• Pharmacy Business Analyst

    UCLA HealthLos Angeles, CA 90006

    Job #1707170010

  • Responsibilities

    The Pharmacy Business

    Analyst will provide analytical support for the day-to-day business operations

    of UCLA Outpatient Pharmacy. The position works closely with frontline staff

    and pharmacy management to analyze, report, and recommend actions that optimize

    the business operations of outpatient pharmacy department. The Pharmacy Business Analyst will support

    projects that are complex in nature, requiring a high level of critical

    thinking and problem solving. The analyst will assist with AR reconciliation,

    insurance contracting, audit of weekly claims exceptions etc. In a fast-paced

    and high intensity environment, this individual must be able to complete work

    independently on problems that may not have precedent and/or structure.

    Qualifications

    Ability to reconcile insurance payments with third party reconciliation vendor (Required)

    Ability to analyze billing and accounts receivable reports. Identify trends, categories of aged receivables and provide feedback to stakeholders to improve results. Work with payors to identify trends and implement strategies that ultimately save cost and improve revenue lift (Required)

    Ability to review, analyze and present reports and data, and vast knowledge of Microsoft Excel Tools (required)

    Ability to perform financial audits and making necessary corrections (required)

    Maintain a strong knowledge of pharmacy network reimbursement rates in the local and broader market to provide a basis for modeling the impact of acceptance or denial of specific third party contracts (Preferred)

    Skill in using the following required machines, tools, office and pharmacy equipment, computer software required to do the job, with or without a reasonable accommodation. (Required)

    Windows-based computer - constant use:

    Microsoft Office including Word and Excel , electronic drug references

    Dispensing software - Frequent use

    MS Office tools- Frequent use

    Knowledge of pharmacy terminology, abbreviations, medical terminology, drug trade and generic names. (Preferred)

    Ability to establish and maintain cooperative working relationships with internal and external staff. (Required)

    Ability to speak on a one-to-one basis using appropriate vocabulary and grammar to obtain and relay information, resolve problems, explain policies and procedures. (Required)

    Ability to accurately perform pharmaceutical calculations. (Required)

    Skill in performing under the stress of frequent interruptions and/or distraction. Skill in working independently and mastering workflows and assignments with minimal supervision or instruction. (required)

    Works all operational shifts including nights, weekends and holidays, as assigned. (Required)

    Skill in prioritizing assignments to complete work in a timely manner when there are changes in workload and under the pressure of patient care and management deadlines. (Required)

    Ability to train, orient and mentor newly hired pharmacy support staff (required)

    UCLA 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, disability, or protected Veteran status.

    UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.

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