Talent.com
Manager, Pharmacy Operations
Manager, Pharmacy OperationsMedica • Omaha, NE, United States
Manager, Pharmacy Operations

Manager, Pharmacy Operations

Medica • Omaha, NE, United States
30+ days ago
Job type
  • Full-time
Job description

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Manager of Pharmacy Operations is responsible for the overall direction and management of pharmacy operations for Medica. This position develops solutions to streamline processes, reduce administrative costs and improve operational procedures; and directs the implementation of strategies to enhance the member experience and improve effectiveness. Performs other duties as assigned.

Key Accountabilities

Process Improvement

  • Oversees accurate administration of Medica's prescription drug benefits and including accumulator and enrollment data exchange between vendors
  • Develops and oversees implementation of clinical and operational strategies, new programs and custom network development
  • Oversees pharmacy benefit and program implementation, communication and coordination across Medica's business units
  • Represent Pharmacy Operations at leadership level during meetings and presentations including the Pharmacy Executive Steering Committee
  • Partner with Sales and Account Management to address exceptions and customized requests to determine viability, effort, risks, costs and impact

People Management

  • Manages day-to-day operational functions
  • Directs workflow, prioritization and strategic alignment of initiatives
  • Recruits, hires, coaches and oversees training of new team members
  • Conducts performance evaluations and promotes career development
  • Vendor Management

  • Oversees PBM claim processing to ensure accuracy and timeliness
  • Holds PBM and mail order vendors accountable to contract provisions and performance guarantee standards
  • Manages quality controls (financial, procedural and compliance) for operational systems and processes
  • Oversees issue resolution with PBM and other vendors
  • Minimum Qualifications

  • Bachelor's degree in Business, or equivalent experience in related field
  • 5 years of equivalent work experience
  • Preferred Qualifications

  • Leadership experience in pharmacy operations or managed care
  • Knowledge of health care industry / products / benefits
  • Experience in PBM vendor management
  • Experience in medical pharmacy
  • Advanced experience with MS Excel
  • This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations : Minnetonka, MN, Madison, WI, Omaha, NE, St. Louis, MO.

    The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    Create a job alert for this search

    Operation Manager • Omaha, NE, United States

    Related jobs
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDash • Blair, NE, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 26 days ago • Promoted
    2026 MiLB Data Operations (PAPILLION, NE)

    2026 MiLB Data Operations (PAPILLION, NE)

    MLB Data Operations • Papillion, Nebraska, USA
    Part-time
    Major League Baseball is seeking Data Operations seasonal personnel for the upcoming season.Data Operations personnel are responsible for digitally scoring games from the ballpark which provides th...Show more
    Last updated: 9 days ago • Promoted
    Travel LPN / LVN - $1,054 per week

    Travel LPN / LVN - $1,054 per week

    Nationwide Therapy Group • Missouri Valley, IA, United States
    Full-time
    Nationwide Therapy Group is seeking a LPN / LVN for a travel job in Missouri Valley, Iowa.Job Description & Requirements. Nationwide Therapy Group Job ID #34917115.Pay package is based on 8 hour shi...Show more
    Last updated: 9 days ago • Promoted
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    GHG Healthcare • Missouri Valley, IA, US
    Full-time
    GHG Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. Years Experience IA or Compact Lic, ACLS, ...Show more
    Last updated: 22 days ago • Promoted
    Multi-Specialty Account Manager - Omaha, NE

    Multi-Specialty Account Manager - Omaha, NE

    Lundbeck • Papillion, NE, United States
    Full-time
    Territory : Omaha, NE - Multi-Specialty.Target city for territory is Omaha - will consider candidates who live within 40 miles of territory boundaries with access to a major airport.Territory bounda...Show more
    Last updated: 11 days ago • Promoted
    General Manager

    General Manager

    Hospitality Management Corporation • Missouri Valley, Iowa, USA
    Full-time
    Hospitality Management Corporation is a Dallas based privately held provider of management solutions and hospitality industry services each customized to fit our clients unique core value and miss...Show more
    Last updated: 7 days ago • Promoted
    Travel Nurse RN - ED - Emergency Department - $2,358 per week

    Travel Nurse RN - ED - Emergency Department - $2,358 per week

    First Connect Health • Missouri Valley, IA, US
    Full-time
    First Connect Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Missouri Valley, Iowa. Job Description & Requirements.They need to be a patient and depart...Show more
    Last updated: 8 days ago • Promoted
    Travel Cath Lab Tech in Bellevue, NE - $12555 / month

    Travel Cath Lab Tech in Bellevue, NE - $12555 / month

    VETTED • Bellevue, NE, United States
    Temporary
    Job Opportunity : Cath Lab Tech.Location : Council Bluffs, Iowa.Provides specialized healthcare services in a clinical setting. Works collaboratively with healthcare team members.Maintains professiona...Show more
    Last updated: 3 days ago • Promoted
    Pharmacy Technician (Remote in AZ), Clinical Customer Care Amazon Pharmacy

    Pharmacy Technician (Remote in AZ), Clinical Customer Care Amazon Pharmacy

    Amazon • Arizona, Arizona, USA
    Remote
    Full-time
    Innovation is at the core of what we do.We believe that by removing and reducing the barriers.We are looking for a Certified Pharmacy Technician to join us on our journey.Technician you will play a...Show more
    Last updated: 23 days ago • Promoted
    Pharmacy Manager Infusion Pharmacy

    Pharmacy Manager Infusion Pharmacy

    Cornhusker Vital Care • Omaha, Nebraska, United States
    Full-time
    Vital Care Infusion Pharmacy is committed to providing the highest quality patient care in the industry.We are expanding to Omaha and are very excited to be opening our first pharmacy in Nebraska.W...Show more
    Last updated: 30+ days ago • Promoted
    Portfolio Community Manager (BTR) WestEast Valley, AZ

    Portfolio Community Manager (BTR) WestEast Valley, AZ

    Bryten • Arizona, Arizona, USA
    Full-time
    We are committed to creating an inspiring and inclusive experience celebrating our diverse culture and offering a variety of benefits and opportunities. Be a part of the journey of empowerment and e...Show more
    Last updated: 7 days ago • Promoted
    Manager Practice Operations South Clinic

    Manager Practice Operations South Clinic

    Nebraska Methodist Hospital • Omaha, Nebraska, USA
    Full-time
    Why work for Nebraska Methodist Health System.At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of C...Show more
    Last updated: 13 days ago • Promoted
    Operations Manager

    Operations Manager

    Mercury Hampton • Arizona, Arizona, USA
    Permanent
    Weeks 401k Plan Health Dental.I am working with a leading distributor of high-quality products for the construction industry. As an Operations Manager you will work across 6 sites and hold respon...Show more
    Last updated: 7 days ago • Promoted
    Director - Oncology Ambulatory Clinics, Infusion and Treatment Center

    Director - Oncology Ambulatory Clinics, Infusion and Treatment Center

    Nebraska Medicine • Omaha, NE, US
    Full-time
    Director - Oncology Ambulatory Clinics, Infusion and Treatment Center.Serious Medicine is what we do.Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to ...Show more
    Last updated: 11 hours ago • Promoted • New!
    Outside Medical Coordinator

    Outside Medical Coordinator

    SunSoft Online • Arizona, Arizona, USA
    Full-time
    Job Summary : It is essential that this candidate follows written and verbal instructions follows established guidelines determines the appropriate medical experience a physician should have to revie...Show more
    Last updated: 18 days ago • Promoted
    CVS Health Careers in Blair, NE

    CVS Health Careers in Blair, NE

    CVS • Blair, NE, USA
    Full-time
    CVS is hiring for retail, pharmacy, customer service, and management positions.Competitive wages with comprehensive benefits and employee discounts. Flexible scheduling with opportunities for career...Show more
    Last updated: 23 days ago • Promoted
    Travel Nurse RN - Med Surg - $2,052 per week

    Travel Nurse RN - Med Surg - $2,052 per week

    TheraEX Staffing Services • Missouri Valley, IA, USA
    Full-time
    TheraEX Staffing Services is seeking a travel nurse RN Med Surg for a travel nursing job in Missouri Valley, Iowa.Job Description & Requirements. At TheraEx we strive to be the .We bring the "Mom an...Show more
    Last updated: 30+ days ago • Promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMD • Blair, NE, US
    Full-time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show more
    Last updated: 30+ days ago • Promoted