AVP Pharmacy Business & Outcomes
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
Chicago, IL · On-site
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
Chicago, IL · On-site
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
Chicago, IL · On-site
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
Chicago, IL · On-site
$192K - $286K/yr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
$92.38 - $137.65/hr
... • Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to ... Ensure program integrity through alignment with federal/state regulations and RUSH compliance ...
Chicago, IL · On-site
$28.24 - $40.21/hr
As our Coding Integrity Specialist , you will works with the Coding Integrity Manager and Director ... programs and public reporting * Provide education/feedback to coders/coding managers regarding ...
Chicago, IL · On-site
$28.24 - $40.21/hr
As our Coding Integrity Specialist , you will works with the Coding Integrity Manager and Director ... programs and public reporting * Provide education/feedback to coders/coding managers regarding ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Chicago, IL · On-site
$165K - $295K/yr
Build program frameworks that can be deployed globally while enabling flexibility to meet regional ... To help maintain this integrity, we ask to remove virtual backgrounds and include in-person ...
Burr Ridge, IL · On-site +1
... program of the Medical Center. The Revenue Integrity Team Lead provides support to providers and clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a liaison between the off-sites ...
Burr Ridge, IL · On-site +1
... program of the Medical Center. The Revenue Integrity Team Lead provides support to providers and clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a liaison between the off-sites ...
This program focuses on building clinical operations that are scalable, high quality, and efficient ... integrity. This role offers a unique opportunity to help build a global clinical delivery model ...
This program focuses on building clinical operations that are scalable, high quality, and efficient ... integrity. This role offers a unique opportunity to help build a global clinical delivery model ...
$28.4K - $37.8K
5% of jobs
$37.8K - $47.2K
13% of jobs
$50.8K is the 25th percentile. Wages below this are outliers.
$47.2K - $56.7K
19% of jobs
The median wage is $65.1K / yr.
$56.7K - $66.1K
15% of jobs
$66.1K - $75.5K
11% of jobs
$84.4K is the 75th percentile. Wages above this are outliers.
$75.5K - $84.9K
14% of jobs
$84.9K - $94.3K
9% of jobs
$94.3K - $103.7K
5% of jobs
$103.7K - $113.1K
2% of jobs
$113.1K - $122.6K
2% of jobs
$122.6K - $132K
5% of jobs
$28.4K
$75.3K
$132K
| Aspect | Program Integrity Director | Claims Manager |
|---|---|---|
| Required Credentials | Bachelor's degree, certifications in healthcare compliance or auditing | Bachelor's degree, experience in claims processing or insurance |
| Work Environment | Healthcare or insurance organizations, compliance departments | Insurance companies, healthcare payers, claims processing units |
| Employer & Industry Usage | Used in healthcare, government programs, insurance sectors | Primarily in insurance companies and healthcare payers |
The Program Integrity Director focuses on ensuring compliance, preventing fraud, and maintaining program integrity within healthcare or insurance organizations. In contrast, Claims Managers oversee the processing and adjudication of insurance claims. While both roles require knowledge of healthcare or insurance operations, the Program Integrity Director emphasizes compliance and fraud prevention, whereas the Claims Manager concentrates on claims processing efficiency and accuracy.
The top searched job categories for Program Integrity Director jobs in Homewood, IL are:
Cities near Homewood, IL with the most Program Integrity Director job openings:
Chicago, IL
$192K - $286K/yr
Full-time
Re-posted 23 days ago
Provide system level leadership for enterprise pharmacy business operations, including contracting, procurement, and financial performance.
Create strategies and business models that improve affordability, strengthen medication access, and ensure sustainable growth of RUSH pharmacy services.
Partner with site pharmacy leaders, finance, supply chain, and clinical executives to align pharmacy business operations with RUSH strategic priorities.
8.1
Based on 109 frontline employees who took The Breakroom Quiz
119th of 1,066 rated hospitals
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: System Pharmacy
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $192,150 - $286,312 per year
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. This role has a corresponding incentive plan based on multiple factors. incentive compensation and additional benefits can be found on our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits)
Summary:
The Associate Vice President of Pharmacy Business and Outcomes is a key leadership position, reporting to the System Vice President, Chief Pharmacy Officer. The AVP Pharmacy Business & Outcomes provides executive leadership for RUSH’s enterprise pharmacy business operations, financial strategy, outcomes analytics, and centralized procurement models. This role ensures the financial sustainability and performance of pharmacy services by unifying contracting, purchasing, 340B optimization, and outcomes measurement within an integrated framework.
The AVP builds and directs system level business and analytic capabilities to assess financial performance, cost savings, market trends, medication access, and the value of pharmacy services across the enterprise. This leader partners closely with site and system leaders to create and execute strategies that strengthen affordability, access, and enterprise wide medication outcomes. Through strategic contracting, disciplined execution, advanced analytics, and collaboration, this executive ensures that RUSH Pharmacy serves as a key driver of financial sustainability, innovation, and measurable system outcomes.
Responsibilities:
Job Responsibilities:
•Provide system level leadership for enterprise pharmacy business operations, including contracting, procurement, and financial performance.
•Create strategies and business models that improve affordability, strengthen medication access, and ensure sustainable growth of RUSH pharmacy services.
•Partner with site pharmacy leaders, finance, supply chain, and clinical executives to align pharmacy business operations with RUSH strategic priorities.
•Partner with system leaders to establish business intelligence and analytics to monitor key financial, operational, and clinical pharmacy impact including metrics of savings, utilization trends, patient medication access and population outcomes.
•Ensure pharmacy performance measurement aligns with enterprise goals including quality, population health, and financial sustainability.
•Lead enterprise relationships with pharmaceutical manufacturers, wholesalers, GPOs, analytics vendors, and technology partners.
•Collaborate to design contracting and utilization strategies that improve affordability and medication access for employees.
•Direct contracting strategies with pharmaceutical manufacturers, wholesalers, and GPOs to secure cost savings, optimize access, and support enterprise initiatives.
•Lead enterprise purchasing strategies that reduce variation, strengthen supply chain resiliency, and leverage scale.
•Implement standardized systemwide processes to reduce variation, improve medication distribution, and strengthen operational reliability.
•Oversee centralized workflows for medication distribution and drug shortage mitigation in close collaboration with site pharmacy leaders and system supply chain partners.
•Lead the enterprise 340B strategy to maximize savings, compliance, patient benefit, and long term program viability.
•Ensure program integrity through alignment with federal/state regulations and RUSH compliance standards.
•Partner to optimize 340B aligned medication access strategies.
•Develop and manage systemwide pharmacy business budgets, forecasts, financial models, and return on investment analytics.
•Identify new revenue opportunities and innovative business models to support long term sustainability and growth.
•Anticipate and respond to market trends in drug pricing, distribution, reimbursement, and supply chain regulation.
•Recruit, mentor, and develop pharmacy business, financial, and analytic leaders across the enterprise.
•Promote a culture of transparency, accountability, data driven decision making, and measurable results.
•Represent RUSH in regional and national forums related to pharmacy business operations, analytics, and procurement.
•Perform all additional duties as assigned or identified as departmental priorities.
Other information:
Required Job Qualifications:
• Minimum of 7 years of progressive leadership experience in pharmacy
• Demonstrated expertise in procurement, contracting, and vendor negotiations with pharmaceutical manufacturers, wholesalers, or group purchasing organizations (GPOs).
• Proven track record of financial management, including budget development, forecasting, ROI analysis, and performance reporting.
• Strong knowledge of healthcare finance and supply chain operations, including logistics and inventory management.
• Demonstrated ability to collaborate effectively with cross-functional leaders
• Experience leading or overseeing 340B program operations, with demonstrated compliance and savings optimization.
Preferred Job Qualifications:
• Education: Master’s degree in healthcare administration, business administration (MBA), or related field preferred.
• PharmD or 340B-related certifications (e.g., Apexus Certified Expert (ACE), 340B University).
• Demonstrated success leveraging analytics to drive outcomes.
Physical Demands:
• Prolonged periods of standing, walking, or sitting, with occasional computer work for extended durations.
• May require lifting up to 20 pounds (e.g., inventory handling).
• Work in a high-pressure, fast-paced environment with potential for on-call responsibilities to address urgent operational or clinical issues.
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
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Education, hospitals and medical centers and clinics
5,001 - 10,000 Employees
Chicago, IL, US