3rd Party Operations Supervisor PharMerica

• 2.

9 Louisville, KY Job Details Full-time 5 hours ago Benefits Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance Employee discount Opportunities for advancement Flexible schedule Life insurance Pet insurance Qualifications Optimizing workflow processes Computer operation Performance improvement leadership Confidential information handling Management Medicare Managed care Managed care organization experience Team leadership Standard Operating Procedures (SOPs) implementation Word processing Computer literacy Operations coordination Regulatory compliance Data reporting Employee relationship building Metrics Reporting Mid-level Pharmacy technician experience Payroll systems Disciplinary action management Key Performance Indicators Quality performance measurement Employee attendance management Medical billing data reporting Professional development support Health insurance knowledge Team training Quality improvement Medical billing and coding communication with insurance companies

Full Job Description Our Company:

PharMerica Overview:

Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode , which means advancement opportunities for individuals who are looking for career progression!

Schedule:

Monday

• Friday 8:00am
• 4:30pm Weekends and on
• call rotations required Competitive Pay Health, Dental, Vision & Life Insurance Company-Paid Short & Long-Term Disability Flexible Schedules & Paid Time Off Tuition Reimbursement Employee Discount Program & DailyPay 401k Pet Insurance Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide.

If your passion is service excellence and top-quality care come join our team and apply today! The Supervisor, 3rd Party Analysts is responsible for the direction and coordination of the 3rd Party Analyst team as well as the coordination of transactions between PharMerica and 3rd party payers. The supervisor will interact with appropriate departments to provide operational support and ensure integrity of third party plan and claim information.

Responsibilities:

Billing & Claims Supervisor Works in conjunction with the 3rd Party Operations Manager to establish analyst level goals, department wide goals, performance tracking and quality assurance metrics Clearly communicates roles and responsibilities of analysts and provides guidance and leadership to staff Establishes and maintains professional and effective relationships with staff, peers, payers, and other stakeholders Serves as a liaison with staff and payers or internal departments to coordinate and troubleshoot various claim, payer, or other industry related issues Works to update, or create and maintain Standard Operations Procedures for the department, including clearly outlining training plans for new or underperforming analysts Ensures team assignments are fair and balanced based on analyst's skills sets Manages staff attendance and time sheets for payroll (Day Force) system. Assures staff is meeting attendance policies and reports any variations to Manager Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals Enforces disciplinary action and creates performance improvement plans as needed for underperforming staff Create and manage reporting opportunities to mitigate third party rejections, reduce revenue loss, and implement process improvements Stays up to date on third-party billing requirements and reimbursement guidelines Serves as a Subject Matter Expert (SME) for the organization on internal claims billing system and industry relations Participates in meetings of the National Council for Prescription Drug Programs (NCPDP), representing the interests of PharMerica and the long term care pharmacy perspective Collaborates regularly with Contracting, Purchasing, Claims Processing, Accounts Receivable, Cash Processing, Facility Billing, Admissions, Census, Plan Administration, IT, and other areas of the company Ensures communications impacting other areas of the company are distributed properly and timely Performs other tasks as assigned Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Qualifications:

Education/Learning Experience Required:

Associate's degree, relevant technical certification, or equivalent work experience

Desired:

Bachelor's degree

Work Experience Required:

2+ years experience in a supervisory, managerial, or leadership role

Required:

5+ yrs experience working as a Pharmacy Technician, or in a billing potion within a healthcare setting

Required:

3+ yrs experience with pharmacy or health data analysis

Required:

2+ yrs experience working in a Pharmacy, Long Term Care, or Managed Care setting

Desired:

Specialized understanding of billing requirements for

Medicare Part D or Medicaid Skills/Knowledge Required:

Must be a good leader

Required:

Ability to maintain confidentiality

Required:

Proficiency in MS Office Products (Excel, Word) and basic computer knowledge

Required:

Excellent verbal and written communication skills, and C-level presentation skills

Required:

Ability to effectively navigate ambiguous situations with limited direction

Required:

Able to handle high volume and significant workload

Required:

Familiarity with long term care pharmacy or facility billing practices

Desired:

AS400 computer system experience About our

Line of Business:

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

Additional Job Information:

$500 Sign On / Retention Bonus This is an excellent opportunity to move from a retail to office environment for those who are willing to learn. Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.