Pharmacy Business Manager - Pharmacist - FT - Days - MSP
Core
Ensuring accurate, compliant, and optimized medication-related revenue across outpatient pharmacy business lines by integrating pharmacy expertise to support payer and pharmaceutical company relationships.
Role type
Senior Pharmacy Business Manager (Revenue Integrity & Contract Management)
Builds
Optimized reimbursement workflows, payer contracts, and financial governance for outpatient pharmacy services.
Domain
Healthcare / Pharmacy Administration / Revenue Cycle Management
Required skills
Pharmacy administration, revenue integrity, managed care, pharmacy contracting, reimbursement analysis, financial operations, leadership, data analytics, stakeholder engagement
Preferred skills
Masters Business Administration (MBA)
Technologies
Payer systems, contract management tools, financial dashboards
Responsibilities
Guide financial and utilization analytics including margin, payer mix, and reimbursement trends; Support pharmacy contract review, credentialing, and re-credentialing with payers and PBMs; Lead payer and pharmaceutical manufacturer engagement efforts; Oversee reimbursement performance, audits, denials, and write-offs; Establish governance to identify and resolve revenue leakage; Provide direct leadership and oversight of pharmacy staff regarding revenue cycle and profitability.
Seniority
Senior, hands-on IC with leadership responsibilities