Order Reconciliations Manager

Position Title:

Order Reconciliation Manager 
Department:

Pharmacy Operations 
Reports To:


Senior Manager, Pharmacy Outbound Operations.   
FLSA Status:


Exempt 

Position Summary: 

The Order Reconciliation Manager plays a critical role in ensuring operational accuracy, financial accountability, and fulfillment efficiency. This individual oversees the daily review, investigation, and resolution of order discrepancies—serving as a quality checkpoint between order entry, production, inventory, billing, and shipping. The ideal candidate brings strong analytical skills, attention to detail, and a proactive mindset to drive process improvement, accountability, and performance across the team. 

Key Responsibilities: 

• Lead and manage all order reconciliation activities, ensuring accuracy in patient orders, product selection, pricing, shipping charges, and billing. 

• Investigate and resolve order discrepancies, including missing items, wrong shipments, canceled prescriptions, and system flags. 

• Collaborate closely with Pharmacy, Inventory, Shipping, Billing, and Customer Care to identify root causes and implement corrective actions. 

• Develop and maintain real-time reporting dashboards for error tracking, resolution timelines, and trend analysis. 

• Establish and maintain
  reconciliation SOPs, process flows, and escalation protocols. 

• Partner with IT/Data teams to improve system workflows and reduce reconciliation errors at the source. 

• Lead and coach a small team of reconciliation specialists, with a focus on ownership, accuracy, and efficiency. 

• Monitor KPIs related to order accuracy, reconciliation turnaround time, and financial impact. 

• Serve as a subject matter expert during internal audits and support compliance efforts related to order integrity and patient safety. 

Qualifications: 

• Bachelor’s degree in Business, Healthcare, Operations, or related field preferred; equivalent experience considered. 

• 3+ years of experience in order management, reconciliation, pharmacy operations, or healthcare logistics. 

• Experience in a pharmacy or regulated healthcare environment highly preferred. 

• Strong analytical skills with a data-informed approach to problem-solving. 

• Proficiency in pharmacy management systems (e.g., Pharmetika) and Microsoft Excel/Power BI. 

• Detail-oriented with excellent organizational and communication skills. 

• Proven ability to drive cross-functional collaboration and follow through on commitments. 

• Comfortable in a fast-paced, growing environment where adaptability and accountability are key. 

Success Attributes at TMC: 

• Ownership Mentality: You don’t wait to be told—when you see an issue, you take it on. 

• Process Improvement Mindset:
  You’re always looking for how we can do things better, faster, and more accurately. 

• Collaboration-First: You communicate clearly and partner across teams to solve problems. 

• Mission-Focused: You understand that behind every order is a patient depending on us to get it right.