Top 81 Pharmacy operations Jobs in North Haledon Nj

Senior Specialist, Pharmacy Systems Operations - Remote
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Oracle
- Microsoft Outlook
- Mid-level
Director of Pharmacy Operations
PurposeMed —New York, NY
- $180,000 - $210,000 a year
- Full-time
- Remote
- Travel
- Contracts
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Quick Apply
Vendor Relations Specialist
EmpiRx Health, LLC —Montvale, NJ
- $67,302 - $84,127 a year
- Full-time
- Microsoft Outlook
- Salesforce
- Mid-level
- Health savings account
- Health insurance
Quick Apply
2d
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
2d
Assistant Manager, Pharmacy Operations - Atlantic Health Morristown Medical Center
Atlantic Health System —Morristown, NJ
- Full-time
- Mid-level
- 3 years
- Children
- 403(b) matching
- AD&D insurance
Pharmacy Product Project Manager - Hybrid/Remote
EmblemHealth —New York, NY
- $77,760 - $149,040 a year
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
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
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
Director, (Alpha-1 Antitrypsin Deficiency) AATD Patient Support Services Strategy and Operations
Sanofi —Morristown, NJ
- $178,500.00 - $257,833.33 a year
- Hybrid work
- 7 years
- Bachelor's degree
- Case management
- Parental leave
10h
Inventory Specialist
Walgreens —Haledon, NJ
- $18 - $21 an hour
- Part-time
- Merchandising
- English
- Mid-level
17h
Pharmacy Operations Manager
Walgreens —Clifton, NJ
- $22.50 - $31.00 an hour
- Weekends as needed
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
2d
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
Director, Pharmacy
Atlantic Rehabilitation Institute —Madison, NJ
- $150,000 - $165,000 a year
- Full-time
- Hospital
- Bachelor of Science
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
8d
Regional Director of Pharmacy - PPS
Partners Pharmacy —Springfield, NJ
- Monday to Friday
- 3 years
- Bachelor's degree
- Data entry
- Health insurance
- 401(k)
Manager Pharmacy
Montefiore Einstein —Bronx, NY
- $144,000 - $180,000 a year
- Full-time
- Hospital
- 5 years
- Inpatient
Pharmacy Technician
Thrivewell Infusion —New York, NY
- $50,000 - $60,000 a year
- Customer service
- Mid-level
- Data entry
- Health insurance
- Dental insurance
Quick Apply
8d
Pharmacist I
Newark Beth Israel Medical Center —Newark, NJ
- $71.40 an hour
- Day shift
- Hospital
- Mid-level
- Team management
- Disability insurance
- Health insurance
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
Pharmacy Intake Manager
Topaz HR —Bardonia, NY
- $65,000 - $90,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
Office of the CEO, Associate
Pharmacy First Health —New York, NY
- $80,000 - $100,000 a year
- Full-time
- Hybrid work
- Mid-level
- Clinic
- 2 years
Quick Apply

I want to receive the latest job alert for pharmacy operations in north haledon nj

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

pharmacy operations jobs near north haledon nj

Senior Specialist, Pharmacy Systems Operations - Remote

EmblemHealth -
New York, NY

Apply Now

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 north haledon nj

Senior Specialist, Pharmacy Systems Operations - Remote

Director of Pharmacy Operations

Vendor Relations Specialist

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

Assistant Manager, Pharmacy Operations - Atlantic Health Morristown Medical Center

Pharmacy Product Project Manager - Hybrid/Remote

Pharmacy - Operations Associate

Deputy Director of Pharmacy Operations

Director, (Alpha-1 Antitrypsin Deficiency) AATD Patient Support Services Strategy and Operations

Inventory Specialist

Pharmacy Operations Manager

Assistant Vice President of Pharmacy Operations

Director, Pharmacy

Regional Director of Pharmacy - PPS

Manager Pharmacy

Pharmacy Technician

Pharmacist I

Inventory Control Associate - Central Fill Pharmacy

Pharmacy Intake Manager

Office of the CEO, Associate

I want to receive the latest job alert for pharmacy operations in north haledon nj

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected