Requisition: 2024-149821

MARGIN OPTIMIZATION DIRECTOR Job Locations

US-CO-ENGLEWOOD

ID 2024-149821

Line of Business Amerita

Position Type Full-Time

Pay Min USD $127,300.00/Yr.

Pay Max USD $190,900.00/Yr. Our Company

Amerita Overview

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Director of Margin Optimization will build, direct, and manage a team that works cross functionally to steward the process to provide appropriate recommendations for margin optimization. This includes but is not limited to; partnering with inventory management on cost(s), billing process changes, product substitutions, partnering with the clinical teams to determine appropriate medications, making recommendations for medical billing or PBM billing, and review insurance-based formulary. This position will also partner with the clinical teams to interpret, clarify, verify, and request updated orders for medications and other pharmaceutical supplies pursuant to a medication order. A critical component of this role is possessing the ability to see each negative and/or sub-optimal margin claim through resolution, not letting barriers and roadblocks get in the way. This role will have strategic ownership for coming up with new ideas to prevent negative and/or sub-optimal margins on the front-end, while building broader strategies and initiatives for margin optimization across the board. Remote position - work from home * Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts * Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match * Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability * Employee Discounts * Tuition Reimbursement * Paid Time Off & Holidays

Responsibilities

Responsible for building and owning a process/team to drive daily oversight of negative and sub-optimal margins, driving higher profitability across the business This includes but is not limited to; continuous review of products selected for each patient to validate margin, formulary changes, and medication appropriateness based on disease state, identifying therapeutic substitution opportunities to enhance profitability and minimize copay costs to patients, reviewing billing processes and making recommendations for appropriate changes, and partnering with the inventory/procurement team to optimize cost(s) Define and resource key roles and responsibilities for a margin optimization team to ensure the team has the right 'players' to execute the processes that are built Develop a margin optimization roadmap with key milestones that can be tracked and socialized on a consistent cadence Responsible for building and owning a reporting package that clearly outlines the return on investment for the margin optimization team. Report out margin improvement on a weekly/bi-weekly/monthly cadence Collaborate with internal and external operational, business, and technical teams in the process of improving the margin optimization process Oversee, lead, and set service level expectations for the margin team, and ensure all action items are acknowledged and assigned for follow-up Build reporting to measure and substantiate that service levels are being maintained Conduct analysis and consult business leadership to build and implement high impact/large scale initiatives to deliver sustainable improvement in gross margin Collaborate with external firms to perform benchmarking on cost(s) to identify opportunity for enhancements Develop and deploy sustainable tools and processes to support the evaluat on and identification of opportunities across direct and indirect cost(s) Lead and mentor a high-performing team, fostering a culture of continuous improvement, innovation, and accountability Stay abreast of industry developments, regulatory changes, and emerging technologies to inform and adapt the margin enhancement strategy accordingly Actively participate in regional as well as national sales calls and meetings as relevant

Qualifications

Required Skills Knowledge of pharmacy operations... For full info follow application link.