Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

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The Regional Director of Home Infusion & Patient Access Infusion Medication Management is responsible for all operations, strategic planning, and quality metrics for home infusion pharmacy services and patient access/prior authorization services in the outpatient infusion space. This Regional Director position provides oversight for home infusion growth/expansion, relationships with providers and service lines, financial performance, integration of home infusion services with transition of care teams, optimization of prior authorization infusion procedures, and optimization of infusion reimbursement potential. Manages budgets and productivity targets for home infusion and patient access/prior authorization pharmacy staff as well as medication inventory. Establishes communication with relevant provider groups, executive teams, etc. to ensure appropriate patient care and timely delivery of service. Establishes key performance measures for home infusion pharmacy and quality metrics for infusion claim reimbursement review. Keeps abreast of technological and clinical practice changes and implements improvements as necessary. Ensures compliance with all applicable regulatory agencies as well as with organization policy and procedures. Focuses on targeted special projects (e.g., technical and operational conversions, construction, applications, and others) as necessary.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Current state Registered Pharmacist License.
2. B.S. in Pharmacy or PharmD degree required.
3. 5 years of previous progressive leadership and/or Pharmacist-in-Charge experience required.
4. 7 years of previous work experience in home infusion pharmacy and/or hospital pharmacy operations with outpatient infusion experience required.
5. Strong verbal and written communication skills required.
6. Experience with home infusion operations, EMR and home infusion software systems, inventory management, staff management, regulatory and accreditation compliance, claim reimbursement review and billing/CDM maintenance.
7. Strong knowledge of the home infusion clinical standards of care, accreditation and sterile compounding practices, home infusion and home medical equipment reimbursement/regulatory environments including Medicaid and Medicare required.

Preferred qualification:

1. MBA or MHA preferred.