UCSF Health, AG
Outpatient Pharmacy Business Analyst
UCSF Health, AG, San Francisco, California, United States, 94199
Pharmacy-Millberry Union OPFull Time79732BRJob 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 the 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.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/trainingA 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 pharmacyExperience and demonstrated accomplishments in process improvementStrong knowledge of MS Excel (VLOOKUP function, IF functions, pivot tables, basic MACROs, etc.)Moderate knowledge of pharmacy billing, operational workflows, and inventory managementModerate understanding of accounting and finance principlesAbility to independently gather required information to organize, and perform financial analysis assignmentsAdvanced problem-solving skillsCreative thinking skills and ability to generate new out-of-the-box ideas, attention to detailAbility to communicate clearly in all formats and apply a high degree of analytical, interpretive and evaluative skillsPreferred Qualifications
Ability to operate healthcare information systems and analytical softwareDemonstrated 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 associatesLicense/Certification
Pharmacy Technician LicenseAbout 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.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
HealthJob Code and Payroll Title
007709 FINANCIAL ANL 3Job Category
Financial, Pharmacy, Professional (Non-Clinical)Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)Employee Class
CareerPercentage
100%Location
Parnassus Heights (SF)Shift
VariableShift Length
8 HoursAdditional Shift Details
Variable
#J-18808-Ljbffr
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 the 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.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/trainingA 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 pharmacyExperience and demonstrated accomplishments in process improvementStrong knowledge of MS Excel (VLOOKUP function, IF functions, pivot tables, basic MACROs, etc.)Moderate knowledge of pharmacy billing, operational workflows, and inventory managementModerate understanding of accounting and finance principlesAbility to independently gather required information to organize, and perform financial analysis assignmentsAdvanced problem-solving skillsCreative thinking skills and ability to generate new out-of-the-box ideas, attention to detailAbility to communicate clearly in all formats and apply a high degree of analytical, interpretive and evaluative skillsPreferred Qualifications
Ability to operate healthcare information systems and analytical softwareDemonstrated 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 associatesLicense/Certification
Pharmacy Technician LicenseAbout 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.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
HealthJob Code and Payroll Title
007709 FINANCIAL ANL 3Job Category
Financial, Pharmacy, Professional (Non-Clinical)Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)Employee Class
CareerPercentage
100%Location
Parnassus Heights (SF)Shift
VariableShift Length
8 HoursAdditional Shift Details
Variable
#J-18808-Ljbffr