Jobs · Management · Kentucky

3rd Party Operations Supervisor

PharMerica · Louisville, KY · 4 wk ago
ManagementFull-time
We need to output HTML fragment with sections: Use

for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where posting has real specific content. We need to parse the posting. First, there is an overview: "Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression! Schedule: Monday - Friday 8:00am - 4:30pm Required Weekends and on- call rotations required Competitive Pay Health, Dental, Vision & Life Insurance Company-Paid Short & Long-Term Disability Flexible Schedules & Paid Time Off Tuition Reimbursement Employee Discount Program & DailyPay 401k Pet Insurance Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!" Then "The Supervisor, 3rd Party Analysts is responsible for the direction and coordination of the 3rd Party Analyst team as well as the coordination of transactions between PharMerica and 3rd party payers. The supervisor will interact with appropriate departments to provide operational support and ensure integrity of third party plan and claim information." Then "Responsibilities" heading appears, then a list of bullet-like sentences. Then "To perform this job successfully..." etc. Then "Qualifications Education/Learning Experience Required: Associate’s degree, relevant technical certification, or equivalent work experience Desired: Bachelor’s degree Work Experience Required: 2+ years experience in a supervisory, managerial, or leadership role Required: 5+ yrs experience working as a Pharmacy Technician, or in a billing potion within a healthcare setting Required: 3+ yrs experience with pharmacy or health data analysis Required: 2+ yrs experience working in a Pharmacy, Long Term Care, or Managed Care setting Desired: Specialized understanding of billing requirements for Medicare Part D or Medicaid" Then "Skills/Knowledge Required: Must be a good leader Required: Ability to maintain confidentiality Required: Proficiency in MS Office Products (Excel, Word) and basic computer knowledge Required: Excellent verbal and written communication skills, and C-level presentation skills Required: Ability to effectively navigate ambiguous situations with limited direction Required: Able to handle high volume and significant workload Required: Familiarity with long term care pharmacy or facility billing practices Desired: AS400 computer system experience" Then "About Our Line Of Business" paragraph. Then "Additional Job Information $500 Sign On / Retention Bonus This is an excellent opportunity to move from a retail to office environment for those who are willing to learn. Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference." We need to include sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what content goes where. - About the role: likely the overview paragraph describing the role and company. Could be the first paragraph(s) before responsibilities. So we can put the overview (including "Our Company PharMerica Overview ..." and the description of the Supervisor role) into About the role. - Responsibilities: list of duties under "Responsibilities". We'll extract each bullet as
  • . - Requirements: maybe combine Education/Learning Experience and Work Experience? The posting has "Qualifications Education/Learning Experience Required..." and "Work Experience Required:" etc. Could be under Requirements. But there is also a separate "Qualifications" heading in the posting. The instruction says use headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need both Requirements and Qualifications sections. The posting has "Qualifications Education/Learning Experience Required..." and then "Work Experience Required:" etc. That could be considered Qualifications. Then "Skills/Knowledge Required:" could be Skills. So we need to separate. Thus: - Qualifications: Education/Learning Experience and Work Experience (maybe also Desired: Bachelor's degree). We'll list as
    • items. - Requirements: Might be something else? The posting didn't have a separate "Requirements" heading besides the Qualifications. But we need to include a Requirements section only if there is real specific content. Could we treat the "To perform this job successfully..." as Requirements? That's more generic. Might be better to skip Requirements if no distinct content. However instruction: "Prefer a few substantive sections over many thin ones." So we could omit Requirements if not distinct. But we need to decide. We have sections: About the role, Responsibilities, Qualifications, Skills, Benefits, Pay, Schedule. We need to extract Benefits, Pay, Schedule from the overview. Overview includes: "Schedule: Monday - Friday 8:00am - 4:30pm Required Weekends and on- call rotations required Competitive Pay Health, Dental, Vision & Life Insurance Company-Paid Short & Long-Term Disability Flexible Schedules & Paid Time Off Tuition Reimbursement Employee Discount Program & DailyPay 401k Pet Insurance" Thus we have Schedule, Pay (Competitive Pay), Benefits (Health, Dental, Vision & Life Insurance, Company-Paid Short & Long-Term Disability, Flexible Schedules & Paid Time Off, Tuition Reimbursement, Employee Discount Program & DailyPay, 401k, Pet Insurance). Also $500 Sign On / Retention Bonus under Additional Job Information could be considered Benefits or maybe separate but we can include in Benefits. Thus we will create: - Benefits: list items. - Pay: maybe just "Competitive Pay" plus maybe mention $500 Sign On / Retention Bonus? Could be separate but we can include in Pay. - Schedule: "Monday - Friday 8:00am - 4:30pm; Required Weekends and on-call rotations." Now we need to ensure we don't include boilerplate like EEO etc. There's none. Now produce HTML fragment. Structure:

      About the role

      ... (overview text)

      Responsibilities

      • ... each bullet

      Qualifications

      • ... education items
      • ... work experience items

      Skills

      • ... skill items

      Benefits

      • ... benefit items

      Pay

      Competitive Pay; $500 Sign On / Retention Bonus

      Schedule

      Monday - Friday 8:00am - 4:30pm; Required Weekends and on-call rotations.

      We need to ensure we preserve all substantive information. Let's extract details. About the role text: Combine the overview paragraphs before responsibilities. Original overview: "Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression! Schedule: Monday - Friday 8:00am - 4:30pm Required Weekends and on- call rotations required Competitive Pay Health, Dental, Vision & Life Insurance Company-Paid Short & Long-Term Disability Flexible Schedules & Paid Time Off Tuition Reimbursement Employee Discount Program & DailyPay 401k Pet Insurance Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today! The Supervisor, 3rd Party Analysts is responsible for the direction and coordination of the 3rd Party Analyst team as well as the coordination of transactions between PharMerica and 3rd party payers. The supervisor will interact with appropriate departments to provide operational support and ensure integrity of third party plan and claim information." We need to avoid repeating schedule, pay, benefits in About the role? The instruction says preserve ALL substantive information; we can keep them there but then also have separate sections. Might duplicate but okay. However we could remove schedule/pay/benefits from About the role to avoid duplication, but we must preserve all info; moving them to separate sections still preserves. It's okay to omit from About the role if we have sections. But we need to ensure not to lose any info. We'll keep About the role as the narrative without the schedule/pay/benefits bullet list, but we can keep the sentences about company, role, etc. Let's craft: "Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression! Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today! The Supervisor, 3rd Party Analysts is responsible for the direction and coordination of the 3rd Party Analyst team as well as the coordination of transactions between PharMerica and 3rd party payers. The supervisor will interact with appropriate departments to provide operational support and ensure integrity of third party plan and claim information." That seems good. Now Responsibilities: list each bullet from the responsibilities block. Let's extract each sentence after "Responsibilities". The block: "Billing & Claims Supervisor Works in conjunction with the 3rd Party Operations Manager to establish analyst level goals, department wide goals, performance tracking and quality assurance metricsClearly communicates roles and responsibilities of analysts and provides guidance and leadership to staffEstablishes and maintains professional and effective relationships with staff, peers, payers, and other stakeholdersServes as a liaison with staff and payers or internal departments to coordinate and troubleshoot various claim, payer, or other industry related issuesWorks to update, or create and maintain Standard Operations Procedures for the department, including clearly outlining training plans for new or underperforming analystsEnsures team assignments are fair and balanced based on analyst’s skills setsManages staff attendance and time sheets for payroll (Day Force) system. Assures staff is meeting attendance policies and reports any variations to ManagerHolds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goalsEnforces disciplinary action and creates performance improvement plans as needed for underperforming staffCreate and manage reporting opportunities to mitigate third party rejections, reduce revenue loss, and implement process improvementsStays up to date on third-party billing requirements and reimbursement guidelinesServes as a Subject Matter Expert (SME) for the organization on internal claims billing system and industry relationsParticipates in meetings of the National Council for Prescription Drug Programs (NCPDP), representing the interests of PharMerica and the long term care pharmacy perspectiveCollaborates regularly with Contracting, Purchasing, Claims Processing, Accounts Receivable, Cash Processing, Facility Billing, Admissions, Census, Plan Administration, IT, and other areas of the companyEnsures communications impacting other areas of the company are distributed properly and timelyPerforms other tasks as assignedConducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards." We need to split into sensible
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