Director, Pharmacy Financial Operations
University of Miami · Medley, FL · 1 mo ago
HealthcareFull-time
Core Job Functions
- Overseeing the revenue cycle process for the pharmacy services, ensuring maximization of revenue and minimization of losses.
- Implementing and monitoring effective billing practices and procedures for various pharmacy services.
- Preparing and monitoring all pharmacy services monthly financial reports in consultation with department leadership and Finance leadership.
- Forecasting drug expense for purposes of revenue and expense planning.
- Closely liaising with Finance to ensure proper revenue recognition/opportunities.
- Delivering comprehensive reporting to senior management that communicates relevant trends, KPIs, and analytical insight into performance.
Account Management
- Leading, mentoring, and inspiring the Pharmacy Financial Operations team, fostering a collaborative and results-driven environment.
- Ensuring that the team is well-equipped, motivated, and capable of achieving departmental goals.
- Developing and implementing effective strategies for timely and successful collections to maintain a healthy cash flow.
- Overseeing the resolution of any outstanding payment issues and overseeing collaboration with customers to facilitate prompt payments.
- Maintaining accurate records and collaborating with the accounting team to ensure smooth month-end and year-end closing processes.
- Routinely communicates any issues or concerns with pharmacy leadership.
Reporting
- Preparing regular reports and providing insights into financial metrics, aging reports, and cash flow projections.
- Using data-driven analysis to identify trends and implement strategic improvements.
- Continuously assessing the financial account processes and identifying areas for improvement.
- Implementing automation and technology-driven solutions to optimize efficiency and reduce manual interventions.
- Working in conjunction with pharmacy leadership and finance operations developing strategies to effectively manage department operating budgets and monitor expenses.
- Developing and implementing revenue cycle training programs for managers and staff within the department.
- Directing patient accounting activities to maintain accuracy as well as optimize and accelerate reimbursement for the services provided.
Strategy
- Providing support for business plans and financial modeling projects.
- Partnering closely with Finance, Patient Care Services and Clinical Services and pharmacy procurement team to ensure achievement of pharmacy financial targets and business goals.
- Serving as the subject-matter expert (SME) on regulatory, compliance, and legal requirements associated with medical and prescription billing.
- Influencing all revenue cycle processes, including developing, revising, and enforcing policies, goals, and best practices to effectively manage the company receivables.
Leadership
- Lead and inspire the team to achieve program goals and objectives.
- Promote a culture of accountability, collaboration, and excellence within the team.
- Provide strategic direction and leadership to managers and coordinators.
- Foster a collaborative and high-performing team environment.
- Conduct regular performance evaluations and provide mentorship and professional development opportunities.
- Build and maintain strong relationships with key stakeholders.
- Effectively communicate program successes, challenges, and opportunities.
- Represent the organization in relevant industry groups, conferences, and forums.
Core Qualifications
- Education: Bachelor’s degree in relevant field required, Master's degree in Finance or MBA preferred.
- Experience: Minimum 8 years of relevant experience required with a minimum of 3 years in pharmacy financial management.
- Knowledge, Skills and Abilities: Strategic Alignment: Skilled in aligning departmental goals with enterprise-wide strategy and develops comprehensive strategic plans.
Financial Management: Ensures fiscal responsibility, and optimization of financial performance.
Resource Management: Ability to allocate resources and drive innovation and growth.
Adaptability: Proven ability to adjust to changes and leads/inspires transformational change.
Team Leadership: Ability to build and lead high-performing teams, manage complex projects, and ensure successful project delivery.
Technology & Analytics: Understanding of technology, data analytics, and performance measurement to drive strategic decisions and identify opportunities.
Communication: Ability to influence others, articulate strategic vision, and ensure clear and persuasive communication.