Pharmacy Claims Manager – LTC Reimbursement & Compliance

Consonus Pharmacy, a closed‑door long‑term care pharmacy, is hiring a Pharmacy Claims Manager to oversee all claims processing operations, including adjudication, third‑party billing, and reimbursement optimization. You will lead a team to ensure timely submissions, resolve claim exceptions, and maintain compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements.

The role partners with Billing, Customer Accounts, and Pharmacy Operations to maximize reimbursement, minimize