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3rd Party Operations Supervisor

  • Louisville, KY, United States

$7.25 USD / hour

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Job details

Pay
$7.25 USD / hour
Experience
Required: 2+ years experience in a supervisory, managerial, or leadership role
Posting language
English
Posted

Original job description

Experience Required

2 - 20 years

Minimum Education Required

Associates Degree

Compensation

$7.25 / hourly

Hours Per Week

40

Number Of Positions

1

Work Schedule and Shift Requirements

First (Day)

Job Description

Requisition: 2026-196514

3rd Party Operations Supervisor

Job Locations

US-KY-LOUISVILLE

ID 2026-196514 Line of Business PharMerica Position Type Full-Time

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

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.

Responsibilities

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 metrics

Clearly communicates roles and responsibilities of analysts and provides guidance and leadership to staff

Establishes and maintains professional and effective relationships with staff, peers, payers, and other stakeholders

Serves as a liaison with staff and payers or internal departments to coordinate and troubleshoot various claim, payer, or other industry related issues

Works to update, or create and maintain Standard Operations Procedures for the department, including clearly outlining training plans for new or underperforming analysts

Ensures team assignments are fair and balanced based on analyst's skills sets

Manages staff attendance and time sheets for payroll (Day Force) system. Assures staff is meeting attendance policies and reports any variations to Manager

Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals

Enforces disciplinary action and creates performance improvement plans as needed for underperforming staff

Create and manage reporting opportunities to mitigate third party rejections, reduce revenue loss, and implement process improvements

Stays up to date on third-party billing requirements and reimbursement guidelines

Serves as a Subject Matter Expert (SME) for the organization on internal claims billing system and industry relations

Participates in meetings of the National Council for Prescription Drug Programs (NCPDP), representing the interests of PharMerica and the long term care pharmacy perspective

Collaborates regularly with Contracting, Purchasing, Claims Processing, Accounts Receivable, Cash Processing, Facility Billing, Admissions, Census, Plan Administration, IT, and other areas of the company

Ensures communications impacting other areas of the company are distributed properly and timely

Performs other tasks as assigned

Conducts 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.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

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

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

About our Line of Business

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

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.

Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

Job Type

Full time

Benefits Offered

Not specified

Veteran Preference

No

Place of Work

On-site

Requisition ID

2026-196514

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