Top 100 Pharmacy operations Jobs in Sunnyside, Ny

Senior Specialist, Pharmacy Systems Operations - Remote
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Oracle
- Microsoft Outlook
- Mid-level
Assistant Vice President of Pharmacy Operations
NYC Health + Hospitals —New York, NY
- $225,000 - $300,000 a year
- Online Application
- Microsoft Excel
- Hospital
- 5 years
- Commuter assistance
- Paid holidays
Staff Pharmacist Part TIME
Best Pharmacy —Bronx, NY
- $65 - $95 an hour
- Part-time
- In-person
- Entry level
Quick Apply
10d
Pharmacy - Operations Associate
Atria Health and Research Institute —New York, NY
- $20 - $22 an hour
- Urgent Care
- HIPAA
- Quality control
- Continuing education credits
- Health insurance
Quick Apply
Pharmacy Product Project Manager - Hybrid/Remote
EmblemHealth —New York, NY
- $77,760 - $149,040 a year
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
Inventory Control Associate - Central Fill Pharmacy
McKesson —New York, NY
- $17.49 - $29.15 an hour
- Overtime
- Microsoft Outlook
- Ability to walk for extended periods
- Computer literacy
AVP, Pharmacy - VIVO (Specialty & Retail Operations)
Northwell Health —New Hyde Park, NY
- $205,200 - $320,000 a year
- Full-time
- 7 years
- System design
- Senior level
Pharmacy Manager
Catholic Health —Roslyn, NY
- $131,000 - $186,069 a year
- On call
- Microsoft Excel
- Hospital
- Computer literacy
- Health insurance
- Tuition reimbursement
Pharmacy Manager
CVS Health —Roslyn Heights, NY
- $116,552.16 - $150,363.89 a year
- Full-time
- Management
- Inpatient
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Supervising Pharmacist
In2hrandtalent —Brooklyn, NY
- $145,000 - $165,000 a year
- Full-time
- Customer service
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Staff Pharmacist – Independent Pharmacy | No Sundays | $55–$65/hr – Nutley, NJ
White Oak Pharmacy —Nutley, NJ
- $55 - $65 an hour
- Full-time
- HIPAA
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
11d
Pharmacist
Zen Health —Port Washington, NY
- $64.06 - $78.15 an hour
- Full-time
- Mid-level
- Supervising experience
- In-person
Quick Apply
14d
Pharmacy Technician
Community Care Rx —Plainview, NY
- $20 - $25 an hour
- 8 hour shift
- Office
- US work authorization
- Data entry
- Free parking
- Health insurance
Quick Apply
Supervising Pharmacist
In2hrandtalent —Brooklyn, NY
- $75 an hour
- Full-time
- HIPAA
- Quality control
- Organizational skills
- Health insurance
Quick Apply
3d
Interim Director of Pharmacy - Contract
Soliant —Newark, NJ
- Weekends as needed
- Management
- Bachelor of Science
- Mid-level
Quick Apply
Pharmacy Inventory Specialist, Brooklyn - FuzeRx
Fuze Health —Brooklyn, NY
- $22.50 - $29.00 an hour
- Full-time
- ERP systems
- Mid-level
- Analysis skills
- Commuter assistance
- Paid parental leave
Formulary Operations Specialist
Judi Health —New York, NY
- $70,000 - $85,000 a year
- Salesforce
- Mid-level
- 3 years
Quick Apply
Deputy Director of Pharmacy Operations
MetroPlus Health Plan —New York, NY
- $175,000 - $183,909 a year
- Full-time
- Hybrid work
- Office
- Supervising experience
- Senior level
Pharmacy Operations Manager
Walgreens —Long Island City, NY
- $22.50 - $31.00 an hour
- Part-time
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
Pharmacy Cashier
LEFF PRESCRIPTION CENTER —Bronx, NY
- $17 an hour
- Part-time
- 18 years or older
- In-person
- Communication skills
Quick Apply
2d

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pharmacy operations jobs near sunnyside, ny

Senior Specialist, Pharmacy Systems Operations - Remote

EmblemHealth -
New York, NY

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Job Details

$68,040 - $118,800 a year

Qualifications

Microsoft Outlook
Bachelor's degree
IT experience within healthcare
Managing projects

Full Job Description

Summary of Job

Serve as pharmacy systems coding subject matter expert for Prior Authorization with a focus on medical drug claim processing, review of utilization management, PA processing, and appeals; as well as the following: claims processes and JUDI interoperability with FACETS edits and other connection troubleshooting. Provide technical and subject matter expertise support for implementations and day to day operations of Pharmacy functions and vendor coordination. Support operations for file transfer systems (configuration, deployment, pharmacy management and medical benefits, eligibility). Support operations for system integration, including monitoring files and transitions, fallout, and root cause analyses. Execute non-clinical Appeals from post claim edit process, and consistently maintain queue

Responsibilities

Collaborate in defining, gathering, reviewing, and editing business requirements for system updates, enhancements and migrations for claims projects.
Perform solution analysis review and provide concise direction to ensure that the proposed system solution meets established business protocols, and any mandates and compliance guidelines.
Partner with business analysts, business users and source system experts to produce claim processing output consistent with meeting overall goals.
Review daily, pended medical drug claims for accuracy.
Identify and implement solutions to support automation of claims or resolve with manual intervention.
Collaborate with clinical, formulary, payment integrity and other key players to ensure issues are accurately defined with an appropriate solution.
Submit and track medical claims system configuration requests related to RPC (Reimbursement Policy Committee) decisions, ensuring timely implementation and alignment with approved policy guidelines.
Work with business units to develop test strategies and scenarios from business requirements.
Accurately interpret and translate strategies and scenarios into test plans.
Analyze requirements, test documents and acceptance criteria which will effectively find defects that may exist in claims processing.
Act as a liaison and subject matter expert for day to day medical drug system-related technical questions and/or issues.
Troubleshoot and track all concerns on unpaid claims, working with key stakeholders and respond to all appropriate parties effectively within a timely manner.
Provide written progress report to leadership regarding the status of deliverables, issues, problems and corrective actions taken.
Perform other related tasks as directed or required

Qualifications

Bachelor’s degree required
4 – 6+ years of relevant, professional work experience (Required)
2+ years’ experience in one or more of the following: claims processing, pharmacy/coding, utilization management (Required)
Experience in a healthcare environment (Required)
Proficiency with MS Office - Word, Excel, Access, PowerPoint, Outlook (Required)
Advanced reporting system experience/knowledge - SAS, Oracle, etc. (Preferred)
Track record of successfully managing multiple tasks/projects with competing priority levels/deadlines (Required)
Ability to understand complex technical system requirements and translate into simple business language (Required)
Excellent communication skills - verbal, written, presentation, reporting, interpersonal (Required)
Attention to detail; ability to think critically; ability to identify, quantify, analyze and resolve issues (Required)

Additional Information

Requisition ID: 1000003227
Hiring Range: $68,040-$118,800

Apply Now

Refine Your Search

pharmacy operations jobs in sunnyside, ny

Senior Specialist, Pharmacy Systems Operations - Remote

Assistant Vice President of Pharmacy Operations

Staff Pharmacist Part TIME

Pharmacy - Operations Associate

Pharmacy Product Project Manager - Hybrid/Remote

Inventory Control Associate - Central Fill Pharmacy

AVP, Pharmacy - VIVO (Specialty & Retail Operations)

Pharmacy Manager

Pharmacy Manager

Supervising Pharmacist

Staff Pharmacist – Independent Pharmacy | No Sundays | $55–$65/hr – Nutley, NJ

Pharmacist

Pharmacy Technician

Supervising Pharmacist

Interim Director of Pharmacy - Contract

Pharmacy Inventory Specialist, Brooklyn - FuzeRx

Formulary Operations Specialist

Deputy Director of Pharmacy Operations

Pharmacy Operations Manager

Pharmacy Cashier

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