Quality, Innovation, and Experience: Setting Us Apart
Pharmacy Operations Manager
Location
United States
Posted
4 days ago
Salary
0
Seniority
Mid Level
Job Description
Pharmacy Operations Manager
Medical Review Institute of America, LLC
• Manager-level position responsible for end-to-end operational oversight of pharmacy operations supporting both clinical and non-clinical functions • Accountable for workflow performance, team coordination, and execution across integrated operational models • Leads cross-functional teams responsible for case progression, clinical review support, and completion activities, ensuring alignment with quality, turnaround time, and productivity expectations • Partners with clinical leadership, quality, and operations teams to drive efficiency, reduce rework, and support scalable, high-performing operational workflows • Provide operational leadership for pharmacy operations workflows, including both clinical and non-clinical functions supporting IRO services (initial reviews and appeals) • Own the execution and performance of integrated pharmacy operations, ensuring alignment across case progression, clinical review support, and completion processes • Lead cross-functional teams to deliver against key operational metrics, including quality, turnaround time, productivity, and backlog management • Drive alignment between clinical and non-clinical workflows to ensure efficient case flow, minimize rework, and optimize resource utilization • Partner with clinical leadership, quality, and operations teams to ensure consistency in review practices, documentation standards, and workflow execution • Contribute to the ongoing design, refinement, and standardization of operational workflows to support scalability and performance improvement • Develop team capability through coaching, performance management, and workforce planning across both clinical and non-clinical staff • Identify operational risks, gaps, and inefficiencies, and implement solutions to improve performance and service delivery • Lead day-to-day operations of pharmacy workflows, ensuring efficient case progression across clinical and non-clinical functions • Own performance outcomes for assigned operations, including quality, turnaround time, productivity, and backlog management • Monitor and manage workflow distribution, capacity, and staffing to ensure alignment with volume demands and service level expectations • Ensure effective coordination between clinical and non-clinical functions to support seamless case flow and minimize delays or rework • Identify and resolve operational bottlenecks, inefficiencies, and breakdowns in workflow execution • Establish and maintain performance standards, ensuring accountability at both individual and team levels • Provide direct leadership to team members, including coaching, performance management, and development of both clinical and non-clinical staff • Partner with quality and clinical leadership to ensure consistency in review practices, documentation, and adherence to internal and external standards • Support implementation and stabilization of new workflows, processes, and operational changes to improve efficiency and scalability • Analyze operational data and performance trends to identify opportunities for improvement and drive informed decision-making • Ensure readiness and operational alignment for new clients, products, or workflow changes impacting pharmacy operations • Maintain effective communication with cross-functional partners to ensure alignment on priorities, risks, and performance outcomes • Perform other duties as required to support operational performance and business needs
Job Requirements
- Minimum of 2–3 years of supervisory or leadership experience in healthcare operations, managed care, or a related environment
- Experience supporting clinical review, quality auditing, completion, or similar operational workflows preferred
- Clinical experience in utilization review, clinical quality auditing, or related healthcare review functions preferred
- Strong understanding of healthcare operations, including clinical review workflows, case progression, and operational support functions within pharmacy operations
- Demonstrated leadership experience managing both clinical and/or non-clinical teams in a healthcare or managed care environment
- Ability to manage end-to-end workflows, including coordination between clinical and non-clinical functions to drive efficient case flow
- Strong operational and problem-solving skills, with the ability to identify bottlenecks, resolve workflow issues, and improve performance
- Experience managing performance metrics, including quality, turnaround time, productivity, and backlog
- Ability to work in a fast-paced environment, managing multiple priorities and shifting demands
- Strong communication skills, with the ability to collaborate effectively across clinical, quality, and operations teams
- Strong organizational skills and attention to detail
- Working knowledge of medical terminology and healthcare processes
- Knowledge of regulatory, compliance, and accreditation requirements applicable to healthcare operations
- Proficiency in standard business tools (Microsoft Office Suite)
Benefits
- healthcare, vision and dental insurance
- a generous 401k match
- paid vacation
- personal time
- holidays
- Growth and training opportunities
- A team atmosphere with fun events and prizes scheduled throughout the year
Related Guides
Related Categories
Related Job Pages
More Operations Jobs
• Design, own, and continuously improve the new hire onboarding program for AEs, BDRs, and Sales Engineers - including structured tracks, milestones, assessments, and ramp benchmarks • Certify new reps on product knowledge, messaging, and sales methodology in partnership with Sales leadership • Coordinate with HR, Product, and Marketing to keep onboarding content current; track time-to-productivity and iterate based on results • Facilitate live training sessions, role-plays, and skills workshops for new hires and tenured reps • Serve as the primary point of contact between Sales and Marketing - translating rep needs into content and tool requests • Partner with Product Marketing to develop and maintain playbooks, battlecards, one-pagers, objection-handling guides, and demo scripts • Ensure all sales content is organized, current, and accessible in the enablement platform (e.g., Highspot, Seismic, or similar) • Coordinate sales input on product launches, campaign alignment, and messaging updates; support rollout and adoption of new sales tools • Own the RFP content repository - keeping standard responses, company information, security questionnaires, and supporting materials up to date • Manage end-to-end RFP response: intake, triage, assignment, drafting, review, and submission • Coordinate with Product, Engineering, Legal, Security, and Finance for accurate, timely responses; enforce quality standards and approval workflows • Track RFP win/loss data to improve future responses; evaluate and implement RFP automation tools (e.g., Responsive, RFPIO, Loopio)
• Define and own the technical roadmap for our lifecycle tooling ecosystem (e.g., Braze), ensuring total data stability, governance, and future-proof documentation. • Lead cross-functional work alongside Lifecycle Marketing, Data Engineering and Data Analytics to define and maintain source of truth lifecycle data models (events, attributes, segments, composite scores, propensity models). • Drive operational efficiency by architecting AI-driven automation workflows and internal tooling to eliminate repetitive production overhead. • Collaborate with the lifecycle marketers to systematize journey designs and briefs into robust, testable flows in Braze (or equivalent) • Implement and maintain scalable templates, modular components, and reusable logic. • Operationalize A/B and multivariate tests end to end, setting up principles for audience configuration, randomization, holdouts, and measurement-ready instrumentation. • Own reporting requirements for lifecycle ops (e.g., journey health, delivery and error monitoring, experiment status dashboards).
Senior Manager, Infrastructure Protection Operations
Focus Financial PartnersWe are strategic investors in RIAs, providing value-added support, access to capital for growth, and succession planning
• Manage and mentor a team of infrastructure security professionals. • Oversee the end-to-end vulnerability management program. • Ensure robust endpoint security by overseeing the team’s management of antivirus/EDR solutions. • Direct the operational management of network and application security controls. • Ensure that infrastructure operations consistently comply with enterprise security policies, baselines, and regulatory requirements. • Collaborate with Cloud, Systems, Network, and Identity & Access Management (IAM) teams to integrate security requirements into infrastructure builds and changes. • Provide oversight for the enterprise’s privileged access management (PAM) operations and tooling. • Ensure effective operation of key infrastructure security tools and monitoring processes. • Represent the IPO team in governance processes and Architecture Review Board (ARB) discussions. • Maintain disaster recovery (DR) readiness for IPO-managed security tools and processes. • Drive alignment between Security Engineering priorities and Infrastructure Operations and Architecture outcomes.
Manager – Web Experience, Operations
Included HealthAccess. Answers. Advocacy. We're raising the standard of healthcare for everyone.
• Own day-to-day operations for Included Health’s marketing websites and client microsites, ensuring content is accurate, on-brand, accessible, and optimized across devices. • Execute on intake tickets and internal marketing requests • Translate the broader web roadmap into quarterly and monthly priorities; own intake, backlog management, and day-to-day tradeoff decisions across requests, bugs, optimizations, and launches. • Build and update pages, templates, and content modules in WordPress and related tools, applying best practices for UX, accessibility, scalability, technical SEO, and performance; troubleshoot issues and partner with developers on more complex changes. • Lead launch readiness and execution for site updates, including QA, compliance checks, stakeholder communication, and post-launch monitoring. • Improve web publishing workflows, documentation, and operational guardrails so teams can move faster while maintaining quality and consistency. • Identify opportunities to use AI and automation to streamline repetitive work, accelerate QA and optimization workflows, and improve team efficiency. • Define and implement scalable technical SEO and AEO/GEO best practices across site architecture, internal linking, metadata, structured data, XML sitemaps, redirects, canonicals, and indexation controls. • Own test-and-learn execution across sites by developing hypotheses, running experiments, and operationalizing wins into repeatable best practices. • Monitor site health and technical SEO performance using analytics, Search Console, and crawling tools; diagnose issues related to crawlability, rendering, indexation, page speed, broken templates, and technical errors, then prioritize remediation. • Build reporting on key web KPIs and communicate results, recommendations, and priorities clearly to stakeholders. • Lead and execute cross-functional coordination across Marketing, Product, Engineering, Analytics, Design, Content Strategy, and partners to deliver initiatives from concept through launch.




