UCSD Layoff from Career Appointment: Apply by 04/22/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance. This is a UC San Diego Internal Recruitment open to UCSD and UCSD Health System Staff Only The Pharmacy Reimbursement Analyst functions as a liaison between the Home Infusion Pharmacy and the Finance department. The Pharmacy Reimbursement Analyst must have experience in the Home Infusion practice, possess knowledge of reimbursement, assist with month end financial reporting and annual reporting, able to work independently and complete complex projects and tasks. Responsibilities include and is not limited to the following:
- Assist the Pharmacy Manager with financial reporting for month end closure and annual reports.
- Track payments and determine correct account for posting.
- Locate missing payments.
- Work with the Medical Center finance department regarding which account to post payments to.
- Maintain bookkeeping of all transactions.
- Create batch report for Billing team to post payments in CareTend.
- Obtain remittance Advice.
- Track expiring blanket PO and funds.
- Renew PO and track cost trends to fiscally determine the duration of a blanket PO.
- Provide monthly recharges to the Hemophilia and Thrombosis Treatment Center.
- Reconcile Cubixx invoices with purchases to ensure correct billing cost.
- Collate Cubixx invoices for quarterly Specialty Provider State Report.
- Assist with questions and requests from the 340B audit team.
MINIMUM QUALIFICATIONS
Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training. Related experience: Home Infusion operation and revenue cycle experience. Understanding of Med Center and Physician Group financial reporting process. Demonstrated knowledge of healthcare reimbursement revenue cycle workflow, financial reporting, net revenue analysis and budgeting to effectively and independently capture revenue. Strong knowledge of relevant department, medical center, and UC policies and of Medicare, Medi-Cal, and third party payer regulations to identify potential compliance risks, clinical and operational implications. Strong skills in data management and analysis. Ability to manage a project through from inception to completion on schedule while performing a wide variety of tasks, adapting to changing priorities, deadlines and directions. Thorough knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings. Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas. Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations. Ability to perform all commonly applicable functions in word processing and spreadsheet software. Comprehensive knowledge of organization's Reimbursement Healthcare application programs to teach others.
PREFERRED QUALIFICATIONS
Experience with tracking 835 remittance and claim status using various applications such as ScriptPro, Availity, ClaimSource Direct and Optum Financial, EPIC, Noridian, Medi-CalRx and other payer portals. Pharmacy Financial & Reimbursement Analytics experience: Prescription third party billing, PBM contract and reimbursement models, quality metrics. Home Pharmacy & High Cost Drug Management experience: Business intelligence experience - for example margins, capture, cost avoidance. Regulatory & Compliance Knowledge: Medicare, 340B, PHI/ HIPAA, CMS. Technical skills: Advanced Excel (pivot tables, formulas, Power Query) Health Information Systems & Data Sources experience: EPIC, CareTend, ScriptPro, Oracle, ClaimSource, Other Payer platforms. Process Improvement experience: Monthly Patient satisfaction distribution using Qualtrics and Data reporting for Pharmacy Quality Ambulatory Committee. Communication & Stakeholder Management experience i.e. Leadership reports such as Month End Financial reporting, DHCS Specialty Pharmacy reporting, and data validation.
SPECIAL CONDITIONS
Pay Transparency Act Annual Full Pay Range: $79,200 - $143,400 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $37.93 - $68.68 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). |
University of California - San Diego Medical Centers
Apr 21, 2026