Buffalo, NY, 14211, USA
4 days ago
Director - Pharmacy Services & Operations
**FIND YOUR FUTURE** We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Director, Pharmacy Services and Operations shall be responsible for overseeing the non-clinical teams within the Pharmacy department to include Customer Service, Prior Authorization, Communications, Project Management, Systems Administration/Reporting, Compliance, Training and Quality. The Director will work with teams to develop and promote proactive, efficient business processes through education and training, standardization of business practice, and developing and monitoring use of systems to support the authorization, coordination, delivery and servicing of pharmacy benefits to members. The Director will also work cross functionally and with Pharmacy Benefit Dimensions to collaborate on operational, regulatory and strategic initiatives and projects. The Director will serve as the pharmacy audit and compliance lead. **Qualifications** + Bachelor’s degree required. An additional four (4) years of experience will be considered in lieu of degree. + Eight (8) years of healthcare related operations or clinical experience required. + Four (4) years of progressive management responsibility required. + Ability to review processes and develop efficiencies to improve team performance. + Proven examples of the development and oversight of compliance, training and quality programs. + Ability to establish/maintain effective communication with internal staff and providers of medical and pharmacy services. + Must be able to understand and manage regulatory requirements and professionally participate in internal audits and client meetings; work collaboratively with others at all levels of an organization, internally and externally to achieve common goals. + General understanding of claims processing systems. + Excellent verbal and written communication skills and ability to effectively solve problems as they arise and make/implement suggestions to improve functioning of the department. + Success in establishing and achieving goals, as well as motivating others towards same. + Ability to prioritize tasks and projects in an environment of diverse and shifting priorities. + Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable. **Essential Accountabilities** + Provide oversight accountability for all internal and external communications including but not limited to all resources, training materials, and notifications of changes in pharmacy/PBM operations, + Assist in the training of member servicing staff on new and existing pharmacy benefit management clients. + Develop strategies, goals and plans for assigned functional areas within the pharmacy department. + Provide leadership and direction to pharmacy operations teams including all Pharmacy Services, Operations and Compliance, Training and Quality. + Develop scorecards and metrics to ensure operations are meeting specified performance standards and targets. + Serve as key point of contact for pharmacy compliance/regulatory activities in audit and new requirement implementations. + Serve as a liaison between pharmacy providers, PBM clients and pharmacy department staff. + Represent the pharmacy department at various internal and external meetings related to pharmacy/PBM operations and develop analyses to support business decisions. + Coordinate and oversee special projects and other duties as necessary. + Oversee operational pharmacy delegated services to vendors and/or affiliates. + Design, develop and implement new operational policies and procedures and periodically review and revise existing operational policies and procedures. + Facilitate integration of Pharmacy benefits to provide efficient patient centered care and operational efficiency. Immigration or work visa sponsorship will not be provided for this position Hiring Compensation Range: $115,000 - $150,000 annually _Compensation may vary based on factors including but not limited to skills, education, location and experience._ In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future. _As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law._ _Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information)_ _for additional EEO/AAP_ _or Reasonable Accommodation_ _information._ Current Associates must apply internally via the Job Hub app. The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation. Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community. We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog. We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports. **Apply today and join us on the journey to a happier, healthier, and more inclusive community.** We are a drug-free workplace. We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221. _Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us._
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