Pharmacy Operations Manager

Medical Review Institute of America, LLC

Manager overseeing pharmaceutical operations in a clinical and tech-enabled management company. Responsible for performance outcomes, team leadership, and operational oversight.

Posted 6/22/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Manager-level position responsible for end-to-end operational oversight of pharmacy operations supporting both clinical and non-clinical functions
Accountable for workflow performance, team coordination, and execution across integrated operational models
Leads cross-functional teams responsible for case progression, clinical review support, and completion activities, ensuring alignment with quality, turnaround time, and productivity expectations
Partners with clinical leadership, quality, and operations teams to drive efficiency, reduce rework, and support scalable, high-performing operational workflows
Provide operational leadership for pharmacy operations workflows, including both clinical and non-clinical functions supporting IRO services (initial reviews and appeals)
Own the execution and performance of integrated pharmacy operations, ensuring alignment across case progression, clinical review support, and completion processes
Lead cross-functional teams to deliver against key operational metrics, including quality, turnaround time, productivity, and backlog management
Drive alignment between clinical and non-clinical workflows to ensure efficient case flow, minimize rework, and optimize resource utilization
Partner with clinical leadership, quality, and operations teams to ensure consistency in review practices, documentation standards, and workflow execution
Contribute to the ongoing design, refinement, and standardization of operational workflows to support scalability and performance improvement
Develop team capability through coaching, performance management, and workforce planning across both clinical and non-clinical staff
Identify operational risks, gaps, and inefficiencies, and implement solutions to improve performance and service delivery
Lead day-to-day operations of pharmacy workflows, ensuring efficient case progression across clinical and non-clinical functions
Own performance outcomes for assigned operations, including quality, turnaround time, productivity, and backlog management
Monitor and manage workflow distribution, capacity, and staffing to ensure alignment with volume demands and service level expectations
Ensure effective coordination between clinical and non-clinical functions to support seamless case flow and minimize delays or rework
Identify and resolve operational bottlenecks, inefficiencies, and breakdowns in workflow execution
Establish and maintain performance standards, ensuring accountability at both individual and team levels
Provide direct leadership to team members, including coaching, performance management, and development of both clinical and non-clinical staff
Partner with quality and clinical leadership to ensure consistency in review practices, documentation, and adherence to internal and external standards
Support implementation and stabilization of new workflows, processes, and operational changes to improve efficiency and scalability
Analyze operational data and performance trends to identify opportunities for improvement and drive informed decision-making
Ensure readiness and operational alignment for new clients, products, or workflow changes impacting pharmacy operations
Maintain effective communication with cross-functional partners to ensure alignment on priorities, risks, and performance outcomes
Perform other duties as required to support operational performance and business needs

Requirements

What you’ll need

Minimum of 2–3 years of supervisory or leadership experience in healthcare operations, managed care, or a related environment
Experience supporting clinical review, quality auditing, completion, or similar operational workflows preferred
Clinical experience in utilization review, clinical quality auditing, or related healthcare review functions preferred
Strong understanding of healthcare operations, including clinical review workflows, case progression, and operational support functions within pharmacy operations
Demonstrated leadership experience managing both clinical and/or non-clinical teams in a healthcare or managed care environment
Ability to manage end-to-end workflows, including coordination between clinical and non-clinical functions to drive efficient case flow
Strong operational and problem-solving skills, with the ability to identify bottlenecks, resolve workflow issues, and improve performance
Experience managing performance metrics, including quality, turnaround time, productivity, and backlog
Ability to work in a fast-paced environment, managing multiple priorities and shifting demands
Strong communication skills, with the ability to collaborate effectively across clinical, quality, and operations teams
Strong organizational skills and attention to detail
Working knowledge of medical terminology and healthcare processes
Knowledge of regulatory, compliance, and accreditation requirements applicable to healthcare operations
Proficiency in standard business tools (Microsoft Office Suite)

Benefits

Comp & perks

healthcare, vision and dental insurance
a generous 401k match
paid vacation
personal time
holidays
Growth and training opportunities
A team atmosphere with fun events and prizes scheduled throughout the year

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare operationsclinical review workflowsquality auditingutilization reviewperformance metricsworkflow managementoperational support functionsdata analysisproblem-solvingresource utilization

Soft Skills

leadershipteam coordinationcommunicationorganizational skillsattention to detailcoachingperformance managementcollaborationadaptabilitydecision-making