Manager Pharmacy Business Ops and Med Optimization

Kaleida Health; Buffalo (NY); On-site; USD 6,924,000 - 9,521,000; Full time

Job summary

Kaleida Health seeks a Manager of Pharmacy Business Ops and Med Optimization to lead operational and financial efforts across medication access, reimbursement, and optimization programs. The role partners with outpatient and inpatient leaders to drive value, improve access to therapies, and support growth of specialty and infusion services.

The position requires a PharmD or BS in Pharmacy, NYS Pharmacist License, and 3 years in health-system pharmacy with leadership experience; MBA/MHA or

Qualifications

• Bachelor of Science or PharmD required; NYS Pharmacist License on hire
• Board Certification or advanced leadership degree preferred (MBA/MHA)
• 3 years health system pharmacy experience; 1 year leadership in a health system is required

Responsibilities

• Provide operational and financial leadership for medication access, revenue integrity and optimization programs.
• Lead initiatives to improve reimbursement, reduce denials and optimize site-of-care utilization.
• Build and oversee Medication Access Specialist team and collaborate with revenue cycle and pharmacy leadership.
• Partner with clinical, finance and contracting teams to advance access to high-cost therapies and ensure timely patient access.

Skills

Leadership

Revenue cycle

Collaboration

Education

Bachelor of Science or PharmD

NY Pharmacist License

Board Certification or MBA/MHA preferred

Job description

Manager Pharmacy Business Ops and Med Optimization

Location: Buffalo General Medical Center

Location of Job: US:NY:Buffalo

Work Type: Full-Time

Shift 1

Job Description

The Manager Pharmacy Business Ops and Med Optimization, provides operational and financial leadership for medication access, revenue integrity, and medication optimization programs. This role, in collaboration with the Director, Outpatient Pharmacy Services, is responsible for developing and overseeing comprehensive medication access strategies spanning both medical and pharmacy benefit spaces to ensure timely patient access to therapy while maximizing organizational financial performance.

The Manager serves as the subject matter expert for medication access business operations, leading initiatives that improve reimbursement, reduce denials, optimize site-of-care utilization, maximize patient assistance opportunities, and support sustainable growth of specialty pharmacy and infusion services. The position partners closely with pharmacy, nursing, providers, revenue cycle, finance, payer contracting, purchasing, compliance, and site operational leaders to improve patient outcomes, enhance access to high-cost therapies, and strengthen financial stewardship.

This leader will build and oversee a Medication Access Specialist team while collaborating with pharmacy revenue cycle specialists to ensure end-to-end oversight of medication access and reimbursement activities.

Education And Credentials

Bachelor of Science or PharmD in Pharmacy required. PharmD Doctor of Pharmacy required. NYS Pharmacist License and Registration upon hire regulatory required. Board Certification, advanced pharmacy leadership certification(s) and/or advanced degrees (i.e. MBA, MHA, etc.) preferred.

Experience

3 years of experience in Health system pharmacy required. 1 year of experience in Leadership within a health system, academic medical center, specialty pharmacy, or infusion services environment required. 3 years of experience in Specialty pharmacy, ambulatory pharmacy, infusion services, medication access, revenue cycle, or reimbursement operations preferred.

Working Conditions

Job Details

Department: KH Outpatient Pharmacy High St

Standard Hours Bi-Weekly: 75.00

Weekend/Holiday Requirement: No

On Call Required: No

With Rotation: No

Scheduled Work Hours: 8a-5p

Work Arrangement: Hybrid

Union Code: N00 - Non Union KH

Requisition ID#: 24207

Grade: EX500

Pay Frequency: Bi-Weekly

Salary Range: $152,179.17 - $209,246.41

*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!