What are the responsibilities and job description for the Pharmacy Operations Supervisor position at UCare?
ABOUT UCARE
UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.
WORKING AT UCARE
Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.
Our strong culture has established UCare as a Star Tribune Top 200 Workplace for 15 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.
PHARMACY OPERATIONS SUPERVISOR
The current hiring base salary range for this role is :
75,389.00 / year - $84,812.40 / year
UCare anticipates paying within the above-references salary range for this position. The actual base salary offer for this position will be determined by a variety of components including but not limited to work experience, education, certifications, location of the role, internal equity, and other relevant factors.
LOCATION : Minneapolis, MN (Work from Home and Office for Your Day)
Position Description
As the Pharmacy Operations Supervisor, you will be responsible for direct supervision of the Pharmacy Operations team. Interview, train, develop, coach and mentor individual team members. Ensure pharmacy operational procedures are followed in a timely manner, with a high degree of quality, and in compliance with regulations and member benefits as specified in the member contract / evidence of coverage. You will collaborate closely with members of the pharmacy, clinical services, quality management and other departments to respond to service requests, pharmacy intake email issues, and triage and troubleshoot pharmacy claim issues. Analyze, answer, resolve and document telephone calls from members, providers, internal departments, and external agencies, according to Federal, State and Commercial regulatory timelines.
- Recruit, interview and select team members. Provide training to new team members and to team members taking on new responsibilities. Monitor team and in coordination with Operations Manager, ensure there are adequate resources to meet the Pharmacy team goals.
- Supervise and provide oversight to the Pharmacy Operations Coordinators. Schedule Operations Coordinator work assignments on a daily basis. Monitor teams' performance on day-to-day basis and support issue resolution. Identify issue trends and work with Pharmacy team members to improve performance.
- Assign team members to specific areas of Subject Matter Expertise within pharmacy operations and assist in developing annual goals and objectives.
- Develop and maintain an understanding of UCare products, benefits, pharmacy operations and clinical programs; including formulary knowledge, benefit management, materials, regulatory oversight; and appropriate drug claims processing. Partner with Pharmacy Benefit Management (PBM) vendor to ensure appropriate pharmacy benefit administration.
- Lead projects as assigned within UCare and represent pharmacy on cross-functional team projects. Serve as subject matter expert (SME) on at assigned pharmacy functions.
- Other projects and duties as assigned.
Education
BA / BS preferred; demonstrated experience may be considered in lieu of degree.
Required Experience
Three years of pharmacy operations or Health Plan operations experience in a PBM or health insurance setting. At least one year of leadership experience.
Preferred Experience
Medicare Part D, State Public Programs and Healthcare Reform knowledge. Experience in gathering, translating and communicating technical business requirements. Proficiency with data analysis and validation. Strong knowledge of MS office products. Process improvement experience. Background in policy and procedure development. People management experience.
THE UCARE DIFFERENCE
The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.
BENEFIT ELIGIBLITY
Candidates hired into this position will also be eligible to participate in the following benefit programs : Paid Time Off; Earned Safe and Sick Time; Paid Holidays; Parental Leave; 401K program; medical, dental, vision, life insurance; short-term and long-term disability insurance; Flexible Spending Account and / or Health Savings Account, subject to meeting the eligibility requirements and terms and conditions of these programs.
This job posting should not be construed as an offer of employment with certain terms, nor should it be construed as a guaranteed minimum. UCare's policies and benefits are subject to change in UCare's sole discretion, consistent with applicable law.
Salary : $84,812
