Talent.com
Manager, Pharmacy Operations
Manager, Pharmacy OperationsMedica • Omaha, NE, United States
Manager, Pharmacy Operations

Manager, Pharmacy Operations

Medica • Omaha, NE, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Manager of Pharmacy Operations is responsible for the overall direction and management of pharmacy operations for Medica. This position develops solutions to streamline processes, reduce administrative costs and improve operational procedures; and directs the implementation of strategies to enhance the member experience and improve effectiveness. Performs other duties as assigned.

Key Accountabilities

Process Improvement

  • Oversees accurate administration of Medica's prescription drug benefits and including accumulator and enrollment data exchange between vendors
  • Develops and oversees implementation of clinical and operational strategies, new programs and custom network development
  • Oversees pharmacy benefit and program implementation, communication and coordination across Medica's business units
  • Represent Pharmacy Operations at leadership level during meetings and presentations including the Pharmacy Executive Steering Committee
  • Partner with Sales and Account Management to address exceptions and customized requests to determine viability, effort, risks, costs and impact

People Management

  • Manages day-to-day operational functions
  • Directs workflow, prioritization and strategic alignment of initiatives
  • Recruits, hires, coaches and oversees training of new team members
  • Conducts performance evaluations and promotes career development
  • Vendor Management

  • Oversees PBM claim processing to ensure accuracy and timeliness
  • Holds PBM and mail order vendors accountable to contract provisions and performance guarantee standards
  • Manages quality controls (financial, procedural and compliance) for operational systems and processes
  • Oversees issue resolution with PBM and other vendors
  • Minimum Qualifications

  • Bachelor's degree in Business, or equivalent experience in related field
  • 5 years of equivalent work experience
  • Preferred Qualifications

  • Leadership experience in pharmacy operations or managed care
  • Knowledge of health care industry / products / benefits
  • Experience in PBM vendor management
  • Experience in medical pharmacy
  • Advanced experience with MS Excel
  • This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations : Minnetonka, MN, Madison, WI, Omaha, NE, St. Louis, MO.

    The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    serp_jobs.job_alerts.create_a_job

    Operation Manager • Omaha, NE, United States

    Job_description.internal_linking.related_jobs
    Pharmacy Manager Infusion Pharmacy

    Pharmacy Manager Infusion Pharmacy

    Cornhusker Vital Care • Omaha, NE, US
    serp_jobs.job_card.full_time
    Vital Care Infusion Pharmacy is committed to providing the highest quality patient care in the industry.We are expanding to Omaha and are very excited to be opening our first pharmacy in Nebraska.W...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Pharmacy Relationship Manager

    Pharmacy Relationship Manager

    America's Pharmacy Group, LLC • Omaha, NE, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Whether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, Healthcare Marketing Group, LLC is a great...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Travel Nuclear Medicine Tech - $2,141 to $2,393 per week in Omaha, NE

    Travel Nuclear Medicine Tech - $2,141 to $2,393 per week in Omaha, NE

    AlliedTravelNetwork • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with Prime Time Healthcare to find a qualified Nuclear Medicine Tech in Omaha, Nebraska, 68147!. Now Hiring : Allied Healthcare Nuclear Medicine - Omaha, NE.Contact us ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $2,506 to $2,801 per week in Omaha, NE

    Travel Cath Lab Tech - $2,506 to $2,801 per week in Omaha, NE

    Prime Time Healthcare • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Now Hiring : Allied Healthcare Cath Lab - Omaha, NE.Contact us for Pay Information.Actual amount dependent upon market adjustments. Are you a passionate Allied Healthcare professional looking for a n...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel MRI Tech - $1,906 to $2,106 per week in Omaha, NE

    Travel MRI Tech - $1,906 to $2,106 per week in Omaha, NE

    Titan Medical Group • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    ARRT(MR) / BCLS / BLS - American Heart Association.Titan Medical is looking for travelers to fill a Travel MRI Tech position for a 18 week assignment in Omaha, NE! Call Titan for additional details.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $3,074 per week in Omaha, NE

    Travel Cath Lab Tech - $3,074 per week in Omaha, NE

    Care Career • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Cath Lab Technicians are vital team members who assist doctors during invasive cardiovascular procedures such as angioplasty, cardiac catheterization, and electrophysiology.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Manager Practice Operations Westroads Office Park

    Manager Practice Operations Westroads Office Park

    Nebraska Methodist Hospital • Omaha, Nebraska, USA
    serp_jobs.job_card.full_time
    Why work for Nebraska Methodist Health System.At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of C...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Pharmacist - $3,226 per week in Kearney, NE

    Travel Pharmacist - $3,226 per week in Kearney, NE

    AlliedTravelCareers • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Mindlance Health to find a qualified Pharmacist in Kearney, Nebraska, 68845!.ID : 74234688 Shift : 10H Days 0700-1700 w / 1 weekend / month.Description : Unit for rec...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor & Delivery - $2,250 per week in Blair, NE

    Travel Nurse RN - Labor & Delivery - $2,250 per week in Blair, NE

    TravelNurseSource • Blair, NE, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Labor / Delivery RN in Blair, Nebraska, 68008!.A facility in Blair, NE is seeking its next amazing RN (Registered Nurse) to wor...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Cath Lab Tech - $2,924 per week in Omaha, NE

    Travel Cath Lab Tech - $2,924 per week in Omaha, NE

    Triage Staffing LLC • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Travel Radiology : Cath Lab Tech Omaha, NE.Shift Details : 10H Days (12 : 00 AM-12 : 00 PM).Length : 16 WEEKS 16 weeks.Apply for specific facility details.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Manager Practice Operations South Clinic

    Manager Practice Operations South Clinic

    Nebraska Methodist Hospital • Omaha, Nebraska, USA
    serp_jobs.job_card.full_time
    Why work for Nebraska Methodist Health System.At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of C...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Clinical Supervisor, BCBA - Up to 5K Sign on Bonus

    Clinical Supervisor, BCBA - Up to 5K Sign on Bonus

    Accel Therapies • Bellevue, NE, US
    serp_jobs.job_card.full_time
    Tahoma, Geneva, sans-serif;"> Clinical Supervisor (BCBA) serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Cath Lab Tech - $3,174 per week in Omaha, NE

    Travel Cath Lab Tech - $3,174 per week in Omaha, NE

    Care Career • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Cath Lab Technicians are vital team members who assist doctors during invasive cardiovascular procedures such as angioplasty, cardiac catheterization, and electrophysiology.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Pharmacist - $3,246 per week in Kearney, NE

    Travel Pharmacist - $3,246 per week in Kearney, NE

    AlliedTravelCareers • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Cynet Health to find a qualified Pharmacist in Kearney, Nebraska, 68845!.Job Title : Pharmacist Profession : Pharmacy Specialty : Pharmacy Duration : 13 weeks ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel CT Tech in Omaha, NE

    Travel CT Tech in Omaha, NE

    AlliedTravelNetwork • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with Titan Medical Group to find a qualified CT Tech in Omaha, Nebraska, 68147!.Titan Medical is looking for travelers to fill a Travel CVOR Tech position for a 13 we...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,169 per week in Missouri Valley, IA

    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,169 per week in Missouri Valley, IA

    TravelNurseSource • Missouri Valley, IA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified ER / Trauma RN in Missouri Valley, Iowa, 51555!.A facility in Missouri Valley, IA is seeking its next amazing RN (Registered Nu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel CT Tech - $2,007 to $2,207 per week in Omaha, NE

    Travel CT Tech - $2,007 to $2,207 per week in Omaha, NE

    Titan Medical Group • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Titan Medical is looking for travelers to fill a Travel CVOR Tech position for a 13 week assignment in Omaha, NE! Call Titan for additional details.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nuclear Medicine Tech - $2,141 to $2,393 per week in Omaha, NE

    Travel Nuclear Medicine Tech - $2,141 to $2,393 per week in Omaha, NE

    Prime Time Healthcare • Bellevue, Nebraska, US
    serp_jobs.job_card.full_time
    Now Hiring : Allied Healthcare Nuclear Medicine - Omaha, NE.Contact us for Pay Information.Actual amount dependent upon market adjustments. Are you a passionate Allied Healthcare professional looking...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted