Tenet Healthcare Corporation

Pharmacy Operations Manager

Tenet Healthcare Corporation$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Previous experience in prior authorization within a managed care organization
  • Proficient in communication, organization, and PC skills
  • Demonstrated staff management experience
  • Ability to thrive in a fast-paced, multi-tasking environment
  • Strong project management skills preferred

Responsibilities

  • Implement and maintain an effective prior authorization program for Medicaid and Medicare
  • Conduct monthly and quarterly audits on prior authorizations
  • Collaborate with the Director of Pharmacy on oversight responsibilities of PBMs
  • Standardize practices and workflows to enhance efficiency and quality
  • Monitor productivity standards and address deficiencies
  • Ensure compliance in assigned areas for Medicaid and Medicare
  • Perform additional job tasks as needed

Benefits

  • Opportunities for professional development and growth
  • Access to comprehensive health benefits
  • Supportive team culture with an emphasis on collaboration
  • Participation in innovative change initiatives
  • Role in a recognized acute care environment with advanced services
Full Job Description
Job Description

Oversees the day-to-day operation of the Prior Authorization Department and staff assigned to ensure all contract requirements and business

initiatives are completed successfully and timely. Works closely with the CMO and Director of Pharmacy to ensure that the Pharmacy Department

is a highly functioning quality department, characterized by teamwork, cooperation, efficiency, innovation and excellence. Serves as a role model

and mentor for assigned staff

Responsibilities

  • Implements and maintains an effective prior authorization program that meets the timeliness for the Medicaid and Medicare lines of business. This includes timeliness of denials, denial notifications, both verbal and written, and appropriate documentation and logs.
  • Conducts both monthly and quarterly audits in PA to include routine data entry, denials, and closure of authorization.
  • Works with Diretor of Pharmacy in oversight responsibilies of PBMs. This includes working with staff to analyze PBM reports to ensure correct adjustication of claims.
  • Ensures standardization and consistency in practices, procedures and workflow to improve efficiency and quality.
  • Monitors and implements productivity standards and takes necessary action when standards are consistently not met.
  • Works with Director of Pharmacy to ensure PA department receives compliance in all assigned areas on reviews for Medicaid and Medicare. Assist in the development and implementation of CAPs for both Medicaid and Medicare when applicalble.
  • Other related job tasks or responsibilities as assigned


Qualifications

  • Minimum Requirements
    • Experience: Previous prior-authorization experience in a managed care organization. Good communication, organizational, and PC skills required.
  • Preferred Requirements
    • Experience: Demonstrated experience managing staff. Demonstrated ability to work in fast pace, multi-tasking team environment while meeting deadlines.
    • Highly skilled in leading significant change efforts and in building strong partnerships with business-line executives.
    • Proficiency in the management of time, flexibility, and influencing colleagues to meet demanding project timelines; developed ability to use various PC software programs: Microsoft Word, Excel, Access, and PowerPoint. Previous project management desired. Strong verbal and written communication skills and ability to form cross functional partnerships to accomplish goals. Strong coaching and interpersonal skills; Ability to cultivate a strong internal culture designed around collaboration, feedback, motivation and accountability

    #LI-AL1


About the Team

Abrazo West Campus is recognized for providing exceptional, comprehensive care to patients in West Valley communities. The 200-bed acute care hospital offers advanced services, including the da Vinci Xi surgical platform, Level I Trauma Center, Loop-X system, orthopedics, obstetrics and cardiovascular care.

About Tenet Healthcare Corporation

Tenet Fintech Group is an innovative Fintech service provider to the Chinese commercial lending sector.

Tenet Healthcare Corporation Careers

Join the dedicated team at Tenet Healthcare Corporation, a national leader in healthcare services. At Tenet, we are committed to providing the highest quality care and outstanding patient experiences. This commitment extends to our team members in every role across our network.

Work You’ll Do

At Tenet Healthcare Corporation, you will be part of a dynamic team that is passionate about transforming healthcare. Our professionals enjoy a collaborative environment where innovative ideas and a proactive approach to healthcare are at the forefront of what we do.

Explore Job Opportunities and Growth

We offer a variety of job opportunities across clinical, administrative, and corporate disciplines. Whether you are a seasoned professional or just starting your career, Tenet provides a path for growth and development. Our leadership is committed to nurturing talents through advanced training programs, leadership workshops, and continuous professional development.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Tenet, every team member is empowered to make a difference. With access to cutting-edge technology and a network of professionals, you will have the tools to drive real change in healthcare delivery.

Diversity and Inclusion

At Tenet Healthcare Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. Our diversity training ensures that our team is respectful, inclusive, and equipped to support the diverse communities we serve.

Internship Programs

Kickstart your career with Tenet’s internship programs. These opportunities allow you to gain hands-on experience while working alongside seasoned professionals. Internships are a great way to develop skills, enhance your resume, and build a network within the healthcare industry.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. Join a company that values work-life balance, provides competitive healthcare benefits, and supports your personal and professional growth.

Join Our Team

Are you ready to advance your career in a vibrant healthcare environment? Explore the positions available at Tenet Healthcare Corporation and find where your skills and passion can make a difference. We are actively hiring and looking for individuals who are curious, creative, and eager to drive innovation in healthcare.

Stay Connected

Keep up to date with the latest at Tenet by following our careers blog. Gain insights from our team, learn about our culture, and get tips for your job search and career development.

Networking and Professional Development

At Tenet, networking and professional development are part of our ethos. We encourage our employees to connect, share, and grow together. Enhance your career through comprehensive training, mentorship, and collaboration across our extensive healthcare network.

Apply Now

Discover the rewarding career opportunities at Tenet Healthcare Corporation. Personalize your job search and apply for positions that match your qualifications and interests. Join us in our mission to provide quality care and make a positive impact in the lives of our patients and communities.

SEARCH TENET HEALTHCARE JOBS

Embark on a fulfilling career journey at Tenet Healthcare Corporation, where your growth is our priority, and your potential is limitless.
Learn more about Tenet Healthcare Corporation
Size
76,836 employees
Market Cap
$5.1 billion
Industry
Net Income
$399 million
Founded
1967
5 Year Trend
-0.1%
Revenue
$17.6 billion
NASDAQ

Similar Jobs

More Jobs at Tenet Healthcare Corporation

More Healthcare Jobs

Find similar Pharmacy Operations Manager jobs: