The Pharmacy Operations Coordinator is responsible for performing oversight and monitoring of the pharmacy benefit manager (PBM), for activities related to the appropriateness of claims adjudication ...
The Pharmacy Operations Coordinator is responsible for performing oversight and monitoring of the pharmacy benefit manager (PBM), for activities related to the appropriateness of claims adjudication ...
Pharmacy Operations Coordinator- Remote
Franklin, TN · On-site +1
The Pharmacy Operations Coordinator is responsible for performing oversight and monitoring of the pharmacy benefit manager (PBM), for activities related to the appropriateness of claims adjudication ...
Pharmacy Operations Coordinator- Remote
Franklin, TN · On-site +1
The Pharmacy Operations Coordinator is responsible for performing oversight and monitoring of the pharmacy benefit manager (PBM), for activities related to the appropriateness of claims adjudication ...
Global Operations Manager
Memphis, TN · Remote
$84K - $109K/yr
Medical
Dental
Vision
Retirement
PTO
Remote, M-F 8-5 Travel Requirements: up to 5% Reports to: Global Operations Lead Estimated compensation for this position is: $84,600 - $109,000 What this job involves: The Operations Manager will ...
Global Operations Manager
Memphis, TN · Remote
$84K - $109K/yr
Medical
Dental
Vision
Retirement
PTO
Remote, M-F 8-5 Travel Requirements: up to 5% Reports to: Global Operations Lead Estimated compensation for this position is: $84,600 - $109,000 What this job involves: The Operations Manager will ...
Marketing Operations Manager
Nashville, TN · On-site +1
$110K - $130K/yr
Medical
Dental
Vision
Retirement
PTO
Remote - USA Reporting To: Director of Revenue Operations Compensation: $110,000 - $130,000 / year Description As Marketing Operations Manager , you will empower Tithely's marketing team to reach ...
Marketing Operations Manager
Nashville, TN · On-site +1
$110K - $130K/yr
Medical
Dental
Vision
Retirement
PTO
Remote - USA Reporting To: Director of Revenue Operations Compensation: $110,000 - $130,000 / year Description As Marketing Operations Manager , you will empower Tithely's marketing team to reach ...
Marketing Operations Manager
Nashville, TN · Remote
$130K/yr
Dental
Vision
Retirement
PTO
Remote - USA Reporting To: Director of Revenue Operations Compensation: $110,000 - $130,000 / year DescriptionAs Marketing Operations Manager , you will empower Tithely\'s marketing team to reach ...
Marketing Operations Manager
Nashville, TN · Remote
$130K/yr
Dental
Vision
Retirement
PTO
Remote - USA Reporting To: Director of Revenue Operations Compensation: $110,000 - $130,000 / year DescriptionAs Marketing Operations Manager , you will empower Tithely\'s marketing team to reach ...
The Deployed Systems Commercial Operations Manager serves as the primary field liaison between ... Acting as a rapid-response technical resource, this role provides both remote and on-site support ...
New
The Deployed Systems Commercial Operations Manager serves as the primary field liaison between ... Acting as a rapid-response technical resource, this role provides both remote and on-site support ...
New
The Deployed Systems Commercial Operations Manager serves as the primary field liaison between ... Acting as a rapid-response technical resource, this role provides both remote and on-site support ...
New
The Deployed Systems Commercial Operations Manager serves as the primary field liaison between ... Acting as a rapid-response technical resource, this role provides both remote and on-site support ...
New
$122K - $161K/yr
Hybrid (Nashville, TN) or Remote (US), Remote (Canada) Reports to: Head of Product & Engineering ... You will work shoulder to shoulder with pharmacy operations teams, turning the messy realities of ...
$122K - $161K/yr
Hybrid (Nashville, TN) or Remote (US), Remote (Canada) Reports to: Head of Product & Engineering ... You will work shoulder to shoulder with pharmacy operations teams, turning the messy realities of ...
Pharmacist (Facility Program Manager (Pharmacy Informatics))
Johnson City, TN · On-site +1
$136K - $177K/yr
PTO
Clinical: * The program manager provides patient care that is appropriate to the cognitive ... Collects, investigates, and triages operational problems experienced by Pharmacy Service staff.
Pharmacist (Facility Program Manager (Pharmacy Informatics))
Johnson City, TN · On-site +1
$136K - $177K/yr
PTO
Clinical: * The program manager provides patient care that is appropriate to the cognitive ... Collects, investigates, and triages operational problems experienced by Pharmacy Service staff.
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
Operational Excellence Manager
Brentwood, TN · Remote
Medical
Dental
Vision
Retirement
PTO
This person will work cross-functionally with Operations, Product Management, Finance, and Technical Support to deliver measurable results against baseline KPIs. How We Work This is a fully remote ...
JOB SUMMARY The EDI / Operations Support Specialist is responsible for keeping core transaction ... remote environment * Comfortable managing a mixed workload of reactive support tickets and ...
New
JOB SUMMARY The EDI / Operations Support Specialist is responsible for keeping core transaction ... remote environment * Comfortable managing a mixed workload of reactive support tickets and ...
New
EDI / Operations Support Spec
Nashville, TN · On-site +1
$62K - $70K/yr
JOB SUMMARY The EDI / Operations Support Specialist is responsible for keeping core transaction ... remote environment * Comfortable managing a mixed workload of reactive support tickets and ...
New
EDI / Operations Support Spec
Nashville, TN · On-site +1
$62K - $70K/yr
JOB SUMMARY The EDI / Operations Support Specialist is responsible for keeping core transaction ... remote environment * Comfortable managing a mixed workload of reactive support tickets and ...
New
Pharmacy Technician
Nashville, TN · On-site +1
$17 - $20.50/hr
... Management (PBM) or Health Plan setting. Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA. Notes: Remote Work Schedule: 8:00am - 5:00pm CST Monday thru Friday. No ...
Pharmacy Technician
Nashville, TN · On-site +1
$17 - $20.50/hr
... Management (PBM) or Health Plan setting. Certified Pharmacy Technician (CPhT), national certification from PTCB or NHA. Notes: Remote Work Schedule: 8:00am - 5:00pm CST Monday thru Friday. No ...
Director, De Novo Operational Launch Readiness - Nashville Hybrid / Remote Surrounding Areas
Brentwood, TN · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Pharmacy operations * Emergency preparedness * Training * Scheduling * Information Technology ... Managed Care * Supply Chain * Finance * Human Resources * Market Operations * Synthesize project ...
Director, De Novo Operational Launch Readiness - Nashville Hybrid / Remote Surrounding Areas
Brentwood, TN · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Pharmacy operations * Emergency preparedness * Training * Scheduling * Information Technology ... Managed Care * Supply Chain * Finance * Human Resources * Market Operations * Synthesize project ...
Manager of Coding Operations
Brentwood, TN · Remote
Medical
Retirement
PTO
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director Must reside in one of the States listed below to be eligible for this position: Arkansas ...
Manager of Coding Operations
Brentwood, TN · Remote
Medical
Retirement
PTO
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director Must reside in one of the States listed below to be eligible for this position: Arkansas ...
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director Must reside in one of the States listed below to be eligible for this position: Arkansas ...
Quick apply
Manager of Coding Operations Position Details: Full Time - Remote Reports to the Coding Director Must reside in one of the States listed below to be eligible for this position: Arkansas ...
Hybrid / Remote with travel to Millington, TN * Status: Full-time Position summary The Operations ... Functioning as Senior Information Systems Manager, you will lead the Operations workforce ...
Hybrid / Remote with travel to Millington, TN * Status: Full-time Position summary The Operations ... Functioning as Senior Information Systems Manager, you will lead the Operations workforce ...
Pharmacy Technician - Refill Calls
Nashville, TN · Remote
$19 - $22/hr
Remote Pay Range: $19.00 - $22.00/ hour - The actual compensation range will depend on experience ... As a Patient Engagement Specialist, you will help patients manage their medications. You will ...
Quick apply
Pharmacy Technician - Refill Calls
Nashville, TN · Remote
$19 - $22/hr
Remote Pay Range: $19.00 - $22.00/ hour - The actual compensation range will depend on experience ... As a Patient Engagement Specialist, you will help patients manage their medications. You will ...
Remote Pharmacy Operations Manager information
How does a remote pharmacy operations manager typically collaborate with on-site pharmacy staff and other departments?
What does a remote pharmacy operations manager do?
What is the difference between Remote Pharmacy Operations Manager vs Remote Pharmacist?
| Aspect | Remote Pharmacy Operations Manager | Remote Pharmacist |
|---|---|---|
| Required Credentials | Pharmacy degree, license, management experience | Pharmacy degree, license, clinical knowledge |
| Work Environment | Oversees pharmacy operations remotely, manages teams | Provides patient care, reviews prescriptions remotely |
| Employer & Industry Usage | Pharmacy chains, healthcare providers, telepharmacy services | Pharmacy chains, hospitals, telehealth platforms |
| Search & Comparison Intent | Focus on management, operations, leadership | Focus 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?
What are popular job titles related to Remote Pharmacy Operations Manager jobs in Tennessee?
For Remote Pharmacy Operations Manager jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Pharmacy Operations Manager jobs in Tennessee look for?
The top searched job categories for Remote Pharmacy Operations Manager jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Pharmacy Operations Manager jobs?
Cities in Tennessee with the most Remote Pharmacy Operations Manager job openings:

Full-time
Posted 5 days ago
Job description
The Pharmacy Operations Coordinator is responsible for performing oversight and monitoring of the pharmacy benefit manager (PBM), for activities related to the appropriateness of claims adjudication, and for providing support of CMS regulatory requirements, and other Plan Operations.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
• Serve as primary contact between Plan and PBM
• Perform PBM oversight and monitoring
• Report and escalate performance deficiencies and status to management and the compliance department
• Formulary Management: Recognize formulary requirements: non-formulary, prior authorization (PA), Step Therapy (ST), Quantity Limit (QL) and review, outreach, and track rejected pharmacy claims
• Responsible for ensuring regulatory requirements are met for coverage determinations/redeterminations
• Lead annual readiness
• Serve as a liaison with Enrollment Department to ensure appropriate member eligibility processing
• Support CMS Plan reporting, audits, and monitoring activities and submissions
• Assist and track in-coming calls from agents, pharmacies, nursing homes, providers/nurses, and members
• Coordinate monthly website updates
• Monitor and report on departmental metrics
• May be assigned to work on special projects and business initiatives
• Other duties as assigned
JOB REQUIREMENTS:
• Maintain regular and reliable attendance
• Attention to detail
• Ability to work in a high demand fast pace environment
• Experience in planning and implementation
• Strong analytical skills
• Strong leadership and collaboration skills
• Extensive knowledge in Medicare compliance
• Customer and quality focus
• Follow-up and solve any open items in a timely manner
• Adhere to all compliance requirements
• Adhere to Centers of Medicare and Medicaid Services (CMS) regulations
• Successful completion of required training
• Handle multiple priorities effectively
• Independent discretion/decision making
• Make decisions under pressure
REQUIRED QUALIFICATIONS:
• Education:
o High school diploma or equivalent required
• Experience:
o Experience in the pharmacy department of a Medicare Advantage or Part D plan is preferred
• License/Certification(s):
o Pharmacy technician
About American Health Partners
Sourced by ZipRecruiter
American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Franklin, TN, US
Year founded
1976