System Pharmacy Charge & Compliance Analyst

Description

System Pharmacy Charge & Compliance Analyst

Supports accurate and compliant medication charging, billing, and reimbursement across outpatient hospital departments such as observation units, emergency departments, outpatient surgery centers, and infusion clinics. Ensures medication-related charges are complete, accurate, compliant, and aligned with Centers for Medicare and Medicaid Services (CMS), health resources & services administration (HRSA), and payer regulations. Serves as the bridge between pharmacy operations, revenue cycle, compliance, and finance, using deep understanding of pharmacy workflows, coding, charge capture, and payer requirements to prevent revenue leakage and mitigate compliance risks.

Requirements

Onsite at Roseville, Day Shift, 40 hours per week, M - F 7-3:30. Must have an active Pharmacy technician licensure (either in OR, HI or CA), Must have the IV compounding experience. With the IV compounding experience within the last year, within tan inpatient pharmacy hospital setting and or hospital infusion center IV compounding. Background in procurement, preferred. if background in oncology infusion center. filling and doing inventory in ADC. background in medication charges from inpatient pharmacy. have a background in 340B, preferred.

Education and Work Experience:

High School Education/GED or equivalent: Preferred

Associate?s/Technical Degree or equivalent combination of education/related experience: Preferred

Three years' of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance: Required

Experience working in Epic Resolute, Cerner Revenue Cycle, or similar EMR/billing systems: Preferred

Licenses/Certifications:

State Pharmacy Technician license: Required (CA, OR, &/or HI): Required

Pharmaceutical Technician Board certification: Preferred

Advanced certification (e.g., CHRI, CRCR, or 340B ACE): Preferred

State Pharmacy Technician license: Required