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
