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Pharmacy Reimbursement Analyst IV

UC San Diego Health

Leads projects and/or team members, identifies opportunities to improve effectiveness of revenue capture, and performs analysis at the highest level of scope and complexity.

Works within UC San Diego Health’s outpatient pharmacy environment at Jacobs Medical Center in San Diego, supporting reimbursement analysis, revenue cycle workflow, financial reporting, and process improvement initiatives.

The role is scheduled for days, 8-hour shifts, Monday through Friday.

Requirements & Qualifications

Minimum qualifications

  • Nine years of related experience, education/training, or a bachelor’s degree in a related area plus five years of related experience/training.
  • Related experience in data analysis, reporting, business intelligence, revenue cycle, margin optimization, profitability reporting, project management, and process improvement.
  • Advanced knowledge of healthcare reimbursement revenue cycle workflow, financial reporting concepts, and industry best practices.
  • Comprehensive knowledge of department, medical center, and UC policies and processes.
  • Advanced skills in data management and analysis.
  • Project management skills to lead a team and manage tasks and projects from start to finish.
  • Advanced financial analysis, research, and reporting skills in healthcare reimbursement settings.
  • Advanced interpersonal and communication skills for cross-functional collaboration and reporting.
  • Advanced knowledge of reimbursement healthcare application programs to troubleshoot issues and recommend improvements.

Preferred qualifications

  • Advanced proficiency in Microsoft Excel, including Pivot Tables, Power Query, data modeling, and complex formulas.
  • Experience with data visualization and business intelligence tools such as Power BI or Tableau.
  • Working knowledge of SQL and database querying.
  • Lean Six Sigma, project management, or other process improvement training/certification.
  • Epic Reporting Workbench experience.
  • Pharmacy reimbursement analytics experience.
  • Drug utilization and financial analysis experience.
Benefits & Perks

Additional details

  • Career appointment.
  • 100% appointment percentage.
  • Union-covered status: Uncovered.
  • One opening available.
  • Competitive pay transparency range provided by the employer.
  • Employment subject to background check and pre-employment physical.
  • UC policy compliance, including vaccination requirements if applicable.

Location

San Diego, California, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$105,000 - $130,000

Remote work allowed

No

Posted

1 month ago

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