Pharmacy Business Systems Analyst

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Description

Location: Leprino Office Building, Aurora, CO (This position is on-site)

Department: UCHlth Pharmacy Administration

FTE: Full time, 1.0, 80 hours pay period (2 weeks)

Shift: Days

Pay: $30.24 - $45.36 / hour. Exempt (salary). Pay is dependent on applicant's relevant experience.

Requirements:

• High School diploma or GED.

• 3 years of related experience in financial analysis - preferably with insurance company/payor including Pharmacy Benefit Manager (PBM) and Health Plan or health care provider system.

Preferred:

• Bachelor's degree in Analytics, Finance, Healthcare Admin, Accounting or Business Management.

• Proficient in Microsoft Suite applications such as Excel, Access, PowerPoint, Word.

• 2-4 years experience in healthcare organization or health insurance company.

• Certified Pharmacy Technician.

• PBM experience.

Responsibilities:

• Analyzing proposals by monitoring payment variances, identify revenue and cost trends.

• Track contract performance against projections.

• Experience in negotiating pharmacy and healthcare contracts with PBM, TPAs, health system, hospital and managed care organization.

• Reviews charge levels against third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team.

• Administer revenue capture analysis and report by validating reimbursement and investigating claims.

• Assist manager in third party payer reimbursement appeals.

• Support manager in tracking top contracts, top lines of business and payer mix.

• Ad-hoc reporting to identify third party payor populations as needed by leadership.

• Review reconciliation of claims activity identifying payment discrepancies and summarize results to Manger, Revenue Integrity Operations Team for action.

• Analyze trends to assess efficiency of business activities and recommend plan adjustments or other improvement measures to manager.

UCHealth offers a Five Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years' employment.

UCHealth offers their employees a competitive and comprehensive total rewards package:

• Full medical, dental and vision coverage

• Retirement plans to include 403(b) matching

• Paid time off. Start your employment at UCHealth with PTO in your bank

• Employer-paid life and disability insurance with additional buy-up coverage options

• Tuition and continuing education reimbursement

• Wellness benefits

• 5 year incentive bonus

• Full suite of voluntary benefits such as identity theft protection and pet insurance

• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program!

UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

At UCHealth, we do things differently

We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion.

Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we'll do everything in our power to make sure you grow and have a meaningful career. There's no limits to your potential here.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

Be Extraordinary. Join Us Today!

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

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