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Outpatient Pharmacy Business Analyst (Remote)

University of California - San Francisco Campus and Health
United States, California, San Francisco
Oct 30, 2024

Outpatient Pharmacy Business Analyst (Remote)

Pharmacy-Millberry Union OP

Full Time

79732BR

Job Summary

The Department of Pharmaceutical Services provides a full range of services for patients cared for by UCSF Health as well as its providers and payers. This critical support position provides analytical expertise in the administrative functions of the Outpatient Pharmacy, including daily operations, planning, and continuous improvement. The position represents Department of Pharmaceutical Services in interactions with UC staff, external partners, and vendors.

The Outpatient Pharmacy Business Analyst collaborates with various stakeholders to ensure UCSF receives timely and accurate claim payments and has an essential role in the claims audit process. Responsibilities include investigating unpaid or underpaid claims and resolving billing discrepancies, ensuring compliance with payor regulations, maintaining drug price accuracy for claim submissions, and providing necessary documentation for claims audits. The Analyst participates in the inventory audit process and is solely responsible for generating various reports and metrics used by the operations team. Other duties include but are not limited to recharge analysis and journal preparation, billing research and correction, and improvement projects.

To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (ucop.edu)

Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

The Department of Pharmaceutical Services' mission is to provide safe, accessible, and patient-centered medication therapy across the continuum of care. We provide a full range of services for patients cared for by UCSF Health as well as its providers and payers. We have locations at Parnassus, Mission Bay, and Mount Zion campuses and offsite clinics in the Bay Area. Our Outpatient Pharmacies include Specialty Pharmacy, Outpatient Pharmacy at Parnassus, and Outpatient Pharmacy at Mission Bay.

Required Qualifications


  • Bachelor's degree in related area and / or equivalent experience / training
  • A minimum of 3 years' experience in retail/specialty/outpatient pharmacy; OR a BA/BS in Business, Finance, Accounting or Economics AND 1-2 years of experience in retail/specialty/outpatient pharmacy
  • Experience and demonstrated accomplishments in process improvement
  • Strong knowledge of MS Excel (VLOOKUP function, IF functions, pivot tables, basic MACROs, etc.)
  • Moderate knowledge of pharmacy billing, operational workflows, and inventory management
  • Moderate understanding of accounting and finance principles
  • Ability to independently gather required information to organize, and perform financial analysis assignments
  • Advanced problem-solving skills
  • Creative thinking skills and ability to generate new out-of-the-box ideas, attention to detail
  • Ability to communicate clearly in all formats and apply a high degree of analytical, interpretive and evaluative skills

Preferred Qualifications


  • Ability to operate healthcare information systems and analytical software
  • Demonstrated leadership and team-building skills to interact with all clients/customers throughout the Health System (internally and externally)
  • Problem-solving and conflict-resolution skills to foster an effective working relationship with all levels of staff, vendors and other associates

License/Certification


  • Pharmacy Technician License

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

007709 FINANCIAL ANL 3

Job Category

Financial, Pharmacy, Professional (Non-Clinical)

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

San Francisco, CA

Campus

Parnassus Heights (SF)

Shift

Variable

Shift Length

8 Hours

Additional Shift Details

Variable

Applied = 0

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