Pharmacy Operations Manager
2 weeks ago
**Access Healthcare Services Manila, Inc. is seeking a highly skilled Team Leader to oversee pharmacy operations for our U.S. healthcare accounts based in the Philippines.**
The ideal candidate must be a Licensed Pharmacist with extensive experience managing U.S. healthcare accounts, particularly in pharmacy utilization management, prior authorization, and compliance.
This role requires strong leadership, process expertise, and the ability to drive performance while ensuring compliance with healthcare regulations.
Key Responsibilities:
- Lead and manage a team handling pharmacy utilization review, prior authorizations, and medication coverage determinations.
- Ensure adherence to U.S. healthcare regulations, pharmacy benefit management (PBM) guidelines, and client protocols.
- Monitor KPIs, service level agreements (SLAs), and quality metrics, ensuring the team meets performance targets.
- Provide coaching, training, and mentorship to enhance team expertise in pharmacy utilization management.
- Collaborate with clients, stakeholders, and internal teams to optimize processes and improve operational efficiency.
- Ensure compliance with HIPAA, CMS, and other regulatory requirements.
- Analyze trends and process gaps to drive improvements in operational workflows and customer service delivery.
- Handle escalations and complex cases, providing guidance on medication utilization reviews and prior authorization approvals.
- Participate in strategy meetings, performance reviews, and process improvement initiatives to enhance service quality.
Qualifications:
- Must be a Licensed Pharmacist.
- Extensive experience in U.S. healthcare accounts, specifically in pharmacy utilization management, prior authorizations, and formulary compliance.
- 3+ years of experience in a supervisory or team leadership role within a BPO healthcare setting.
- Strong understanding of pharmacy benefit management (PBM), claims processing, and medication guidelines.
- Excellent leadership, communication, and problem-solving skills.
- Ability to handle high-pressure environments and drive team performance.
- Proficiency in healthcare systems, EMR/EHR platforms, and pharmacy-related software is a plus.
-
Pharmacy Associate
1 week ago
Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full timeJob OverviewWe are seeking a skilled Pharmacy Associate to join our team at IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC.Key ResponsibilitiesAs a Pharmacy Associate, you will be responsible for:Performing research to gather information from third-party sources that will augment the completeness or accuracy of IQVIA reference data.Soliciting information...
-
Leader in Pharmacy Utilization Management
2 weeks ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeJoin our dynamic team at Access Healthcare Services Manila, Inc. and take on the exciting challenge of leading a team of professionals in pharmacy utilization management!In this role, you will be responsible for leading and managing a team handling pharmacy utilization review, prior authorizations, and medication coverage determinations.About the Role:Lead...
-
Retail Pharmacy Supervisor
1 week ago
Manila, National Capital Region, Philippines Watsons Philippines Full timeWe are looking for a Retail Pharmacy Supervisor to join our team at Watsons Philippines. As a key member of our retail operations team, you will be responsible for supervising pharmacy operations, ensuring profitability, professional services, ROS compliance, and upholding high standards of O + O Customer Service and Good Pharmacy Practice.In this role, you...
-
Pharmacy Utilization Management Specialist
1 week ago
Manila, National Capital Region, Philippines access healthcare Full timeAccess Healthcare is currently seeking a highly skilled and experienced Team Leader to oversee operations for our Pharmacy Utilization account.This leadership role is critical in ensuring efficient processes, high team performance, and strict compliance with U.S. healthcare regulations.The ideal candidate must be a Licensed Pharmacist with substantial...
-
Pharmacy Utilization Specialist
1 week ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAbout the Role:We are looking for a talented Team Leader to join our team at Access Healthcare Services Manila, Inc. This individual will be responsible for overseeing the operations of our Pharmacy Utilization account based in Taguig City.The ideal candidate should have a solid background in pharmacy utilization management, prior authorization, and...
-
Pharmacy Associate
4 weeks ago
Manila, National Capital Region, Philippines IQVIA SOLUTIONS OPERATIONS CENTER PHILIPPINES, INC. Full timeROLES and ACCOUNTABILITIES:Perform research (internet search; source books, etc.) to gather information from third parties that will augment the completeness or accuracy of IQVIA reference data.Solicit information from other IQVIA departments to identify when and how to correct inaccurate data, delete data, or add new entries to make the reference files more...
-
Manila, National Capital Region, Philippines access healthcare Full timeTeam Leader – Pharmacy Utilization ManagementLocation: Taguig City, PhilippinesWe are currently seeking a skilled and experienced Team Leader to oversee operations for our Pharmacy Utilization account. This leadership role is critical in ensuring efficient processes, high team performance, and strict compliance with U.S. healthcare regulations.The ideal...
-
U.S. Pharmacy Operations Manager
1 week ago
Manila, National Capital Region, Philippines access healthcare Full timeAccess Healthcare is committed to delivering exceptional patient care and outcomes through our Pharmacy Utilization Management services.We are seeking a highly skilled and experienced Team Leader to join our team and help us achieve our goals.The ideal candidate will have a strong background in pharmacy utilization management, prior authorization, and...
-
Pharmacy Retail Leadership Position
1 week ago
Manila, National Capital Region, Philippines Watsons Philippines Full timeWe are seeking a highly motivated and experienced Pharmacy Retail Leadership Position to join our team at Watsons Philippines. As a key member of our retail operations team, you will be responsible for supervising pharmacy operations, ensuring profitability, professional services, ROS compliance, and upholding high standards of O + O Customer Service and...
-
Pharmacy Benefits Coordinator
2 weeks ago
Manila, National Capital Region, Philippines ENGINEERINGUK Full timeAbout the RequirementsWe are seeking a highly motivated and experienced professional to join our team as a Sr. FinOps Analyst.The ideal candidate will have at least 1 year of working experience in Revenue Cycle Management (RCM), Healthcare A/R Collections, Pharmacy Benefit Management or Pharmacy Claims Management.They will also have a strong passion for...
-
Pharmacy General Manager
2 weeks ago
Manila, National Capital Region, Philippines Private Advertiser Full timeJob Description:Driving, monitoring and reviewing sales performance and recommending action plans to deliver sales budget and store profitability.Ensuring consistency in execution of Brand of Service Standards when dealing with customers (internal or external) and compliance in all regulatory requirements and act as pharmacist-in-charge/point of contact for...
-
Pharmacy Supervisor
2 weeks ago
Manila, National Capital Region, Philippines MerryMart Grocery Centers Inc Full timeAbout the Role:We are seeking a highly qualified Pharmacist to oversee the Pharmacy Section, ensuring that all operations run smoothly and efficiently.The successful candidate will be responsible for managing inventory levels, ordering stock, and maintaining accurate records.You will also be required to provide exceptional customer service, answering...
-
Licensed Pharmacy Supervisor
2 weeks ago
Manila, National Capital Region, Philippines Watsons Personal Care Stores (Philippines), Inc. Full timeKey ResponsibilitiesSupervise and coordinate pharmacy operations to ensure profitability and compliance with regulatory requirements.Act as Pharmacist-In-Charge, providing guidance and support to pharmacy staff.Develop and implement action plans to improve sales performance and customer satisfaction.In addition to these key responsibilities, the Store...
-
Pharmacy Specialist
1 week ago
Manila, National Capital Region, Philippines Medisense Laboratory Center Full timeJob DescriptionWe are seeking an experienced Pharmacist to join our dynamic team at Medisense Laboratory Center. In this role, you will be responsible for reviewing and executing physician's prescriptions, maintaining accurate records, and ensuring the efficient operation of our pharmacy.
-
Head of Corporate Pharmacy Management
2 weeks ago
Manila, National Capital Region, Philippines Private Advertiser Full timeAbout the RoleWe are seeking an exceptional Head of Regulatory Affairs to lead our pharmacy operations at Private Advertiser. As a key member of our team, you will be responsible for ensuring regulatory compliance, developing strategies for growth, and driving excellence in our pharmacy service line.Your Key Accountabilities:Liaise with regulatory bodies and...
-
Operations Manager
1 week ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeJob Description:Access Healthcare Services Manila, Inc. is seeking a highly skilled Team Leader to oversee operations for our Pharmacy Utilization account based in Taguig City.The ideal candidate must be a Licensed Pharmacist with extensive experience managing U.S. healthcare accounts, particularly in pharmacy utilization management, prior authorization, and...
-
Accounting Operations Expert
4 days ago
Manila, National Capital Region, Philippines Doktor's Generics Pharmacy, Inc. Full timeAbout the Role:Job Summary:We are looking for an experienced Accounting Operations Expert to join our team at Doktor's Generics Pharmacy, Inc. The selected candidate will be responsible for managing various accounting tasks, including data summarization and BIR form preparation, BIR eSales reporting, and more.Main Accountabilities:Data Management: Ensure the...
-
Sr. FinOps Analyst, Amazon Pharmacy
4 weeks ago
Manila, National Capital Region, Philippines ENGINEERINGUK Full timeYou will need to login before you can apply for a job.Employer: AmazonLocation: Manila, National Capital Region, PhilippinesSalary: CompetitiveClosing date: 7 Apr 2025DESCRIPTIONWorking Conditions:Fixed night shift scheduleReport daily to the Pasay office.Minimum 1 year of working experience in Revenue Cycle Management (RCM), Healthcare A/R Collections,...
-
Pharmacy Benefit Management Director
1 week ago
Manila, National Capital Region, Philippines access healthcare Full timeAre you a results-driven leader with a passion for pharmacy utilization management?Do you have a strong background in prior authorization, formulary compliance, and leadership?If so, Access Healthcare wants to hear from you!We are seeking a highly skilled and experienced Team Leader to join our team and help us deliver exceptional patient care and...
-
Sr. FinOps Analyst, Amazon Pharmacy
2 weeks ago
Manila, National Capital Region, Philippines ENGINEERINGUK Full timeYou will need to login before you can apply for a job.Employer: AmazonLocation: Manila, National Capital Region, PhilippinesSalary: CompetitiveClosing date: 9 May 2025Sector: Health and MedicalRole: AnalystContract Type: PermanentHours: Full TimeDESCRIPTIONWorking Conditions:• Fixed night shift schedule• Report daily to the Pasay office.• Minimum 1...