Pharmacy Operations Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• This is a manager-level role responsible for comprehensive oversight of pharmacy operations that encompass both clinical and non-clinical functions.

• Responsible for managing workflow performance, team collaboration, and execution within integrated operational models.

• Guides cross-functional teams that handle case progression, clinical review support, and completion activities, ensuring they meet quality, turnaround time, and productivity standards.

• Collaborates with clinical leadership, quality, and operations teams to enhance efficiency, reduce rework, and foster scalable, high-performing operational workflows.

• Provides operational leadership for pharmacy workflows, which include both clinical and non-clinical functions supporting IRO services (initial reviews and appeals).

• Oversees the execution and performance of integrated pharmacy operations, ensuring alignment in case progression, clinical review support, and completion processes.

• Leads cross-functional teams to achieve key operational metrics, such as quality, turnaround time, productivity, and backlog management.

• Ensures alignment between clinical and non-clinical workflows to promote efficient case flow, reduce rework, and optimize resource utilization.

• Partners with clinical leadership, quality, and operations teams to maintain consistency in review practices, documentation standards, and workflow execution.

• Contributes to the continuous design, refinement, and standardization of operational workflows to promote scalability and performance improvement.

• Develops team capabilities through coaching, performance management, and workforce planning for both clinical and non-clinical staff.

• Identifies operational risks, gaps, and inefficiencies, implementing solutions to enhance performance and service delivery.

• Manages daily operations of pharmacy workflows, ensuring efficient case progression across clinical and non-clinical functions.

• Responsible for performance outcomes related to assigned operations, including quality, turnaround time, productivity, and backlog management.

• Monitors and manages workflow distribution, capacity, and staffing to align with volume demands and service level expectations.

• Ensures effective coordination between clinical and non-clinical functions to facilitate seamless case flow and minimize delays or rework.

• Identifies and resolves operational bottlenecks, inefficiencies, and breakdowns in workflow execution.

• Establishes and maintains performance standards, ensuring accountability at both the individual and team levels.

• Provides direct leadership to team members, including coaching, performance management, and development for both clinical and non-clinical staff.

• Collaborates with quality and clinical leadership to ensure consistency in review practices, documentation, and adherence to internal and external standards.

• Supports the implementation and stabilization of new workflows, processes, and operational changes to enhance efficiency and scalability.

• Analyzes operational data and performance trends to discover improvement opportunities and facilitate informed decision-making.

• Ensures operational readiness and alignment for new clients, products, or workflow changes that impact pharmacy operations.

• Maintains effective communication with cross-functional partners to ensure alignment on priorities, risks, and performance outcomes.

• Performs additional duties as necessary to support operational performance and business requirements.

⛳️ Requirements

• A minimum of 2–3 years of supervisory or leadership experience in healthcare operations, managed care, or a related environment is required.

• Preferred experience in supporting clinical review, quality auditing, completion, or similar operational workflows.

• Clinical experience in utilization review, clinical quality auditing, or related healthcare review functions is preferred.

• A strong understanding of healthcare operations, including clinical review workflows, case progression, and operational support functions within pharmacy operations.

• Demonstrated leadership experience managing both clinical and/or non-clinical teams in a healthcare or managed care environment.

• Ability to manage end-to-end workflows, facilitating coordination between clinical and non-clinical functions to drive efficient case flow.

• Strong operational and problem-solving skills, capable of identifying bottlenecks, resolving workflow issues, and enhancing performance.

• Experience in managing performance metrics, including quality, turnaround time, productivity, and backlog.

• Ability to thrive in a fast-paced environment, managing multiple priorities and adapting to shifting demands.

• Strong communication skills, with the ability to collaborate effectively across clinical, quality, and operations teams.

• Excellent organizational skills and attention to detail.

• Working knowledge of medical terminology and healthcare processes.

• Familiarity with regulatory, compliance, and accreditation requirements relevant to healthcare operations.

• Proficiency in standard business tools, including Microsoft Office Suite.

🏝️ Benefits

• Healthcare, vision, and dental insurance.

• A generous 401k match.

• Paid vacation.

• Personal time off.

• Paid holidays.

• Opportunities for growth and training.

• A team-oriented atmosphere with enjoyable events and prizes scheduled throughout the year.