Want to know if this job is worth applying to?
Florida, United States
Onsite
Location:
Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary:
The Pharmacy Business Manager is responsible for ensuring accurate, compliant, and optimized medication-related revenue across outpatient pharmacy business lines. This role integrates pharmacy expertise to support payer and pharmaceutical company relationships, contract management, credentialing, and business development initiatives. The position partners with pharmacy leadership, revenue cycle, finance, compliance, and external stakeholders to protect pharmacy revenue integrity, reduce financial risk, and support sustainable growth while maintaining high standards of patient care.Responsibilities:
Guides financial and utilization analytics, including margin, payer mix, acquisition cost, reimbursement trends, and utilization patterns; oversee the development and maintenance of dashboards, KPIs, and executive-level reporting.Supports pharmacy contract review, credentialing, and re-credentialing activities with payers and PBMs, and ensures accurate interpretation and operationalization of contract terms across pharmacy teams.Leads payer and pharmaceutical manufacturer engagement efforts, including PBMs and limited distribution networks, to support access, reimbursement optimization, contract compliance, and business continuity across pharmacy services.Oversees and monitors reimbursement performance, including payer audits, denials, underpayments, and write-offs, and ensure timely escalation, root-cause analysis, and corrective action in collaboration with operational, finance and finance revenue cycle teams if needed.Establishes governance and standardized processes to identify, analyze, and resolve revenue leakage related to medication acquisition, dispensing, administration, wastage, reimbursement, site-of-care optimization, and vendor or manufacturer agreements.Provides direct leadership and oversight of pharmacy staff as it relates to revenue cycle, profitability reviews, workflows, including workload prioritization, performance management, coaching, and professional development.Partners with pharmacy, nursing, clinical, operational, compliance, and finance leadership to design and implement workflows that align patient access, clinical quality, financial integrity, and organizational growth objectives.Competencies:
ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, DEVELOPING RELATIONSHIPS, EFFECTIVE COMMUNICATION, MANAGING BUSINESS PRIORITIES, MANAGING FINANCIAL OPERATIONS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOREducation and Certification Requirements:
Doctorate: Pharmacy (Required)Pharmacist License (PS LICENSE) - State of Florida (FL)Additional Job Information:
Complexity of Work: This role requires advanced analytical judgment, strong knowledge of pharmacy reimbursement and regulatory requirements, and the ability to operate across clinical, financial, and operational environments. The position involves translating complex payer, regulatory, and reimbursement requirements into sustainable operational workflows, independently prioritizing competing initiatives, and influencing stakeholders without direct authority while meeting organizational deadlines and objectives. Required Work Experience: A minimum of three (3) years of core work experience in pharmacy administration, revenue integrity, managed care, pharmacy contracting, reimbursement, or healthcare financial operations, including at least one (1) year in a leadership or supervisory role.Experience in hospital, health-system, ambulatory, retail, specialty, infusion, or home infusion pharmacy practice.Demonstrated experience analyzing data, identifying revenue risk, and implementing corrective or improvement actions. Other Information: Additional Education info: Masters Business Administration (preferred).Working Conditions and Physical Requirements:
Shift:
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
