Pharmacy Reimbursement Analyst

Payroll Title:
REIMB HC ANL 3 Department:
OUTPATIENT PHARMACY Hiring Pay Scale
$95,250 - $115,00 / Year Worksite:
Jacobs Medical Center Appointment Type:
Career Appointment Percent:
100% Union:
Uncovered Total Openings:
2 Work Schedule:
Days, 8-Hour Shifts, Monday-Friday


#139081 Pharmacy Reimbursement Analyst

Extended Deadline: Wed 6/10/2026
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UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UCSD Layoff from Career Appointment : Apply by 04/09/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.


Reassignment Applicants : Eligible Reassignment clients should contact their Disability Counselor for assistance.

This position will remain open until filled.

DESCRIPTION

The Pharmacy Analyst supports retail pharmacy operations by analyzing financial, operational, and clinical data to improve performance, control costs, ensure regulatory compliance, and optimize patient access and service delivery. This role partners with pharmacy leadership, finance, operations, and IT teams to provide insights that drive data-informed decision-making across retail pharmacy locations.

Responsibilities include:

• Pharmacy workflows: prescription life cycle, roles and responsibilities of pharmacy personnel as well as scope of practice, medication access.
• Pharmacy finance and business models: third party billing, PBM contract and reimbursement models, Part D plan design.
• Specialty pharmacy: LDD access, biosimilars, patient assistance programs, cash flows and margins.
• Regulatory & compliance: Medicare, Medicaid, 340b program, predictive analysis, dashboards
• Business Intelligence: Advanced Excel, SQL, Data QA, Python.
• Health Information Systems: EPIC/ WAM, claims reconciliation platforms, accounts receivable.
• Automation: RPA, Automation impact analysis (pre and post deployment), automation impact analysis and prioritization of use cases.

MINIMUM QUALIFICATIONS

• Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training. Related experience: Prescription lifecycle and reimbursement from payors and patient payment options.
• Demonstrated knowledge of healthcare reimbursement revenue cycle workflow, financial reporting, net revenue analysis and budgeting to effectively and independently capture revenue.
• Strong skills in data management and analysis.
• Ability to manage a project through from inception to completion on schedule while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions.
• Thorough knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings.
• Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.
• Strong communications skills, with the ability to interpret and convey finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations.
• Ability to perform all commonly applicable functions in word processing and spreadsheet software.

PREFERRED QUALIFICATIONS

• Pharmacy Financial & Reimbursement Analytics experience: Prescription third party billing, PBM contract and reimbursement models, quality metrics.
• Specialty Pharmacy & High Cost Drug Management experience: Business intelligence experience - for example margins, capture, cost avoidance.
• Regulatory & Compliance Knowledge: Medicare, 340B, PHI/ HIPAA, CMS.
• Technical skills: Advanced Excel (pivot tables, formulas, Power Query), SQL or database querying, Predictive or trend analysis (claims patterns, reimbursement risk), Dashboard development (Power BI, Tableau, Epic SlicerDicer, etc.).
• Health Information Systems & Data Sources experience: EPIC/ WAM, Claims platforms.
• Automation & Process Improvement experience: RPA in workflow automation.
• Communication & Stakeholder Management experience i.e. Executive summaries, leadership reports.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act


Annual Full Pay Range: $79,200 - $143,400 (will be prorated if the appointment percentage is less than 100%)


Hourly Equivalent: $37.93 - $68.68


Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

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If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!


Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community .

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

For the University of California's Anti-Discrimination Policy, please visit:


UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.


UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.


Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.


a. "Misconduct" means any violation of the policies governing employee conduct at the applicant's previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct:

• UC Sexual Violence and Sexual Harassment Policy
• UC Anti-Discrimination Policy
• Abusive Conduct in the Workplace