Key Responsibilities
1. Prescription & Medication Approval
- Review prescriptions for accuracy, completeness, and compliance with medical guidelines.
- Approve or escalate prescriptions requiring clinical or financial validation.
- Ensure controlled and high-risk medications are properly authorized.
2. Procurement & Inventory Approval
- Verify pharmacy purchase requisitions and stock requests.
- Approve procurement based on budget, necessity, and policy compliance.
- Monitor inventory movement to avoid overstocking or shortages.
3. Insurance & Billing Coordination
- Validate medication charges for insurance and billing purposes.
- Ensure compliance with payer rules and reimbursement policies.
- Coordinate with billing and finance teams for approvals and corrections.
4. Regulatory Compliance
- Ensure all approvals comply with healthcare regulations and internal policies.
- Maintain documentation for audits and inspections.
- Support adherence to pharmacy laws and accreditation standards.
5. System & Documentation Management
- Process approvals in hospital information systems (HIS/ERP).
- Maintain accurate records of all approvals and rejections.
- Generate reports as required by management.
6. Communication & Coordination
- Coordinate with pharmacists, physicians, and finance teams.
- Clarify discrepancies in requests before approval.
Provide guidance on approval requirements and procedures.
Qualifications
Qualifications
- Bachelor’s degree in Pharmacy, Healthcare Administration, or related field.
- Prior experience in hospital pharmacy or healthcare approvals preferred.
- Knowledge of pharmaceutical regulations and hospital workflows.
Skills Required
- Attention to detail and accuracy
- Knowledge of pharmacy operations and medications
- Strong analytical and decision-making skills
- Familiarity with HIS/ERP systems
- Good communication and coordination skills
- Understanding of compliance and audit requirements
Linked-in
Google