Top 1 Prior authorization pharmacist Jobs in Gainesville, Fl

Registered Manager Local Specialty
Walgreens —Gainesville, FL
- $130,275 - $191,209 a year
- Full-time
- Bachelor of Science
- Merchandising
- Master's degree

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Registered Manager Local Specialty

Walgreens -
Gainesville, FL

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Job Details

Full-time
$130,275 - $191,209 a year

Qualifications

Registered Pharmacist (RPh)
Retail pharmacy experience
Dispensing prescriptions
Pharmacy Information Systems (PIS)
Pharmaceutical regulatory compliance
Controlled substance management
Licensed Pharmacist (State-Specific)
Team development
Licensed Pharmacist
Team training
Training & development
Pharmacy operations
State and federal pharmacy laws
Task assignment
Managing pharmacy teams

Full Job Description

Job Summary

Responsible for directing the operation of a Walgreens Local Specialty Pharmacy, and accountable for improving unit sales, profits, and image through the overall development and protection of store assets, the selection, training, and development of personnel, and proper service to customers. Responsible for building relationships, overseeing the clinical management of patients and growing the business at the site. Performs all duties of the Pharmacy Manager in their absence.

Customer Experience

Ensures that store personnel provide hospitable service and information, and are courteous, friendly, and efficient.
Responds to customer inquiries and complaints, and maintains and improves overall image of pharmacy department. Responds to special needs of customers, as requested.

Patient/Clinical Management

Collaborates with providers to determine appropriateness of therapy. Educates patients on medication administration and expectations, side effect mitigation, and the importance of adherence. Regularly follows up with patients during the time of refills.
Enrolls and follows patients through clinical management programs.
Oversees the enrollment of patients with assistance programs, such as Chronic Disease Fund, confirming patient eligibility and all required reporting and documentation.
Responsible for ensuring compliance of team members with regard to the documentation of patient management in the appropriate systems.
Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all other third-party payers, as well as the facilitating of prior authorizations on behalf of prescribers.

Operations

Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service, and in stock) and maintains a working knowledge of the pharmacy function.
Directs the operation of the store (front-end and pharmacy departments).
Improves prescription numbers, pharmacy sales, profit, and image through the accurate filling of prescriptions, and by providing courteous and efficient service to customers inclusive of patients, prescribers, pharmaceutical manufacturers, payers, and health systems.
Provides direction to ensure that pharmacy department procedures and practices are in compliance with federal and state regulations and guidelines. Also ensures compliance with internal regulatory bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare, accreditation bodies, compounding, FDA, etc.).
Complies with all federal and state laws and regulations and Company policies governing all drugs and products; maintains required records, documentation, and reports. Ensures completion of all required reporting.
Assures accurate and timely reporting of inventory for limited distribution drugs (LDD) when required (daily, weekly, and monthly).
Recommends and implements asset protection controls and procedures to identify and minimize profit loss.
Improves and maintains store condition, maintenance, and appearance for the safety, health, and well-being of customers and employees, and ensures adherence to applicable government regulations and laws.
Controls the store's safe and "bank," including electronic register readings, cash withdrawals, cash accounts, daily cash reports, cash over and short records, and other reports related to cash management.
Assures proper operation and maintenance of pharmacy department systems and equipment.
Maintains awareness of third party pharmacy business opportunities, and assures proper administration and implementation of third party pharmacy systems and procedures to lessen payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis.
Manages and attains inventory budgets to include selecting and ordering new, promotional, and permanent merchandise; keeping stores in stock, and liquidating overstocked, slow-moving, and/or old store merchandise.

Daily Planning and Execution

Schedules employees so that there is adequate coverage for all areas.
Implements store organization through proper hiring and placement, scheduling of work, assignment of responsibility, and delegation of authority.
Coordinates and organizes pharmacy department daily schedule of activities.

Business Performance Management

Prepares, submits, and files various reports and records required by the Company and various government agencies.

Business Planning

Responsible for developing the business plan to grow the business at the site and within Walgreens working in conjunction with the District/Region leadership. Pursues opportunities to grow Walgreens market share at the site and within Walgreens Enterprise via other business opportunities.
Specific to Health System Pharmacy locations: Responsible for collaborating with internal strategic account management to deepen the relationship with the health system for overall growth of business at the site and within Walgreens.

People & Performance Management

Maintains and improves performance of department through the building of employee morale and motivation, rewards employees, and addresses employee complaints where appropriate, and uses Constructive Discipline policies of Company to discipline, suspend, terminate, or effectively recommend the same. Utilizes Constructive Discipline policy to ensure compliance with state and federal laws by pharmacy department personnel.
Assures EEO compliance through equity, consistency, and fairness; prevents workplace harassment; upholds the Open Door policy assuring no retaliation; communicates openly and honestly to employees at all times.
Manages staffing by planning for and scheduling appropriate hours in adherence with budgeting guidelines. Directs and attains payroll budget and controls use of overtime.
In the absence of, or alongside the RXMO, supervises pharmacy department team members to assure performance of required functions and adherence to Company policies and procedures. Ensures proper licensure of all pharmacy department personnel. Confirms pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and inventory reporting, clinical management). Reaffirms with all pharmacy department personnel, on a regular basis, their obligations regarding the dispensing of prescriptions only in good faith.
Ensures proper licensure of all pharmacy department personnel. Confirms pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (Adverse event reporting, data and inventory reporting, clinical management).
Enforces all Company policies and procedures. Upholds federal, state,

Basic Qualifications

BS in Pharmacy or PharmD Degree from an accredited educational institution.
Current pharmacist license in the state where the site is located or willing to obtain by position start date. Must maintain active license.
At least 1 year pharmacy experience including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws.
Achieving expectations rating on last performance review and no written disciplinary actions in the last 12 months (internal candidates only).
Has completed specialized training regarding medication and disease state or has sufficient practical experience that is necessary to provide specialized services offered at clinic location (HIV, Organ Transplant, Oncology, etc.)., or willing to complete within the first 6 months in the role.
At least 2 years of experience in indirect management of team members, including assisting in the development, training and assignment of work/projects to other team members, or completion of a residency.
Willing to travel up to 20% of the time for business purposes (within state and out of state).

Preferred Qualifications

Masters or PharmD preferred.
Experience with client resolution and exposure to Specialty Pharmacy.
Experience supervising or staffing of local specialty pharmacies.
At least 2 years of experience planning, develop

We will consider employment of qualified applicants with arrest and conviction records.

An Equal Opportunity Employer, including disability/veterans.

This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $130,275 - $191,209. The actual salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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