Bachelor's degree in healthcare administration, business, or related field, or equivalent experience
3-5 years in pharmacy operations, healthcare operations, or revenue cycle management
Experience with billing, claims processing, and RCM
Prior supervisory or management experience
Strong understanding of pharmacy workflows and regulatory requirements
Excellent organizational, analytical, and problem-solving skills
Proficiency with pharmacy management systems and Microsoft Office
Responsibilities
Oversee daily pharmacy operations for efficiency and compliance
Develop and maintain standard operating procedures (SOPs)
Monitor staffing needs and coordinate schedules
Supervise and support RCM/Billing and administrative staff
Track operational metrics and implement improvements
Manage RCM and billing processes, ensuring accuracy and compliance
Serve as primary contact for pharmacy facility needs and maintenance
Benefits
Collaborative work environment with cross-functional teams
Opportunities for professional development and growth
Supportive leadership and mentorship
Access to advanced pharmacy management systems
Engagement in strategic planning and process improvement initiatives
Full Job Description
Job Summary
The Pharmacy Operations Manager provides direct oversight of daily pharmacy operations. This role will oversee the RCM and billing procedures, all administrative tasks and protocols, and daily pharmacy procedures. The Pharmacy Operations manager will also serve as the primary point of contact for all pharmacy facility needs and partner with the Lead Pharmacist and other leaders on any clinical procedures.
Job Duties
Pharmacy Operations
Provide direct oversight of day-to-day pharmacy operations to ensure efficient, safe, and compliant workflow
Develop, implement, and maintain standard operating procedures (SOPs) for pharmacy operations
Monitor staffing needs, coordinate schedules, and ensure adequate coverage
Supervise, train, and support RCM/Billing and administrative staff
Support the Billing Manager by overseeing RCM and billing processes, including claims submission, adjudication, reconciliation, and payment posting
Monitor accounts receivable, denials, rejections, and audit findings, and lead efforts to resolve and prevent recurring issues
Manage relationships with payers, PBMs, and billing vendors as applicable
Ensure billing accuracy and compliance with payer requirements and applicable regulations
Prepare and review financial and operational reports for leadership
Administrative Tasks and Protocols
Oversee all administrative functions, including documentation, record-keeping, and policy management
Ensure all pharmacy staff are up to date and follow all company policy and procedures
Coordinate with compliance and legal teams on regulatory requirements and reporting
Manage vendor contracts, supplier relationships, and purchasing processes in collaboration with leadership
Facility Management
Serve as the primary point of contact for all pharmacy facility needs, including maintenance, equipment, supplies, safety, and security
Coordinate repairs, inspections, and vendor services to minimize disruption to operations
Help ensure the facility meets licensing, safety, and regulatory standards
Clinical Partnership and Cross-Functional Collaboration
Partner with the Lead Pharmacist and other leaders on clinical procedures, ensuring operational workflows support clinical standards and patient safety
Escalate clinical questions to the Lead Pharmacist, as clinical decision-making remains outside the scope of this role
Collaborate with leadership on strategic planning, process improvement, and growth initiatives
Minimum Requirements
Bachelor's degree in healthcare administration, business, or a related field, or equivalent combination of education and experience
[3-5] years of experience in pharmacy operations, healthcare operations, or revenue cycle management
Demonstrated experience with billing, claims processing, and RCM
Prior supervisory or management experience
Strong understanding of pharmacy workflows and regulatory requirements
Excellent organizational, analytical, and problem-solving skills
Strong written and verbal communication skills
Proficiency with pharmacy management systems and Microsoft Office
High level of people skills.
Knowledge of computers and applications.
Additional Skills/Competencies
Strong organizational and time-management skills.
Exceptional attention to detail and accuracy.
Ability to manage multiple priorities in a fast-paced environment.
Strong verbal and written communication skills.
Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, and Teams.
Experience with UKG or similar HRIS/timekeeping systems preferred.
Ability to maintain confidentiality and handle sensitive information.
Strong problem-solving, coordination, and follow-up skills.
Ability to work independently while collaborating across departments.
Physical Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 50 lbs.
