Health Insurance Operations Manager jobs in Lancaster, PA

Overview

For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.”.  On a daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more than 50,000 residents. 

HealthDirect is a division of KPH Healthcare Services, a billion dollar, 100% employee owned provider of pharmaceutical and healthcare services. KPH is comprised of four divisions – Kinney Drugs, ProAct Inc., HealthDirect and Noble Health Services.  The family of KPH Healthcare Services began with Kinney Drugs retail in 1903.  All KPH family company values stem from Kinney’s long-standing commitment to trust and community-minded health solutions.  

As a team, HealthDirect has achieved significant growth. Over the past 6 years we have grown from four pharmacies in two states to 20 pharmacies across eight states.  Our team has grown to over 900 employees and we are looking to add another – possibly you!

Scope of Responsibilities:  Oversees the day-to-day operations of entire facility. Responsible for training and development of subordinate staff, estimating personnel needs, assigning work, meeting completion dates, interpreting and ensuring consistent application of organizational policies.

Job Summary: Provide direct supervision and managerial oversight necessary for the efficient and profitable management of a pharmacy.

Responsibilities

Job Duties:

• Assist in the development of an annual store operating budget, and operate the store within the budgetary guidelines
• Responsible for the hiring, development, performance review, and disciplinary actions of store personnel
• Responsible for insuring all employees are adequately trained to perform duties
• Responsible for assignment of duties and scheduling of staff to insure payroll and productivity budget guidelines are met
• Responsible for meeting or exceeding budgetary sales guidelines
• Manage and balance the store inventory to insure maximum turns while remaining in-stock for customer needs
• Insures in-store technology is being used to its fullest potential to insure a maximum return on investment of the technology and life span.
• Communicate corporate goals to all store personnel, through weekly store meetings
• Insure outstanding customer service is exhibited by all employees always
• Insure all Loss Prevention policies are followed by all employees and report deviations from said policies to Loss Prevention
• Insure all corporate marketing, advertising and promotional programs are fully executed and implemented
• Assist in the collections and management of all Accounts Receivables, including Third Party, Compensation, and Kinney House Charge
• Insure all receiving and handling requirements for Kinney warehoused merchandise and Direct Store Delivery (DSD) merchandise are followed
• Insure all Standards of Presentations (SOP), and Merchandise presentation guidelines are implemented and maintained in a timely fashion
• Interface with various auditors, inspectors, vendors and outside agencies as needed
• Insure the physical plant is maintained to protect customer and employee safety.
• Submit required reports, cashups, timesheets and other requested data to corporate on time
• Insures all store employees follow all state and federal guidelines regarding the sale of alcohol and tobacco
• Optimize cost management in line with script counts
• Perform all store clerk duties as needed
• Oversight responsibilities to insure facilities are compliant with all state and federal regulations and requirements
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Qualifications

Education:

• Minimum: Bachelor’s Degree

Experience:

• Preferred: 3 or more years previous experience in Merchandising, Store Management or related field

Required (Vermont Employees):

• Registered with the State of Vermont as a Pharmacy Technician

Required (Ohio Employees):

• Registered with the State of Ohio as a Pharmacy Technician

Special Conditions of Employment:

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

Job Requirements:

• Limited lifting up to 80 lbs
• Successful completion of the Store Manager Training Program
• Successful completion of the Pharmacy Technician Training Program
• Successful completion of a pre-employment and/or random drug screening test

Required Training:

• HIPAA Privacy Course
• HIPAA Security Course
• Fraud, Waste, and Abuse Course
• MethGuard Course
• HIPAA Privacy CE Mastery Exam
• Fraud, Waste, and Abuse CE Mastery Exam
• MethGuard CE Mastery Exam

Job Skills Required:

• Strong Merchandising Skills
• Strong interpersonal Skills

Management Skills Required:

• Customer Service: Must provide timely and accurate responses to all business associates and customers
• Planning: Must develop effective plans, objectives and goals that achieve desired results in a timely manner
• Organization: Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectively
• Communication: Must write and speak clearly and effectively at all levels, listen and be attentive to others
• Decision Making: Gather, analyze data and make and/or implement effective decisions in a timely manner
• Technology: Must use technology to its fullest potential to achieve department and corporate goals

Leadership Skills Required:

• Leadership: Gains acceptance of ideas and accomplishes goals through subordinates, peers and teams
• Personnel Development: Selects, trains, coaches and develops associates and teams for peak performance
• Team Work: Must strengthen team performance by sharing information, establishing guidelines and celebrating success
• Empowerment: Demonstrates positive and active ownership of one’s responsibilities and fosters the same in others
• Employee Relations: Provides and solicits constructive feedback, evaluates performance and takes corrective action.

Behavioral Traits:

• Intuitive/Open minded: Must be able to see opportunities, develop and implement creative solutions to complex problems
• Achievement Drive/Commitment: Driven to achieve goals, objectives and results. Fosters a culture of continuous improvement
• Positive/Supportive: Inspires and shows faith in others, builds a positive and supportive work environment
• Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure

Compensation:

 $65,000.00 - $79,385.78 per year

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.