Supervisor - Pharmacy Adjudication

Essential Functions

• Supervises adjudication staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnover.
• Communicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issues.
• Assists Director of Pharmacy Operations in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
• Works with pharmacy management to recruit, select, hire, orientate, develop, and train new associates.
• Evaluates, coaches, and utilizes performance management practices to motivate and set expectations for PA staff.
• Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.

Qualifications

• Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Knowledge of insurance and applicable regulations.
• Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Knowledge of insurance and applicable regulations.
• Desired: Associates or Bachelor’s Degree, Certified Pharmacy Technician, Specialty pharmacy experience.
• Work Experience Required: 4+ years pharmacy or pharmacy adjudication or equivalent experience, previous leadership experience.
• Desired: 5+ years pharmacy or pharmacy adjudication or equivalent experience, 1+ years supervisor experience, Specialty pharmacy experience.

Skills/Knowledge Required

• NDC medication billing, PBM and medical contracts, healthcare audit experience, knowledge of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, excellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy terminology and process including sig codes, and roman numerals, brand/generic names of medication, advanced typing, math and analytical skills.
• Specialty pharmacy operations, leadership skills, independent decision-making abilities, able to conduct research, be resourceful, and self-reliant, excellent communication skills.

Licenses/Certifications Required

• Pharmacy Technician License/Registration with Board of Pharmacy, as required by state law.

Behavior Competencies Required

• Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills, leadership

Pay

Salary range starting at $46k and up depending on experience
Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
We offer a variety of benefits including: Medical; Dental; Vision;
401k with a match;
Paid Time Off and Paid Holidays;
Quarterly Incentive Bonuses;
Tuition Reimbursement;
Company paid benefits – life insurance; and short and long-term disability.

Schedule

Full-time position, Monday to Friday 8:30 am to 5:00 pm CST.