, reports, and other documentation as required by state and federal laws to run the pharmacy business (e.g., operating statements, performance indicator reports, supervision notes, deletions, transfers.)</li>
</ul>People &amp; Performance Management
<ul><li>Collaborates with Store Manager on pharmacy staff hiring, carries out discipline and termination, as necessary, and ensures compliance with employment laws.</li>
<li>Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. Monitors and recognizes improvements in pharmacy staff by implementing rewards programs. Manages pharmacy staff performance by overseeing the training of pharmacy staff (e.g., using the correct processes and tools) and conducting formal performance reviews.</li>
<li>Identifies high potential team members and proactively collaborates with Store Manager to manage career progression.</li>
<li>Addresses employee relations concerns. Maintains team member morale by checking on employee welfare, addressing complaints and conflicts, and ensuring positive employee management relationship.</li>
</ul>Training &amp; Personal Development
<ul><li>Maintains required licensing/credentialing/certification as established by federal and state regulations to provide clinical services.</li>
<li>Maintains and enhances current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals and Walgreens publications and communications. Maintains awareness of developments in retail and management areas and pursues best practices to enhance business acumen and pharmacy performance.</li>
<li>Completes education credits and training, including learning modules, as required by the Company</li>
<li>Seeks professional development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches.</li>
</ul>Communications
<ul><li>Supports the Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff.</li>
</ul>Business Performance Management
<ul><li>Analyzes performance data including pharmacy financials, customer service, and inventory. Manages pharmacy asset protection activities and oversees inventory management. Identifies pharmacy performance trends and opportunities for improvement.</li>
</ul>Business Planning
<ul><li>Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports Store Manager in expanding health and wellness awareness in the community</li> 
</ul> 
 
Basic Qualifications
 
<ul><li>BS in Pharmacy or Pharm D Degree from an accredited educational institution.</li>
<li>Current pharmacist licensure in the states within the district.</li>
<li>Certified Immunizer or willing to become an immunizer within 90 days of hire.</li>
<li>At least 1 year pharmacy experience including prescription filling, recordkeeping, legal compliance, pharmacy operations, pharmacy software and technology systems and insurance billing. (Some states may require more specific pharmacy experience in which case those requirements would take precedent).</li>
<li>Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.</li>
<li>An average rating of at least 3.0 on the leadership behaviors on the last performance review if one is on file, and no written disciplinary actions in the last 12 months (Internal candidates only).</li>
</ul>About Walgreens
 
Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
 
 
Preferred Qualifications 
 
<ul><li>Supervisory experience planning, organizing, and directing the work of pharmacy staff.
</li><li>At least 6 months pharmacy experience with Walgreen Co.
</li><li>An average rating of 3.7 or above on the leadership behaviors on the last performance review if one is on file. (Internal candidates only)
</li></ul>An Equal Opportunity Employer, including disability/veterans
 
 
We will consider employment of qualified applicants with arrest and conviction records.
 
 
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits 
 
Salary Range: Pharmacy Manager Pay Range $5,439.00-$6,438.60 Bi-Weekly</div>

Pharmacy Manager

<div><ul><li>Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience. Serves as a full-time certified pharmacy technician.</li>
<li>Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Under the supervision of a pharmacist, supervising pharmacy technicians and pharmacy cashiers within the guidelines of authorized company policies, laws, regulations and business ethics.</li>
<li>Responsible for the selection, scheduling, and development of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management including discipline and termination.</li>
</ul> 
Customer Experience
<ul><li>Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer complaints, helps respond to customers&rsquo; requests in a timely manner and answers non-clinical questions to ensure a positive customer experience. Models and shares customer service best practices.</li>
<li>Develops strong relationships with customers by anticipating customer needs and proactively offering services to provide the best experience possible when using the pharmacy. Enhances customer experience by increasing focus on healthcare services.</li>
</ul>Operations
<ul><li>Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for patients, counting, and verifying (where allowed by law). Completes patient and physician calls under the supervision of a pharmacist (where allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law.</li>
<li>Within the guidelines of authorized company policies, state and federal laws/regulations, exercises independent judgment to delegate, direct, and assign non-clinical work in the pharmacy. Ensures tasks are completed on-time and holds others accountable for efficient workflow.</li>
<li>At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company and various government agencies.</li>
<li>Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and organizes pharmacy daily schedule of activities. Recommends allocation of pharmacy hours. Assures the pharmacy is clean, neat, orderly, and stocked with adequate supplies.</li>
<li>Under the direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and pharmacy inventory management tasks that do not require pharmacist licensure. Manages annual inventory preparation.</li>
<li>Accountable for completion of non-clinical patient calls.</li>
<li>Drives new technology/ process roll out, champions change and engages team around action planning. Assures proper operation and maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager, responsible for recordkeeping and ensuring security safeguards are in-place.</li>
<li>Under supervision of the pharmacist, strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription-dispensing activities and understands their role in ensuring that the elements of Good Faith Dispensing are met.</li>
<li>Maintains and applies knowledge of Company asset protection techniques. Supports Pharmacy Manager with diversion monitoring and reports any concerns that would compromise the security of the pharmacy to the Pharmacy Manager.</li>
<li>Communicates prescription errors to the accountable pharmacist, and adheres to Company policies and procedures in relation to pharmacy errors and the Continuous Quality Improvement Program.</li>
<li>Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit.</li>
<li>Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service.</li>
<li>Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events. Builds and sustains relationships with retail partnerships.</li>
</ul>People &amp; Performance Management
<ul><li>Leads performance management of technicians including making decisions and recommendations regarding discipline and termination. Follows constructive discipline policy to discipline, suspend, terminate or effectively recommend the same. Uses constructive discipline policy to ensure pharmacy technicians are compliant with state and federal laws. Holds technician accountable for attendance and timeliness. Maintains and improves performance of pharmacy through team member engagement and action planning.</li>
<li>Accountable for technician hiring, on-boarding, training, and scheduling. Monitors and holds pharmacy technicians accountable for timely training completion. Follows established policies and procedures set by the company for scheduling and training.</li>
<li>Accountable for identifying gaps in pharmacy operations knowledge among team members and supporting those team members in their training, either through hands-on training or assignment of learning modules.</li>
<li>Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Leverages Walgreens resources such as Walgreens Online Verification System to assist in documenting licensure status.</li>
<li>Ensures proper procedures are followed for selection, recruitment, record retention, and training as required by Company policy and local, state and federal laws.</li>
</ul>Training &amp; Personal Development
<ul><li>Maintains PTCB certification through the designated PTCB training program and/or state required certification/registration.</li>
<li>Maintains and enhances current knowledge and skills related to pharmacy and healthcare.</li>
<li>Obtains necessary certifications, education credits and training such as LTMP e-modules as required by the Company. Follows performance improvement plans offered by Pharmacy Manager.</li>
<li>Seeks professional development by monitoring one&rsquo;s own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach.</li>
</ul>Communication
<ul><li>Communicates with pharmacy team, relaying messages from the support center or other key emails as required.</li>
<li>Participates in key store/pharmacy meetings, including 5-minute meetings and weekly check-ins with the Store Manager</li> 
</ul> 
 
 
 
Basic Qualifications
 
<ul><li>High School Diploma, GED, or equivalent.</li>
<li>PTCB or ExCPT certification (except in Puerto Rico).</li>
<li>Has one year of work experience as a pharmacy technician in a retail or hospital setting.</li>
<li>Must be fluent in reading, writing, and speaking English (except in Puerto Rico).</li>
<li>Requires willingness to work flexible schedule, including evening and weekend hours.</li>
<li>Willingness to obtain active immunization certification within 90 days of hire (except in Community Specialty Pharmacy and Health System Pharmacy locations)</li> 
</ul> 
 
Preferred Qualifications
 
<ul><li>Previous people management/ leadership experience.</li>
<li>Previous work experience with Walgreens with an Exceeding Expectation on last performance evaluation.</li>
</ul>We will consider employment of qualified applicants with arrest and conviction records.
 
 
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $22.50 per hour - $31.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
 
 
Salary Range: Hourly</div>
 <div><h2 class="jobSectionHeader">Benefits</h2>
<ul><li><h3 class="jobSectionHeader">Health, dental and vision*</h3></li>
<li><h3 class="jobSectionHeader">Prescription coverage</h3></li>
<li><h3 class="jobSectionHeader">Retirement Savings Plan (401(k))</h3></li>
<li><h3 class="jobSectionHeader">Employee discount</h3></li>
<li><h3 class="jobSectionHeader">Work &amp; life resources</h3></li>
<li><h3 class="jobSectionHeader">Career development programs</h3></li>
</ul><ul><li>with a 30-hour work week</li></ul></div>

Pharmacy Operations Manager

Molina Healthcare

Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must be licensed to practice in the state of Florida or be able to obtain Florida licensure within 90 days of starting. This position is remote and can be worked from a variety of locations within the US. Shift times can be either 8 or 10 hour shifts between the times of 7a and 10p EST with rotating weekends depending on business needs. Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics regarding patient outcomes, medications safety and medication use policies). KNOWLEDGE/SKILLS/ABILITIES The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a formulary and drug information resource, assisting technicians and other departments with questions regarding drug coverage. <ul><li>Acts as a liaison between Molina and its customers (members, providers and pharmacies) with respect to the pharmacy benefit.</li><li>Serves as the formulary expert.</li><li>Ensures Molina is compliant with the coverage determination and appeals process.</li><li>Contributes to projects aimed at improving Star ratings, HEDIS, CAHPS, and other quality metrics.</li><li>Assists call center pharmacy technicians with clinical questions and phone calls from prescribers, pharmacies and/or members.</li><li>Develops, implements and maintains pharmacy cost control and quality initiatives under the direction of leadership.</li><li>Monitors drug utilization and assists leadership team in understanding quality and cost control issues related to pharmacy.</li><li>Works in tandem with Molina Medical Directors to ensure accurate coverage determination decisions.</li><li>Works with leadership on developing annual training sessions for applicable staff regarding the pharmacy benefit changes for the upcoming year.</li><li>Works with the Case Management department as part of a member-centered interdisciplinary care team.</li><li>Works with the PBM to manage formulary changes and update marketing on any changes needed on the web or print versions of the formulary.</li><li>Performs outreach to patients and physicians as part of quality and/or cost control initiatives.</li><li>Provides leadership for the pharmacy call center team as delegated by the Manager.</li><li>Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence.</li></ul>JOB QUALIFICATIONS Required Education <ul><li>Doctor of Pharmacy or bachelor&rsquo;s degree in pharmacy with equivalent experience.</li><li>Continuing education required to maintain an active pharmacist license.</li></ul>Required Experience: 1 - 2 years post-graduate experience. Required License, Certification, Association: Active and unrestricted State Pharmacy License for workplace and plan location. Preferred Experience <ul><li>Medicare Part D or Medicaid experience.</li><li>Managed care experience.</li></ul>To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJPharm2 #LI-AC1 Pay Range: $80,412 - $156,803.45 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Pharmacist, Prior Auth/Utilization Management, Remote

Fuze Health

<div><div><div><div><div><div><div><div><h1 class="jobSectionHeader">Job Summary
 
</h1></div></div></div></div></div></div></div>Job Description Summary
 
At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments &ndash; and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.
 
Fuze Health&rsquo;s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. 
<h1 class="jobSectionHeader"> 
 
Job Description 
 
</h1>About the Role
The role of Care Manager is a critical role at Alto. In this role, you will be responsible for ensuring the compliant, efficient, safe, and scalable operations for a team of Patient Care Pharmacists. Care Managers will either support as a primary Pharmacist-in-Charge or support PIC responsibilities at each of Alto&rsquo;s respective sites. A chief objective will be to establish operational excellence, particularly as it pertains to patient experience, employee morale, industry standards, compliance, and performance metrics. You will use your in-depth knowledge of Pharmacy regulations, clinical judgment, and patient safety practices to meet and exceed service level agreements. As a Care Manager, you will also work cross-functionally to develop new processes and programs that are key to Alto&rsquo;s success, and establish a culture of continuous improvement. You will supervise and develop your team of Alto Patient Care Pharmacists and be responsible for employee engagement, training and communicating and adhering to performance standards.
Additional responsibilities include partnering with our Recruiting and HR teams to attract, hire, develop, performance manage, and retain a team of pharmacists. You will use your experience growing and managing teams to identify and evaluate high performing, high potential candidates.
Accelerate Your Career as You
<ul><li>Own clinical pharmacist workflow and operations.
</li><li>Ensure the critical metrics for efficiency, service levels, and quality for prescription processing are met.
</li><li>Supervise and mentor a diverse team of Patient Care Pharmacists and Technicians, focusing on enhancing quality and patient experience. Responsibilities include recruiting, onboarding, and developing team members, conducting performance evaluations, providing ongoing coaching, and managing disciplinary actions to ensure a high-performing, collaborative team environment.
</li><li>Create, implement and enforce new workflows for partnerships, product launches, and regulatory/accreditation requirements.
</li><li>Ensure pharmacy practice is in compliance with regulatory and accreditation agencies, including but not limited to policy development, suspicious patient/provider management, and representing the Company and its decisions with the Board of Pharmacies.
</li><li>Triage and resolve day to day escalations.
</li><li>Manage staffing, scheduling, and workflows.
</li><li>Ensure patient safety and clinical excellence through Quality Performance Metrics
</li><li>Oversee deployment, training, and standardization of company policies and procedures.
</li><li>Establish a continuous improvement culture.
</li><li>Obtain out of state licensure to ensure business continuity and new business growth
</li><li>Ensure that Care operations are compliant with:
<ul><li>Local, state, and federal rules and regulations regarding the practice of pharmacy
</li><li>Third party payor contract rules and regulations
</li><li>Policies and procedures as set forth by Alto
</li></ul></li><li>Own manager on duty expectations in running the operation and on-call duties for the designated period of time
</li><li>Ensure the pharmacy remains in good standing with all applicable regulatory bodies including the State Board of Pharmacies.
</li><li>Function as either the primary or secondary Pharmacist-in-Charge and have oversight of end to end Care Operations.
</li></ul>This job description does not identify every requirement of the role. Alto may change role responsibilities and work environment with or without notice.
Must have a current Pharmacist License in good standing issued by the State Board of Pharmacy.
A Bit About You
Minimum Qualifications:
<ul><li>Graduate of an accredited school of pharmacy and a Licensed Pharmacist (RPh) in good standing with the State Board of Pharmacy in the state where the pharmacy site is located and also in good standing for any Non Resident Licenses as dictated by business strategy
</li><li>Previous experience as a Pharmacy Manager or leader of a large mail order/clinical operation.
</li><li>2+ years leading a high-performing pharmacy operation and managing pharmacist workflows.
</li><li>Expertise maintaining pharmacy compliance and interacting with regulatory authorities such as the State Boards of Pharmacy and the Drug Enforcement Agency
</li><li>Experience making data-based decisions using analytical tools such as Excel, Tableau, or Looker to collect, analyze, and interpret data for operational excellence
</li></ul>Preferred Qualifications:
<ul><li>2+ years experience leading a team of Pharmacists and Technicians as a Pharmacist-in-Charge or related experience
</li><li>Expertise establishing and improving complex workflows within a complex operation
</li><li>Experience using lean, Kaizen, or similar continuous improvement methodologies 
</li></ul><h1 class="jobSectionHeader"> 
 
Additional Information 
 
</h1>Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.
Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health&rsquo;s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.
Salary Range : $122,000 - $158,000
Commission Eligible: No
Travel : No
Location Requirement:
<ul><li>Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin.
</li></ul>Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.
Benefits :
Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&amp;D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.
More Benefits Information Here: Fuze Health Benefits Site
Application deadline : when role is filled
#LI-Remote
Equal Opportunity Employer
Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com . 
 
Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company. 
 
Use of Automated Decision Tools
Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us a t talent@fuzehealth.com . 
 
Privacy Notice
To learn about Fuze Health&rsquo;s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants .</div>

Manager, Pharmacy Care Operations- Fuze Rx[Remote]

McKesson

<div><h2 class="jobSectionHeader">Account Manager, Medically Integrated Dispensing (MID)</h2>
Remote - Colorado
Job ID JR0145047
Category Client Relationship, Customer Service &amp; Relations Post Date Apr. 02, 2026<div></div><div>
</div><div>McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve &ndash; we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow&rsquo;s health today, we want to hear from you.
The Account Management Team ensures customer satisfaction by fostering customer and sales team unity and provide consulting and service support to the assigned customer accounts. As the MID business owner, the Account Manage works with the customer to understand their strategic vision and objectives within the customer organization while aligning McKesson products, offerings, and services to ensure those business objectives are achieved. The MID Account Manager acts as key triage point for assigned accounts and ownership of customer issues through resolution. This position works closely with the McKesson Account Executives, Optimization Consultants, Clinical Specialists, GPO Team and Implementation Team to ensure high-quality and consistent service level to their customers.
The position requires subject matter expertise in pharmacy workflow, management of systems, pharmacy operations, payor landscape as well as data analytics and credentialing. Keeps up-to-date knowledge of the industry, competition, and enhances awareness within the pharmacy and medically integrated dispensing segment. This position requires excellent communication, customer service, follow-up skills and relationship building.
Key Responsibilities
Account Retention and Growth
Strategizes, plans and executes on value add and strategic activities for existing customer base of pharmacies. Understands the practices&rsquo; business challenges, strategies and priorities and helps address those needs.
Understands and advises on practice processes, buying cycles and decision drivers as well as their current and future needs. Articulates ROI/value of products, services, offerings and solutions.
Supports practice business growth, strategic planning, monitoring of progress, use of services products and growth solutions.
Customer Support
Takes action to meet the needs and concerns of the practice and considers how actions or plans will affect practices; responds quickly to meet needs and resolve problems; avoids over commitments and sets reasonable expectations.
Establishes customer feedback systems and implements effective ways to monitor and evaluate concerns, issues, and satisfaction within each practice and to anticipate the practices&rsquo; needs.
Educates practices and shares information with practices to build their understanding of issues and capabilities; is regarded by the practice as the thought leader in this industry.
Establishes relationships with practices at multiple levels within the practice organization.
Assists practices with issue escalation and resolution.
Financial and Business Acumen
Monitors and reports pharmacy &amp; dispensary business operations impacts on practice financial performance.
Creates and updates practice business plans, ROI analysis, and growth projections.
Understands and advises the practice&rsquo;s decision drivers from their perspective (options available, financial benefit/costs) and the implications that buying decisions have on both McKesson and the practice.
Maintains knowledge of practice contracts (GPO, Payer, and other business impacting agreements).
Draws upon knowledge of competitors and payers to communicate valuable insight on those issues that deliver results for both McKesson and the practice.
Leverages practice successes and drug/payor trends.
Minimum Requirement
Degree or equivalent and typically requires 4+ years of relevant experience.
Education
4-year Undergraduate College Degree or equivalent experience.
Critical Skills<ul><li>
4+ years account management or pharmacy operations.</li><li>
Experience in provider consulting, field sales, and/or product management.</li><li>
Knowledge of pharmacy systems, pharmacy operations and pharmacy workflow.</li><li>
Demonstrated experience in developing customer improvement plans.</li><li>
Team collaboration/team player.</li><li>
Community Oncology experience a plus.</li><li>
Certified Pharmacy Technician or equivalent pharmacy experience a plus.</li></ul>
Additional Knowledge/Skills<ul><li>
Specialty Pharmacy experience a plus.</li><li>
Community Specialty provider experience a plus.</li><li>
Experience in provider consulting a plus.</li><li>
Effectively manage customer expectations in terms of service and issue resolution.</li><li>
Develop a proficiency in medically integrated dispensing segment and technology. (product, application, platform)</li><li>
Develop collaborative internal and external relationships/partnership.</li></ul>
Expected Competencies<ul><li>
Effectively manage customer expectations in terms of service and issue resolution.</li><li>
Develop a proficiency in orals oncology segment and technology. (product, application, platform)</li><li>
Develop collaborative internal and external relationships/partnership.</li><li>
Maintain knowledge of pharmaceutical industry products, trends, and processes.</li><li>
Troubleshoot, triage, and manage customer issues to resolution.</li><li>
Ensure timely follow up and communication.</li><li>
Great business acumen and professionalism.</li><li>
Strategic/Creative Thinker.</li><li>
Ability to operate in a fast-paced, dynamic business environment.</li></ul>
Working Conditions<ul><li>
Large percent of time performing computer-based work is required.</li><li>
50% - 70% travel required.</li><li>
Must live near a major airport .</li><li>
Must reside in the western region of the United States</li></ul><div>
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,<div>
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Our Base Pay Range for this position
$79,600 - $132,600
McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson&rsquo;s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: 
 
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. 
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.<div>
McKesson job postings are posted on our career site: careers.mckesson.com<div>
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.</div>
McKesson is an Equal Opportunity Employer<div>
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson&rsquo;s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity<div>
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 page.</div><div>
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com<div>
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 or (Canada) Accessibility@mckesson.ca<div>
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. Resumes or CVs submitted to this email box will not be accepted.</div>
Join us at McKesson!</div></div><div></div>

Account Manager, Medically Integrated Dispensing (MID)

GEHA Health

<div>
 
 Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care.
 
 
 
 
 
 G.E.H.A has one mission: To empower federal workers to be healthy and well.
 
 
 
 
 
 
 
 
 The Utilization Management and Oversight Pharmacist will assist with corporate strategy to achieve better healthcare value and lower cost for our members, while ensuring quality pharmaceutical care for our members, in an effort to make our insurance product more competitive and support growth.
 
 
 
 
 
 The Utilization Management and Oversight Pharmacist widely supports the operation of the pharmacy benefit and its functional teams. The position will be responsible for the following:
 
 
 &bull; Insuring proper medication utilization among our membership
 
 
 &bull; Developing and maintaining customized prior authorization criteria
 
 
 &bull; Developing and maintaining custom benefit exclusions
 
 
 &bull; Completing enterprise-wide drug information requests
 
 
 &bull; Preparing pharmacy recommendations for the pharmacy leadership
 
 
 &bull; Proposing and implementing pharmacy benefit design changes
 
 
 &bull; Increasing member outcomes by collaborating with other departments within the enterprise
 
 
 &bull; Supporting utilization review strategies and risk management related to the utilization of pharmaceuticals
 
 
 &bull; Collaborating with staff responsible for day-to-day activities of the Pharmacy Department
 
 
 &bull; Coordinating with other departments within the organization (ie: Care Management, SIU, Product, Marketing) to support strategic and operational objectives of the Pharmacy Department.
 
 
 
 
 
 
 
 SKILLS
 
 
 
 
 
 
 SKILLS
 
 
 
 
 
 Clinical Pharmacist; Utilization Management and Oversight
 
 
 
 Duties and Responsibilities
 
 <ul>
 <li>
 Responsible for day-to-day management of clinical pharmacy needs within the department including controlled substance monitoring, high risk member monitoring, high dollar claim monitoring and customized prior authorization criteria and exclusion management
 </li>
 <li>
 Collaborates with plan level associates (including Pharmacy Vice President and Managers, Care Management, Medical Directors, Quality Management and others as necessary) to identify members requiring clinical pharmacy intervention(s)
 </li>
 <li>
 Independently completes accurate and comprehensive medication reviews and performs the corresponding member, care management, and other outreach as necessary
 </li>
 <li>
 Researches and synthesizes detailed clinical data related to pharmaceuticals to identify opportunities for improving quality or overall cost
 </li>
 <li>
 Serves as pharmacy SME on projects and clinical care activities; supports internal business partners such as Product Development, Care and Case Managers, Special Investigations, and Medical Operations
 </li>
 <li>
 Leads, manages and/or supports medical cost management, utilization management and medication management initiatives, projects and related activities
 </li>
 <li>
 Assists in pharmacy medication exception reviews coming in from multiple sources including OPM, PBM, GEHA Executive Leadership, GEHA Appeals Department, etc.
 </li>
 <li>
 Assists member-facing pharmacy staff by providing medication therapy evaluations, recommendations and next steps for members and providers
 </li>
 <li>
 Works in partnership with the Vice President and Clinical Manager of Pharmacy to plan, implement and maintain clinical programs and services
 </li>
 <li>
 Serves as clinical pharmacy resource and drug information specialist to medical, pharmacy, nursing and SIU staff
 </li>
 <li>
 Reviews medical policy drafts and provides recommendations for change to medical policy staff
 </li>
 <li>
 Assists member-facing pharmacy staff in assembling responses for prescriber/member appeals, grievances, disputes, inquiries and reconsiderations within established time periods
 </li>
 <li>
 Supports clinical quality and corporate HEDIS measures by providing pharmacy perspective and developing strategies to achieve goals
 </li>
 <li>
 Serves on internal committees and/or workgroups and completes special projects as assigned
 </li>
 </ul>
 
 
 
 
 Job Qualifications
 
 
 
 Education
 
 
 <ul>
 <li>
 Doctor of Pharmacy (PharmD) degree from an ACPE-accredited School of Pharmacy
 </li>
 <li>
 Postgraduate training/residency required
 </li>
 </ul>
 
 
 Experience
 
 
 <ul>
 <li>
 Candidate must be licensed, or eligible for licensure, within the state of Missouri
 </li>
 <li>
 Candidate must have 5 years of experience, or completion of a PGY-1/PGY-2 residency with a managed care and/or drug information focus preferred
 </li>
 <li>
 Experience should include managed care
 </li>
 <li>
 Minimum three (3) years of managed care experience that has involved interaction with patients, providers and other healthcare professionals
 </li>
 <li>
 Knowledge of managed care pharmacy principles including medical exception reviews, formulary management, and utilization review required
 </li>
 <li>
 Candidate should possess an extensive understanding of evidence-based pharmacy practice, including disease specific therapies along with knowledge and ability to search medical literature for supporting clinical references
 </li>
 </ul>
 
 
 Skills/Certifications
 
 
 <ul>
 <li>
 Must contribute to the One Team value of GEHA, be organized and have the ability to handle multiple projects
 </li>
 <li>
 Exemplary interpersonal, communication and organizational skills
 </li>
 <li>
 Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability
 </li>
 <li>
 Proficient in Microsoft Office (Outlook, Word, Excel, Vizio and PowerPoint)
 </li>
 <li>
 Solid understanding of government scope (FEHB, OPM, FDA, ACA, USPSTF) required
 </li>
 <li>
 Competency in compendia navigation and research
 </li>
 </ul>
 
 
 
 
 Work-at-home requirements
 
 <ul>
 <li>
 Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
 </li>
 <li>
 A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
 </li>
 <li>
 Latency (ping) response time lower than 80 ms
 </li>
 <li>
 Hotspots, satellite and wireless internet service is NOT allowed for this role.
 </li>
 <li>
 A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
 </li>
 </ul>
 
 
 
 
 How we value you
 
 <ul>
 <li>
 Competitive pay/salary ranges
 </li>
 <li>
 Incentive plan
 </li>
 <li>
 Health/Vision/Dental benefits effective day one
 </li>
 <li>
 401(k) retirement plan: company match &ndash; dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
 </li>
 <li>
 Robust employee well-being program
 </li>
 <li>
 Paid Time Off
 </li>
 <li>
 Personal Community Enrichment Time
 </li>
 <li>
 Company-provided Basic Life and AD&amp;D
 </li>
 <li>
 Company-provided Short-Term &amp; Long-Term Disability
 </li>
 <li>
 Tuition Assistance Program
 </li>
 </ul>
 
 
 
 
 While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.
 
 
 
 
 
 Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate&rsquo;s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.
 
 
 
 
 
 The hiring range for this position is $118,092 - $149,394 USD. At G.E.H.A, the current maximum salary for this role is $166,468 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.
 
 
 
 
 
 G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees.
 
 
 
 
 
 G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.
 
</div>

Clinical Pharmacist, Utilization Management and Oversight

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