Ambulatory Pharmacy Finance Project Manager
Job Description
Description
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You bring\nmore than skill, knowledge, and expertise to your role as an allied health\nprofessional. You bring a deep passion for improving the lives of everyone\naround you. At UCLA Health, we’re committed to fostering a working environment\nwhere you are supported and empowered to be your best. You’ll love it\nhere!
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As the\nPharmacy Financial Analyst, you will be a technical leader with a high degree\nof knowledge in the pharmacy analytics field and recognized expertise in\nfinancial analysis/transactions, payer contracting, data analytics, and\nstrategic planning. You will provide analytical and strategy support for highly
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complex\nbudget, financial and resource projects supporting the growth of the ambulatory\npharmacy department. You will exercise judgement in selecting methods,\ntechniques and evaluating criteria for obtaining results. The position works\nclosely with pharmacy leadership to analyze, report, and recommend actions that\noptimize the business operations of ambulatory pharmacy department.
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The\nPharmacy Financial Analyst drives the insurance contracting strategy and\nsupports projects that are complex in nature, requiring a high level of critical\nthinking and problem solving. You will have oversight over other analysts to\nensure that tasks are completed efficiently and timely. You must be a subject\nmatter expert in your workflow, and be able to complete work independently and\nwork on problems that may not have precedent and/or structure.
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At UCLA\nHealth, our passion for leveraging state-of-the-art technology to support\nworld-class patient care has enabled us to become an internationally renowned\nhealth system with five award-winning hospitals and more than 270\ncommunity clinics throughout Southern California. We’re also home to the\nworld-class medical research and clinical education capabilities of the David\nGeffen School of Medicine. If you’re looking to experience greater challenge\nand fulfillment in your career, come to UCLA Health.
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Schedule:\nVaried shifts, depending on department needs, including weekends and holidays
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Annual\nSalary Range: $95,400 - $208,300
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Qualifications
We’re seeking a dedicated professional with:
- Pharmacy experience and/or BS in Accounting or business administration, or computer science and/or equivalent experience
- Pharmacy finance experience preferred
- Works all operational shifts including nights, weekends and holidays, as assigned.
- Ability to reconcile insurance payments with third party reconciliation vendor
- Ability to analyze billing and accounts receivable reports. Identify trends, categories of aged receivables and provide feedback to stakeholders to improve results. Work with payors to identify trends and implement strategies that ultimately save cost and improve revenue lift
- Ability to review, analyze and present reports and data, and vast knowledge of Microsoft Excel Tools
- Ability to perform financial audits and making necessary corrections
- Maintain a strong knowledge of pharmacy network reimbursement rates in the local and broader market to provide a basis for modeling the impact of acceptance or denial of specific third party contracts
- Skill in using the following required machines, tools, office and pharmacy equipment, computer software required to do the job, with or without a reasonable accommodation. Windows-based computer – constant use: Microsoft Office including Word and Excel , Tableau and electronic drug references
- Knowledge of pharmacy terminology, abbreviations, medical terminology, drug trade and generic names
- Ability to train, orient and mentor newly hired pharmacy support staff