Parkview
From Parkview's careers page
Status: listed on the employer's own careers page when we last checked (daily). Confirm on their site before applying.
The Manager, Retail & Specialty Pharmacy Access and Reimbursement provides strategic and operational leadership for medication access, reimbursement optimization, revenue integrity, and financial performance across Parkview's retail and specialty pharmacy services. The Manager develops and monitors key performance indicators, leads complex process improvement initiatives, evaluates market access opportunities, supports strategic growth efforts, and uses data-driven decision making to improve patient access, reimbursement performance, and financial outcomes across retail and specialty pharmacy services. While responsibility for retail and specialty pharmacy operations remains within Ambulatory Pharmacy Services, the Manager serves as the business and reimbursement leader for these services. aligning medication access programs, reimbursement strategies, and financial objectives with operational workflows and patient care goals. The Manager leads and develops supervisors and other leaders while maintaining strategic oversight and accountability of prior authorization, reimbursement, revenue integrity, financial performance, and specialized manufacturer programs.
The ideal candidate is a strategic leader who pairs deep reimbursement and payor expertise with strong financial acumen and a commitment to developing leaders. They are comfortable leading complex cross-functional initiatives and organizational change, using data to drive decisions and accountability, and building trusted partnerships across pharmacy, provider, finance, contracting, and payor teams. They are motivated by removing barriers to therapy and advancing the long-term financial sustainability of retail and specialty pharmacy services.
Doctor of Pharmacy or Bachelor of Science in Pharmacy required.
Current Indiana pharmacist license or eligibility for Indiana pharmacist licensure required.
Five years of progressive experience in specialty pharmacy, retail pharmacy, medication access, managed care, pharmacy business operations, or a related field, including demonstrated experience with pharmacy benefits, specialty medications, prior authorization programs, reimbursement, medication access, and payor requirements required.
Prior leadership experience required.
Advanced degree in Business Administration, Healthcare Administration, Public Health, Pharmacy Administration, Finance, or a related field preferred.
Experience with financial reconciliation, revenue integrity, reimbursement analysis, or healthcare financial operations preferred.
Health-system pharmacy experience preferred.
Demonstrated ability to lead and develop leaders, coach supervisors, manage performance concerns, and navigate complex personnel issues.
Demonstrated ability to lead complex cross-functional initiatives and organizational change.
Strong knowledge of pharmacy reimbursement methodologies, pharmacy benefit design, specialty pharmacy operations, and payor requirements.
Strong analytical, financial, and problem-solving abilities, including advanced proficiency in financial analysis, business process improvement, and data-driven decision making.
Experience developing performance metrics, dashboards, and operational reporting.
Communicate and collaborate with providers, nursing leaders, pharmacy leaders, finance teams, payors, and operational stakeholders.
Growth
Develop and advance access, reimbursement, and business strategies that strengthen the growth and long-term sustainability of retail and specialty pharmacy services.
Evaluate market, payor, regulatory, and reimbursement trends to identify emerging opportunities, financial risks, and strategic priorities.
Develop strategies to improve prescription capture, patient retention, network participation, reimbursement performance, and access to therapy.
Partner with pharmacy leadership, operational leaders, contracting, finance, and other stakeholders to evaluate and advance new services, business models, and market access opportunities.
Provide strategic leadership for implementation of emerging reimbursement models, manufacturer programs, and payor initiatives that affect retail and specialty pharmacy performance.
Resources
Establish performance measures, dashboards, and reporting frameworks to evaluate access, reimbursement, financial, and operational performance.
Provide strategic oversight of medication access, reimbursement, revenue integrity, and financial reconciliation functions to support organizational and financial objectives.
Analyze performance trends, financial variances, and emerging risks to identify priorities, guide resource decisions, and drive improvement.
Partner with finance, information technology, pharmacy operations, and other stakeholders to develop scalable processes and solutions that improve efficiency, transparency, and financial performance.
Safety and Quality
Establish oversight structures that support compliant, reliable, and patient-centered medication access and reimbursement processes across retail and specialty pharmacy services.
Provide leadership oversight of revenue integrity, reimbursement controls, documentation standards, and financial risk mitigation within assigned areas of responsibility.
Evaluate operational, financial, quality, and compliance trends to identify systemic risks and establish priorities for improvement.
Lead root-cause analysis and corrective action for significant or recurring access, reimbursement, financial, or compliance concerns.
Foster a culture of accountability, continuous improvement, operational excellence, and data-informed decision-making across teams and leaders.
Service Excellence
Establish strategic partnerships with retail and specialty pharmacy leaders, providers, finance, contracting, information technology, payors, and other stakeholders to advance medication access, reimbursement performance, and organizational priorities.
Develop strategies that reduce financial and administrative barriers to therapy and improve timely, affordable, and coordinated medication access.
Serve as a strategic subject matter expert for pharmacy reimbursement, medication access, payor requirements, market access, and emerging reimbursement trends.
Lead cross-functional initiatives that improve alignment, accountability, transparency, and coordination across pharmacy, clinical, financial, contracting, and payor stakeholders.
Represent retail and specialty pharmacy access and reimbursement priorities in organizational planning and decision-making.
Parkview Health’s world-class clinical teams provide the highest levels of compassionate care. In turn, we are committed to equipping them with state-of-the-art technology and facilities. Parkview strives to be a partner with civic leaders on the frontlines of safety, wellness, and prevention. And, because we are the region's only not-for-profit health system, you can be sure of the most important thing of all -- our patients come first. Parkview Health consists of 13 hospital facilities, 2 free-standing Surgery Centers, and over 1000 employed providers - all on the Epic© platform.
Parkview Regional Medical Center (PRMC), a member of Parkview Health, is a major regional medical center located in Fort Wayne. It provides comprehensive medical services to patients in northeastern Indiana, northwestern Ohio, and southern Michigan. PRMC is a tertiary medical center currently with 565 beds (all private) and is a Level II Adult and Pediatric Trauma Center. In addition to the medical and surgical populations, it also has specialty centers for stroke, cardiology, orthopedics, and oncology. The Women’s and Children’s Hospital sits on the PRMC campus and houses a 41-bed Level III NICU, a dedicated and comfortable family birthing center, and pediatrics care.
Parkview Pharmacy has provided advanced pharmacy services in a variety of areas for decades. Parkview offers a progressive pharmaceutical care environment in a variety of practice settings. Inpatient services include extensive interdisciplinary rounding, graduate medical education engagement, and surgical/critical care and oncology satellite pharmacies. We have also had tremendous growth in ambulatory pharmaceutical care including primary care, hospital-based clinics, specialty clinics, multiple retail pharmacies, and specialty pharmacy.
Parkview Pharmacy leadership includes a team with dedication to each facility and service type, including Inpatient and Ambulatory Clinical Services, Distribution Services Managers for Parkview Regional Medical Center and Parkview Hospital, Oncology Manager, and Retail & Specialty Managers. Additionally, there are supervisors in each area to help support daily needs and department projects in conjunction with lead pharmacists and lead technicians. Parkview pharmacy is an early adopter of and a best-practice site for integrated technologies, including Epic©, Pyxis® MedStations™, Pyxis® CII Safe™, Parata ATPTM, Tecsys inventory management and vertical carousels, a centralized acute care pharmacy distribution center, smart intravenous infusion systems, and Baxa EM 2400™ TPN compounder.
In 2026, Parkview Health was named one of Newsweek’s Greatest Workplaces for Culture, Belonging and Community. Newsweek named Parkview Regional Medical Center (PRMC) one of the World’s Best Hospitals for the second consecutive year.
Parkview Health received a new certification in 2026 as an Age-Friendly Employer™ from the Age Friendly Institute, which recognizes organizations with outstanding achievement in creating an age-friendly workplace.
PRMC and Affiliates was recognized by the American College of Surgeons National Surgical Quality Improvement Program in 2026.
In Fall 2025, all five eligible Parkview hospitals received “A” grades for Hospital Safety Grades by The Leapfrog Group, a national nonprofit focused on patient safety in hospitals and ambulatory surgery centers.
Parkview was recognized in Forbes as one of America’s Best Employers for Healthcare Professionals for 2025.
For the third consecutive year, Parkview was ranked in the Top 10 (No. 5 overall for 2025) on the Most Loved Workplaces list by Best Practices Institute.
Parkview received the NRC Health Excellence in Experience Management Award. Parkview Regional Medical Center (PRMC) has received NRC Health’s Best in Class Consumer Loyalty Award.
Parkview was recognized for the 12th consecutive year on the Digital Health Most Wired Survey by the College of Healthcare Information Management Executives (CHIME), achieving the highest rating, Level 10, for both acute and ambulatory care categories. Parkview was the only health system in Indiana to reach Level 10 this year.
Parkview was one of three health systems to receive the Synergy Award from CHIME and KLAS Research.
Parkview achieved its first Great Place To Work certification in November 2025.
In 2025, all five Parkview Family Birthing Centers in Indiana were honored with the INspire Hospital of Distinction award. Parkview Regional Medical Center received the INspire Category of Excellence.
In Fall 2025, PRMC was recognized with the Commitment to Quality Award from the American Heart Association (AHA) for its commitment to improving patient outcomes. PRMC was also awarded the Gold Plus award for AFib treatment, Silver Plus award for heart failure care, Stroke Honor Roll Elite, and Target 2 Diabetes Honor Roll through the AHA’s Get With The Guidelines® (GWTG) program. Additionally, Parkview Hospital Randallia (PVH) received the Stroke Honor Roll Elite award with Target 2 Diabetes Honor Roll.
In 2025, Parkview Noble Hospital was named a Practice Greenhealth “Partner for Change.” The following hospitals received Practice Greenhealth Partner Recognition: Parkview Regional Medical Center, Parkview Hospital Randallia, Parkview LaGrange Hospital, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Kosciusko Hospital, Parkview DeKalb Hospital and Parkview Wabash Hospital.
For the second consecutive year (2025), Parkview Health been named one of the Top 150 Places to Work in Healthcare by Becker’s Healthcare.
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