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Insight · 6 days ago

Pharmacy Business Operations Manager

Flint, MI

Full-time

Onsite

Mid, Senior Level

Insight is seeking a highly organized and operations-driven Pharmacy Business Operations Manager to oversee pharmacy functions across their Michigan locations. The role involves ensuring efficient pharmacy operations, managing multi-site oversight, and enhancing financial and operational performance while coordinating between inpatient and outpatient teams.

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Responsibilities

Oversee daily pharmacy operations for outpatient and inpatient locations in Flint, Warren, and Coldwater

Ensure smooth and compliant workflows across all sites, including inventory, ordering, dispensing, shipping, and staffing

Maintain communication with inpatient pharmacy leadership to ensure medications are appropriately ordered, stocked, and reconciled

Support licensure expansion into additional states for outpatient pharmacy services

Monitor and track all pharmacy claims across TPAs, PBMs, and payors to ensure accurate adjudication

Verify credentialing status for all pharmacies and ensure all payor enrollments remain active and compliant

Oversee 340B–related workflows, including auto-billing validation, claim matching, diversion/exclusion checks, and pharmacy–covered entity coordination

Identify discrepancies, underpaid claims, or missed revenue opportunities and escalate/resolution as needed

Ensure shipping operations are timely, compliant, accurate, and aligned with pharmacy standards

Monitor packaging, routing, temperature control, and tracking processes to maintain quality and patient safety

Develop improvements to increase speed, accuracy, and cost-effectiveness

Lead hiring efforts for pharmacists, pharmacy technicians, and support staff across all Michigan locations

Support new hire onboarding, training, performance expectations, and workflow alignment

Ensure proper staffing models are maintained to support volume and growth

Drive growth of the outpatient pharmacy through optimization of workflows, patient engagement strategies, and provider alignment

Work with business development, clinical teams, and operations leaders to expand outpatient pharmacy services

Monitor KPIs, including volume, turnaround time, claim success rates, acquisition cost trends, and margin performance

Maintain up-to-date licenses, permits, payor contracts, enrollments, and state board requirements for all pharmacy locations

Ensure compliance with all Michigan and federal regulations, including pharmacy board rules, USP standards, and applicable accreditation standards

Prepare documentation and support audits, inspections, and regulatory reviews

Partner with finance, operations, compliance, HR, inpatient pharmacy, outpatient pharmacy, and leadership teams to ensure alignment and execution

Serve as a primary point of contact for all pharmacy operational issues across Michigan locations

Step in to support staffing or operational needs during high-volume periods

Qualification

Pharmacy operations experienceMulti-site managementProject management skills340B operations knowledgePharmacy credentialingClaims oversightShipping operations knowledgeCommunicationOrganizational skillsLeadership abilitiesTeam management