Job Description

Job Description

Description

You bring more than skill, knowledge, and expertise to your role as an allied health professional. You bring a deep passion for improving the lives of everyone around you. At UCLA Health, we’re committed to fostering a working environment where you are supported and empowered to be your best. You’ll love it here! 

You will provide analytical support for the day-to-day business operations of UCLA Ambulatory Pharmacy. You will work closely with frontline staff and pharmacy management to analyze, report, and recommend actions that optimize the business operations. You will support projects that are complex in nature, requiring a high level of critical thinking and problem solving. You will assist with AR reconciliation, insurance contracting, audit of weekly claims exceptions etc. In a fast-paced and high intensity environment, you must be able to complete work independently on problems that may not have precedent and/or structure.

At UCLA Health, our passion for leveraging state-of-the-art technology to support world-class patient care has enabled us to become an internationally renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. If you’re looking to experience greater challenge and fulfillment in your career, come to UCLA Health.

Schedule: Varied shifts, depending on department needs, including weekends and holidays

Annual Salary Range: $76,200.00 - 158,800.00

Qualifications

We’re seeking a dedicated professional with:

• Pharmacy technician license and/or BS in Accounting or business administration, or computer science and/or equivalent experience in retail pharmacy 
• Works all operational shifts including nights, weekends and holidays, as assigned. 
• Ability to reconcile insurance payments with third party reconciliation vendor 
• 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 
• Ability to review, analyze and present reports and data, and vast knowledge of Microsoft Excel Tools 
• Ability to perform financial audits and making necessary corrections 
• 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
• 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. Windows-based computer – constant use: Microsoft Office including Word and Excel , Tableau and electronic drug references
• Knowledge of pharmacy terminology, abbreviations, medical terminology, drug trade and generic names
• Ability to train, orient and mentor newly hired pharmacy support staff

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