Pharmacy Business Manager - Pharmacist - FT - Days - MSP

memorialhealthcare; United States; On-site; USD 140,000 - 210,000; Full time

Job summary

Memorial Health System is seeking a Pharmacy Business Manager in Miramar, FL, to optimize outpatient pharmacy revenue and support payer and pharmaceutical company relationships. The role collaborates with pharmacy leadership, revenue cycle, finance, and compliance to protect revenue integrity and enable sustainable growth while upholding patient care standards.

Responsibilities include analytics development, contract management, and leadership of pharmacy staff to improve reimbursement

Qualifications

• Requires advanced analytical judgment and knowledge of pharmacy reimbursement.
• Experience with payer contracts, credentialing, and revenue cycle management.
• Strong ability to translate payer, regulatory, and reimbursement requirements into actionable workflows.

Responsibilities

• Guide financial and utilization analytics, develop dashboards and KPIs.
• Support contract review, credentialing, and re-credentialing with payers and PBMs.
• Engage payers and manufacturers to optimize access, reimbursement, and contract compliance.
• Monitor reimbursement performance, including denials and write-offs, with root-cause analysis.
• Establish governance to identify and resolve revenue leakage across medication lifecycle.
• Provide leadership over pharmacy staff related to revenue cycle and profitability reviews.
• Collaborate with clinical and finance leaders to align patient access, quality and growth objectives.

Skills

Analytics

Decision making

Accountability

Communication

Leadership

Education

Doctorate: Pharmacy (Required)

Pharmacist License - FL

Job description

Location:

Miramar, Florida

At 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 BEHAVIOR

Education 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:

• Bending and Stooping = 80%
• Climbing = 40%
• Keyboard Entry = 80%
• Kneeling = 40%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 60%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
• Pushing or Pulling > 75 lbs Non-Patient = 40%
• Reaching = 80%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 60%
• Sitting = 80%
• Squatting = 80%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 60%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 40%
• Biological Haz