Pharmacy Director - Pharm Bus and Rev Cycle

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

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The Pharmacy Director-Pharmacy Business and Revenue Cycle serves as the primary expert and liaison for direction and coordination of the business and financial activities of the designated pharmacy region. Drawing on a broad understanding of healthcare/pharmacy practices and policies and displaying a high degree of initiative and independent judgment, this position will collaborate closely with pharmacy and organizational leadership to continually assess and manage a wide range of issues including operational, personnel, budgetary, facilities and systems issues, programmatic development, long-range planning and project development. The individual will serve as the health system expert on the pharmacy finance and revenue cycle development program details, oversight, education, procedures, monitoring, reporting, and program enhancement / optimization. The Pharmacy Director-Pharmacy Business and Revenue Cycle will work with key stakeholders to optimize operational and cost efficiencies wherever possible. This individual possesses a thorough knowledge of the regulatory environment as it relates to health care reimbursement and compliance, charge master maintenance and billing, and contract management. The Pharmacy Director-Pharmacy Business and Revenue Cycle collaborates with revenue cycle management teams, finance teams/executives, and Pharmacy leadership to facilitate the reduction of pharmaceutical cost and maximize reimbursement/revenues while maintaining high levels of quality, service, and safety.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. 5 years of experience with pharmacy revenue cycle and finance that may include revenue cycle management, GPO administration, health-system leadership with budget/cost-savings experience, retail/inpatient/outpatient pharmacy knowledge, or comparative consultative experience required.
2. Strong verbal and written communication skills as well as data analytics skills required.
3. Experience with medication billing in the inpatient hospital and outpatient infusion areas required.

Preferred qualification:

1. Experience with 340B drug pricing program preferred.
2. Experience with building proformas for new programs preferred.
3. Knowledge of financial reporting structures for EMR platforms (Epic and/or MEDITECH) preferred.
4. MBA or MHA preferred.
5. B.S. Pharmacy or PharmD degree preferred with working experience as a hospital pharmacist preferred.