Pharmacist Specialist - Revenue Integrity

Job Description:

..The Specialist for Pharmacy Revenue will serve as the operational and clinical liaison between pharmacy, clinical specialties, and the Revenue Service Center (RSC) to support medication billing compliance and financial performance across the enterprise including hospital and professional based billing systems, while promoting and supporting stewardship initiatives and fiscal responsibility. The Specialist will report to the Manager, Pharmacy and Oncology Revenue Practice.

Practice Opportunity:

Pharmacist Specialist will serve as an active member, participant and co-leader for Pharmacy Clinical Revenue Practice Team to identify and prioritize opportunities to optimize revenue integrity across assigned service line(s),

Serves as a subject matter expert for medication-related billing requirements, as well as Medicare, Medicaid, and Commercial payer coverage and medical necessity criteria.

Develop strategy and provide guidance throughout the enterprise and Community Connect partner organizations on all matters related to pharmacy and medication charging, including electronic health record (Epic Willow Inpatient) medication record build.

Develops, implements, and maintains processes related to medications charging, that support the mission and goals of our Clinical Pharmacy Revenue Practice Team.

Meets regularly with the revenue cycle, finance, and clinical teams to promote collaborative partnership and consistent charge capture and meet core business needs (pharmacy informatics, prior authorization team, clinic leadership and others as needed).

Supports other system initiatives focused on medication price transparency, denial/appeal management, access to medications and affordable care.

Has excellent communication, negotiation, coordination, and customer service skills.

Collaborates with Pharmacy and Revenue Cycle Leadership to identify shared solutions when necessary.

Escalates concerns and success to Manager, Pharmacy and Oncology Revenue Practice as appropriate.

Performs other duties as assigned.

Required:

- Doctor of Pharmacy Degree, with Active License in US

- Hospital or professional pharmacy operational experience, with under

standing of outpatient hospital procedures for drug administration

that require authorizations

-Epic Hospital or professional billing software experience

-Experience working closely with a multidisciplinary team to optimize patient experience and operational success

Preferred:

-Residency training or related years of experience in the clinical area

-Certified Revenue Cycle Representative(HFMA), Certification in Healthcare Revenue Integrity (CHRI) and/or Certified Medical Coder.

Vitalware, MS office proficiency preferred

Epic Willow Certification

Physical Requirements:

Carrying, Climbing, Crawling, Hearing/Listening, Lifting, Manual Dexterity, Pulling/Pushing, Seeing, Speaking, Squatting/Kneeling, Standing, Walking

Anticipated job posting close date:

05/02/2024

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$52.46 - $96.21

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (~~~/) , and for our Colorado, Montana, and Kansas based caregivers (~~~) ; and our commitment to diversity, equity, and inclusion (~~~/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

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We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

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Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (~~~/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!