The Claims Processing Supervisor manages associate assignments and work queues to ensure timely claims resolution and accurate billing. They are responsible for monitoring performance metrics, conducting quality audits, and maintaining standard operating procedures.
PharMerica
13 Remote Job Openings at PharMerica
Drive market growth in long-term care by securing new prescribers and pharmaceutical partners while managing existing regional accounts. The role involves executing sales strategies, conducting business reviews, and collaborating with internal teams to ensure service delivery.
Lead pharmaceutical procurement, inventory management, and buying strategies to optimize gross profit and ensure product availability for the Amerita business. Manage a centralized purchasing team and partner with finance and clinical leadership to align sourcing with margin and patient care goals.
Collaborate with pharmacy directors to implement workflow, productivity measures, and quality initiatives to ensure regulatory compliance and operational success. Perform technician duties including filling prescriptions, compounding medications, and managing controlled drug inventory.
Manage and resolve rejected pharmacy claims to ensure maximum payer reimbursement and timely billing. Research and analyze claims by coordinating with Medicare D, third-party insurance, and state Medicaid plans.
Supervises Clinical Hub staff and manages performance through call monitoring and feedback. Coordinates with other business units to ensure timely processing of prior authorizations and quality customer service.
Drive market growth in long-term care by securing new prescribers and pharmaceutical partners while expanding existing accounts. Serve as the primary regional representative to align client needs with operational execution and ensure high satisfaction.
The role focuses on driving customer acquisition through cold calling, lead qualification, and researching potential clients in the Skilled Nursing market. It involves maintaining a CRM database and coordinating with the sales team to advance the sales process.
Account Executive / Skilled Nursing / Long-Term Care Pharmacy Services
PharMerica
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Full Time
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19 days ago
PharMerica
The Account Executive is responsible for identifying and qualifying new business opportunities to achieve annual revenue goals within the pharmacy services sector. This includes negotiating contracts, managing the startup of new accounts, and maintaining strong customer relationships with healthcare organizations.
Account Executive / Skilled Nursing / Long-Term Care Pharmacy Services
PharMerica
·
Full Time
·
19 days ago
PharMerica
The Account Executive is responsible for identifying and qualifying new business opportunities to achieve annual revenue goals within the pharmacy services sector. This includes negotiating contracts, managing the startup of new accounts, and maintaining strong customer relationships with healthcare organizations.
Lead business development and customer acquisition strategies within the Assisted Living market to drive revenue growth. Collaborate with cross-functional teams to implement growth initiatives and manage the transition of new clients.
The pharmacist is responsible for the remote verification of medication orders and providing clinical recommendations to healthcare staff. They also oversee medication use, monitor controlled substances, and ensure compliance with state and federal regulatory standards.
The Consultant Pharmacist evaluates physician medication orders for appropriateness, including drug, dosage, interactions, and stability, making recommendations for therapy changes to physicians and facility staff. They must review the drug regimen and clinical indicators of assigned residents monthly, reporting irregularities in writing to relevant staff and maintaining knowledge of pharmacy laws and long-term care regulations.