Pharmacy Business Manager - Pharmacist - FT - Days - MSP

Memorial Healthcare

3d

About The Position

The Pharmacy Business Manager ensures accurate, compliant, and optimized medication-related revenue across outpatient pharmacy business lines. The role applies pharmacy expertise to payer and pharmaceutical company relationships, contract management, credentialing, and business development. It partners with pharmacy leadership, revenue cycle, finance, compliance, and external stakeholders to protect revenue integrity, reduce financial risk, support sustainable growth, and maintain high standards of patient care.

The role requires advanced analytical judgment, knowledge of pharmacy reimbursement and regulatory requirements, and the ability to work across clinical, financial, and operational environments. It translates complex payer, regulatory, and reimbursement requirements into sustainable workflows, prioritizes competing initiatives, and influences stakeholders while meeting organizational deadlines and objectives.

Requirements

• Doctorate in Pharmacy.
• Pharmacist license in the State of Florida.
• At least three years of core work experience in pharmacy administration, revenue integrity, managed care, pharmacy contracting, reimbursement, or healthcare financial operations.
• At least one year of experience in a leadership or supervisory role.
• Experience in hospital, health-system, ambulatory, retail, specialty, infusion, or home infusion pharmacy practice.
• Demonstrated experience analyzing data, identifying revenue risk, and implementing corrective or improvement actions.
• Advanced analytical judgment and strong knowledge of pharmacy reimbursement and regulatory requirements.

Nice To Haves

• Master of Business Administration.

Responsibilities

• Guide financial and utilization analytics, including margin, payer mix, acquisition cost, reimbursement trends, and utilization patterns; oversee dashboards, KPIs, and executive-level reporting.
• Support pharmacy contract review, credentialing, and re-credentialing with payers and PBMs, and ensure contract terms are accurately interpreted and operationalized across pharmacy teams.
• Lead engagement with payers and pharmaceutical manufacturers, including PBMs and limited distribution networks, to support access, reimbursement optimization, contract compliance, and business continuity.
• Monitor reimbursement performance, including payer audits, denials, underpayments, and write-offs; ensure timely escalation, root-cause analysis, and corrective action with operational, finance, and revenue cycle teams as needed.
• Establish governance and standardized processes to identify, analyze, and resolve revenue leakage related to medication acquisition, dispensing, administration, wastage, reimbursement, site-of-care optimization, and vendor or manufacturer agreements.
• Provide direct leadership and oversight of pharmacy staff in revenue cycle, profitability reviews, and workflows, including workload prioritization, performance management, coaching, and professional development.
• Partner with pharmacy, nursing, clinical, operational, compliance, and finance leaders to design and implement workflows aligned with patient access, clinical quality, financial integrity, and organizational growth objectives.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree