Pharmacy Revenue Optimization and Informatics Specialist Job at Heart of the Rockies Regional Medical Center
Heart of the Rockies Regional Medical Center Salida, CO 81201
Relocate to Salida CO
Heart of the Rockies Regional Medical Center in beautiful Salida, CO is seeking a FT - 32 to 40 hours per week, Pharmacy Revenue Optimization and Informatics Specialistt to join our team of dedicated healthcare professionals.
Work where others come to vacation:
The Upper Arkansas Valley is an outdoor recreational dream. Since six of every seven acres is designated public lands, the Valley is the perfect location for hiking, biking, horseback riding, trail running, rock climbing, boating, fishing and hunting. In the winter there are designated snowmobile routes and backcountry skiing. Monarch Ski & Snowboard Area is just 18 miles west of Salida. The Arkansas River is known for its world-class trout fishery, kayaking, and whitewater rafting.
Education : Pharmacy Revenue Optimization and Informatics Specialist
- Must hold a degree in Pharmacy
- PharmD and a masters in Pharmacy Informatics is preferred.
- Minimum 3 years of experience in a pharmacy revenue/chargemaster role.
- Experience with Alaris pump data sets and 340B programs is preferred.
- Medicare billing certificate is preferred.
CERTIFICATIONS and/or LICENSING
- Active pharmacist license and able to obtain a license in the State of Colorado within 1 year of hire
Apply on line : www.hrrmc.com
ESSENTIAL DUTIES PER AREA OF RESPONSIBILITY
1. Ensure processes are in place to standardize the Pharmacy chargemaster in all areas where pharmaceuticals are administered and billed.
2. Setup outpatient clinics pharmacy billing in current EHR and maintain the chargemaster going forward.
3. Audit high cost drugs to ensure they are billed and coded correctly throughout the hospital and all clinics, including verification of submission of 340b accumulation data and documented cost savings.
4. Implement process improvement projects for workflow improvements around revenue integrity and charge practices.
5. Support and assist with 340B program
6. Identify and analyze the root causes of denials and develop corrective action plans to reduce and address denied pharmacy claims.
7. Provide clinical pharmacy expertise to assist the denials team in overturning denials.
8. Collaborate with Patient Financial Services to track high-cost medications for appropriate reimbursement.
9. Actively research and stay current with medication charging and revenue related compliance topics.
10. Update and maintain Alaris pump data sets.
11. Participate in IAG (Informatics Advisory Group)
12. Make pharmacy formulary recommendations to improve pharmacy revenues, operating costs without compromising patient outcomes
BENEFITS
- Medical, dental and vision insurance
- Life and disability benefits
- Employer-matching retirement plan options (immediately available)
- Employee assistance program
- Rewards and Recognitions
- Employee wellness programs
- 24/7 access to Wellness U Staff Gym
- On-site training workshops
- Annual salary increase opportunity
- Possible gain sharing
- Cafeteria meal discount
- Paid time off and sick leave
Heart of the Rockies Regional Medical Center's mission is to enhance the health of our community through the delivery of personalized and exceptional care. Our vision is to be the healthcare provider of choice for our region as a world-class rural medical organization.
Apply on line : www.hrrmc.com
Job Type: Full-time
Pay: $54.98 - $82.43 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Relocation assistance
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
Work Location: One location
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