Note: The job is a remote job and is open to candidates in USA. Beth Israel Deaconess Medical Center, Inc. is hiring a Pharmacy Revenue Cycle Analyst to support the financial performance of its pharmacy enterprise. The role analyzes reimbursement, billing, revenue cycle operations, and payer performance, and partners with cross-functional teams to optimize reimbursement, maintain revenue integrity, and identify revenue enhancement opportunities.
Responsibilities
- Analyze pharmacy reimbursement, denials, underpayments, and accounts receivable trends to identify revenue recovery and optimization opportunities
- Perform analytics, rebate reconciliation, dispute management, and financial performance reporting
- Analyze 340B and MFP rebate eligibility, reimbursement, and payment variances within pharmacy systems; prepare and submit appeals and disputes to manufacturers, payers, and third-party administrators to ensure accurate rebate capture and revenue recovery
- Investigate payer denials and underpayments, prepare appeals, and coordinate resolution with payers and internal stakeholders
- Support medication charge capture, reimbursement integrity, and pharmacy revenue cycle process improvements
- Develop dashboards and reports tracking reimbursement performance, denials, rebates, payer trends, and key pharmacy financial indicators
- Collaborate with pharmacy leadership, finance, contracting, and revenue cycle teams to improve operational and financial outcomes
- Stay current on pharmacy reimbursement regulations, payer policies, 340B requirements, and Medicare reimbursement changes
Skills
- Bachelor's degree in Finance, Business, Healthcare Administration, Pharmacy Administration, or related field
- 3+ years of healthcare revenue cycle, pharmacy finance, specialty pharmacy, infusion reimbursement, or healthcare analytics experience
- Advanced Excel and data analytics skills with the ability to translate complex data into actionable insights
- Strong analytical, organizational, problem-solving, and project management skills
- Demonstrated ability to manage multiple priorities while maintaining attention to detail and accuracy
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