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Remote Pharmacy Operations Manager Jobs in Puerto Rico

Abarca Health

Pharmacy Rebates Analyst

San Juan, PR · Remote

... operational demands (if applicable). Nice to haves... * Experience within the pharmacy benefit management or healthcare Industry. * Experience with prescription drugs, pharmaceutical manufacturers ...

OncoHealth

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

EST to cover the operational needs of the company. Shifts can range anywhere between Monday ... Triage and manage inbound calls, routing case specific calls to an appropriate team member, and ...

LifeLink

Remote Administrator on Call PR

Guaynabo, PR · On-site +1

... management, allocation, recovery, and overall coordination of donor-related actions. The Remote ... Advises staff when working through operational challenges by providing mentoring, talking points ...

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

EST to cover the operational needs of the company. Shifts can range anywhere between Monday ... Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ...

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Remote Pharmacy Operations Manager information

How does a Remote Pharmacy Operations Manager typically collaborate with on-site pharmacy staff and other departments?

A Remote Pharmacy Operations Manager frequently communicates with on-site pharmacists, pharmacy technicians, and other healthcare teams via video calls, emails, and collaboration platforms to oversee daily workflows and resolve operational issues. They also coordinate with IT, compliance, and supply chain departments to ensure smooth integration of systems and adherence to regulatory standards. Building strong virtual relationships and maintaining clear, consistent communication are essential to successfully managing remote teams and ensuring patient safety.

What does a Remote Pharmacy Operations Manager do?

A Remote Pharmacy Operations Manager oversees the daily operations of a pharmacy or pharmacies from a remote location. Their responsibilities typically include managing staff, ensuring compliance with regulations, optimizing workflow, and improving efficiency. They may also handle scheduling, inventory management, and the implementation of new technologies or procedures. By working remotely, they utilize digital tools to monitor performance, communicate with team members, and resolve operational issues. This role is essential for maintaining high standards of pharmacy service and patient care, even when not physically present at the facility.

What is the difference between Remote Pharmacy Operations Manager vs Remote Pharmacist?

AspectRemote Pharmacy Operations ManagerRemote Pharmacist
Required CredentialsPharmacy degree, license, management experiencePharmacy degree, license, clinical knowledge
Work EnvironmentOversees pharmacy operations remotely, manages teamsProvides patient care, reviews prescriptions remotely
Employer & Industry UsagePharmacy chains, healthcare providers, telepharmacy servicesPharmacy chains, hospitals, telehealth platforms
Search & Comparison IntentFocus on management, operations, leadershipFocus on clinical duties, patient interaction

The Remote Pharmacy Operations Manager primarily oversees pharmacy operations and manages teams remotely, requiring management experience and a pharmacy license. In contrast, the Remote Pharmacist focuses on providing clinical services and reviewing prescriptions remotely. Both roles require a pharmacy degree and license but differ in responsibilities and work focus.

What are the key skills and qualifications needed to thrive as a Remote Pharmacy Operations Manager, and why are they important?

To thrive as a Remote Pharmacy Operations Manager, you need a strong background in pharmacy practice, operations management, and typically a PharmD or relevant degree with licensure. Familiarity with pharmacy management software, compliance systems, and telehealth platforms is crucial. Exceptional organizational, leadership, and communication skills help manage remote teams and streamline workflows. These competencies ensure regulatory compliance, operational efficiency, and high-quality patient care in a virtual pharmacy environment.
What are popular job titles related to Remote Pharmacy Operations Manager jobs in Puerto Rico? For Remote Pharmacy Operations Manager jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Pharmacy Operations Manager jobs in Puerto Rico look for? The top searched job categories for Remote Pharmacy Operations Manager jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Pharmacy Operations Manager jobs? Cities in Puerto Rico with the most Remote Pharmacy Operations Manager job openings:
Remote Pharmacy Operations Manager jobs near you
Infographic showing various Remote Pharmacy Operations Manager job openings in Puerto Rico as of July 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.
Supervisor, Coverage Determination

Supervisor, Coverage Determination

Abarca Health

San Juan, PR • On-site, Remote

Full-time

Posted 5 days ago

Job description

What you'll do
In a few words...
Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning...
As the Supervisor, Coverage Determination you'll support oversight management by coaching, training, and supporting the Coverage Determination team. You'll assist the specialists with all incoming cases to ensure all Commercial and Medicare coverage determination cases are resolved correctly and on time. You'll learn and collaborate with additional peers in leadership to ensure all your team members are up to date with the latest changes in regulation (whether state or federally mandated). Additionally, we'll need your guidance on KPI and quality monitoring while complying with all federal rules and regulations as well as client contracts.
The fundamentals for the job...
  • Monitor calls and cases to ensure that all are resolved in a timely and appropriate manner while meeting with respective levels of quality.
  • Accomplish key performance (KPI) metrics for cases and areas as assigned.
  • Monitor coverage determination performance metrics to ensure proper adjustments are made in a timely manner and the coverages are managed within the standards set by Centers for Medicare & Medicaid Services (CMS) as well as clients.
  • Assist CD Specialists in responding to coverage determination requests, and claims pending to be adjudicated for Commercial and Medicare-plan beneficiaries in an accurate and timely manner, when needed (only physicians and pharmacists may issue clinical denials).
  • Support Pharmacists in gathering additional information to support the decision making of an exception request (whether formulary, non-formular, etc.).
  • Prepare team schedules while taking into consideration work volume, team objectives, personnel availability, and seasonal events.
  • Monitor coverage determination cases and back-office duties for quality, compliance, and employee development purposes.
  • Participate in testing and training of all technical changes/enhancements to the Coverage Determination Module to ensure compliance with CMS or other regulating entities.
  • Participate in interactions with clients to provide overview on departmental metrics and other assigned areas.
  • Ensure compliance with Centers for Medicare & Medicaid Services (CMS) policies as well as other regulating entities related to coverage determinations.
  • Responsible for mentoring, development of team, performance review, growth conversation, and calibration processes.
  • Support the Knowledge Accelerator team in creating content, as needed, for training on subject matter expertise and process.

What we expect of you:
The bold requirements...
  • Associate or bachelor's degree as a Pharmacy Technician is required.
  • 6+ years of experience managing coverage determination processes, including 1+ years of experience leading a team.
  • Experience related to industries such as insurance, pharmacy, or healthcare.
  • Ability to develop relationships and maintain customer support through superior interpersonal and customer service skills.
  • Excellent oral and written communication skills.
  • Bilingual fluency in Spanish and English is required.
  • We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
  • This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
  • This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).

Nice to haves...
  • Current and Active Certified Pharmacy Technician License.
  • Experience related with pharmacy benefit management (PBM) clinical operations and Medicare Part D.

Physical requirements...
  • Must be able to access and navigate each department at the organization's facilities.
  • Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca's workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. "Abarca Health LLC does not sponsor employment visas at this time"
The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It's simply meant to give readers an idea of what the role entails.

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