Pharmacy Business Office Manager

Pharmacy Business Office ManagerThe Pharmacy Business Office Manager oversees the financial, administrative, and operational functions that support pharmacy revenue cycle performance. This role is responsible for reconciling pharmacy payments, monitoring third-party payer activity, ensuring accurate claim data, reconciling rebates, and supporting compliance with billing and reimbursement requirements. The manager partners closely with the Administrative Director, Finance Team, and Central Business Office to develop efficient workflows, maintain high-quality data, and ensure timely and accurate financial processes.Specific ResponsibilitiesManages and oversees pharmacy payment reconciliation processes, including third-party payer payments, cash posting, remittance review, and variance resolution.Ensures timely and accurate reconciliation of claims, reimbursements, and adjustments.Identifies payer trends, denials, and payment discrepancies; partners with the pharmacy team to resolve issues.Ensures clean, accurate claim, collection, and demographic data supporting pharmacy billing workflows.Assists in analyzing current costs, revenues, financial commitments, and obligations incurred to predict future revenues and expenses.Monitors contract pharmacy performance, payment trends, reconciliation timelines, and fee structures; escalates concerns related to revenue leakage, incorrect fees, or missed opportunities.Supports optimization of 340B revenue through identification of process gaps, payer or prescriber issues, or data mismatches that affect savings capture.Develops and reports pharmacy-specific KPIs (e.g., payment accuracy, reconciliation timelines, denial trends). Evaluates processes and makes recommendations on changes to enhance quality and efficiency.Evaluates and improves workflows to enhance efficiency, accuracy, and compliance.Assists in the development and maintenance of policies, procedures, and training materials related to pharmacy revenue cycle, billing workflows, reconciliation, and payer compliance.Audits and reports monthly pharmacy business KPIs, including reconciliation accuracy, claim volume, payment timelines, and exception trends. Orients all new staff to MAHEC's clinical policies and procedures.Collaborates regularly with pharmacy leadership, CBO, finance, and compliance teams to improve efficiency and ensure alignment.Maintains understanding of current 340B regulations, manufacturer restrictions, HRSA guidance, and payer carve-out requirements; updates internal processes and communicates changes to pharmacy team.This role description is a general description of the essential job functions. It is not intended to describe all the duties the Business Office Manager may perform.Key CompetenciesCommunication SkillsDecision MakingHealthCare KnowledgeInterpersonal SkillsOrganizational ValuesProblem SolvingSpecified SkillsComputer: Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications required.Physical DemandsNot Applicable.Supervisory ResponsibilitiesNot Applicable.Education and ExperienceMinimum Qualifications: At least 5 years of experience in healthcare revenue cycle, pharmacy billing, pharmacy reimbursement, or financial reconciliation. Demonstrated competency in payment posting, payer processes, and reconciliation workflows.Preferred Qualifications: Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field. Knowledge of 340B drug pricing program.Required LicensesNot Applicable.ScheduleRegular attendance on-site is an essential function of this position. Typical business hours are Monday Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer.MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to AskTalent@mahec.net for support in your job search process. You could be the talent we are seeking for this or other opportunities.