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Pharmacy Analyst - Revenue Integrity - FT Days

$79.2k - $143.4k
Full-time

University of California, Irvine

Overview:

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center , gold level 1 geriatric emergency department and regional burn center . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit

Responsibilities:

Position Summary:

The incumbent serves as a resource and for the design, development and implementation of integrated institutional system applications and programming designed to bridge health informatics with charge capture, billing requirements and workflow for Pharmacy related services. Incumbent provides analysis, quality assurance, reporting consultation and recommendations in support of pharmacy revenue cycle management functions including programming modifications, clinical interpretations and education, needs assessment for revenue protection, audit and analysis. Incumbent regularly interacts with all levels of management and staff to provide education on the various system applications, reporting capabilities and modifications to workflow.

Qualifications:

Required Qualifications:

  • Thorough knowledge and understanding of interface communication systems and data
  • Thorough knowledge and application of Administration, billing application, and regulatory compliance relative to Pharmacy practices in a hospital setting
  • Strong skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management
  • Strong knowledge of process improvement protocols
  • Strong communication skills with the ability to interpret and convey complex financial information in a clear, concise manner
  • Proven ability to work with managers, serving as a technical resource and providing recommendations and advice on regulatory changes and industry trends and developments in revenue cycle management
  • Proficient in Microsoft Office suite (Excel, Word, PowerPoint, Access)
  • Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
  • Must demonstrate customer service skills appropriate to the job
  • Minimum one year inpatient hospital experience as a Pharmacy Technician
  • Demonstrated strong analytical and problem-solving skills with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions
  • Demonstrated skills in common database, spreadsheet, and presentation software
  • Demonstrated experience working with Pharmacy distributors
  • Demonstrated competency in 340B purchasing and billing
  • Demonstrated attention to detail, effective time management, and ability to manage multiple tasks and priorities and effectively address complex, urgent issues as they arise
  • Demonstrated ability to work collaboratively on complex projects in a team environment
  • Bachelor's degree in related area and / or equivalent experience / training
  • Ability to prepare compelling and informative reports and presentations
  • Ability to maintain a work pace appropriate to the workload
  • Ability to establish and maintain effective working relationships across the Health System
  • 1-2 years experience working with Pharmacy system applications, programming, and data integration in a billing and clinical information systems


Preferred Qualifications:

  • Previous experience working with EPIC Willow
  • Knowledge of University and medical center organizations, policies, procedures and forms
  • CPT/HCPC Coding Knowledge


Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits .

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

  • Background Check and Live Scan
  • Employment Misconduct*
  • Legal Right to Work in the United States
  • Vaccination Policies
  • Smoking and Tobacco Policy
  • Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

  • California Child Abuse and Neglect Reporting Act
  • E-Verify
  • Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:

Closing Statement:

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 categories covered by the UC Anti-Discrimination Policy .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at View email address on jobs.uci.edu or at View phone number on jobs.uci.edu, Monday - Friday from 8:30 a.m. - 5:00 p.m.

Vacancy posted more than 2 months ago
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