Manager Business Operations - Pharmacy Finance (Days) at Texas Children's Hospital

Houston, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jul, 26

Salary

0.0

Posted On

03 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Business operations, Pharmacy financial services, 340B program, Budget management, Variance analysis, Regulatory compliance, Reimbursement optimization, Staff management, Performance management, Process improvement, Healthcare administration, Data reporting, Strategic leadership, Patient flow management, Billing practice

Industry

Hospitals and Health Care

Description

We are seeking a Manager of Business Operations (Pharmacy Financial Services) to support HTC’s 340B Program contract pharmacy operations. This role provides strategic and operational leadership for the business and financial functions that support contract pharmacy services, ensuring regulatory compliance, financial integrity, and efficient operations. The Manager partners closely with Pharmacy leadership, HTC stakeholders, and external partners to oversee day‑to‑day business activities, evaluate financial performance, and implement operational improvements that support sustainability, optimize reimbursement, and advance high‑quality, patient‑centered care. Think you’ve got what it takes? Job Duties & Responsibilities * Provides operational coordination. Manages inpatient and outpatient business operations, including referral management, scheduling, authorization, charge entry and billing practice, denial management, and reimbursement. Serves as a liaison between clinicians, physicians, families, nursing staff, and business operations support personnel to promote efficient patient flow, excellent patient/family care centered care, and high levels of customer service * Develops and monitors the budget. Demonstrates accountability for cost-effective management of resources while ensuring the department achieves patient care goals. Oversees variance analysis for the Department budgets. Develops and produces reports and data on fiscal activities. * In collaboration with the leadership team, reviews and refines business operation goals and specific charging strategies to ensure optimal reimbursement and compliance with regulatory agencies. Anticipates regulatory and reimbursement changes to establish strategies for optimizing financial operations * Establishes staffing roles, schedules, and productivity guidelines according to patient needs and budget. Monitors throughout the year and revises as needed. Participates in job description development, interviewing, hiring, coaching, developing, and terminating the employee * Ensures the ongoing review and development of process improvements for ensuring patient safety, efficient patient flow, workflow, and customer/employee satisfaction * Coaches and develops staff using the performance management system. Ensures effective orientation and professional development for the team Skills & Requirements * Bachelor's degree required * Master's degree preferred * 3 years of Business operations or experience in a healthcare environment required (i.e. hospital, outpatient clinic, or physician practice) required * Previous leadership experience preferred * Experience in pediatrics, rehabilitation therapies, and/or financial business or insurance experience preferred Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Responsibilities

The Manager of Business Operations provides strategic and operational leadership for pharmacy financial services, ensuring regulatory compliance and financial integrity. They oversee day-to-day business activities, manage budgets, and implement process improvements to optimize reimbursement and patient care.