System Manager of Retail Pharmacy Analytics and Finance
US-OH-Toledo
commonspirit_careers
Req #: 409230
Type: Day
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Overview:
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Responsibilities:
Jo This is a remote position.
The System Manager, Retail Pharmacy Analytics & Finance, is responsible for supporting the system-level strategy, vision, and business plans related to retail pharmacy service, including specialty pharmacy and mail order strategies, financial review and management, revenue cycle management, creating analytical tools of business operations for improvement and sustainability, and business development. The manager will plan, direct and coordinate activities within the scope of these functional areas and other areas of opportunity in close coordination with the System Director, Retail Pharmacy Services.
This position has accountability for fostering effective working relationships with business functions outside of retail pharmacy services, including other pharmacy business lines, supply chain, revenue cycle, payer strategy, finance, accounting, legal, compliance, IT/BI, advocacy and vendors.
Essential Key Job Responsibilities
* Responsible for successful development and implementation of retail pharmacy services revenue cycle management (RCM) improvements and responsible for successful, continuing operations of an enterprise-wide function.
* Facilitates the work efforts at the local, region and national level to improve pharmacy revenue through improving pharmacy revenue cycle management processes.
* Collaborates with CommonSpirit Health Finance and Pharmacy, Revenue Cycle partners, and other partners to develop and implement strategic plans.
* Effectively transitions pharmacy revenue cycle management into a proactive, integrated successful function.
* Responsible for compliance and sustainability of RCM processes.
* Responsible for review and analysis of the retail pharmacy business lines to ensure financial profitability and operational efficiency.
* Leads assessment and planning activities to evaluate business opportunities within retail pharmacy services, developing strategy and implementation plans to support growth for CSH.
* Defines and monitors targets, metrics, and reporting for the retail pharmacy and PBM services to document savings, revenue, problem areas, and quality discrepancies. Assures that reporting is actionable and is shared with key leadership stakeholders.
* Develops resources and provides education to local, region, and system employees.
* Accountable for quality and opportunity improvements as well as operational support.
* Accountable for vendor and partner solutions and relationships.
* Assesses the benefits, cost-effectiveness, and risks of prospective work efforts.
* Develops, implements, and maintains processes and policies and procedures for pharmacy business operations and ensures processes allow for the most compliant and efficient use of staff and resources.
* Identifies and researches opportunities to improve vendor solutions to improve operational efficiency through a cost-efficient solution.
#LI-CSH
Qualifications:
Education and Experience:
* Bachelor's Degree and minimum of 3 years leadership experience OR minimum of 5 years leadership experience in the discipline OR Master's in Business Administration (MBA).
* Experience in developing and managing programs requiring a focus on financial performance and compliance
* Healthcare finance background required
* Solid understanding of revenue cycle, pharmacy benefits, and supply chain management as well as other business principles (strategic and financial planning, budgeting, business and project planning).
* Experience in pharmacy operations, systems, technology, and personnel management at a director or manager level with comprehensive understanding of pharmacy, clinical informatics, and pharmacy financial functions.
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