University of California San Diego

Pharmacy Reimbursement Analyst IV - 141389

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Nine years of experience in healthcare reimbursement or a Bachelor's degree with five years of relevant experience.
  • Advanced knowledge of healthcare reimbursement processes and financial reporting best practices.
  • Comprehensive understanding of organizational policies and ability to identify potential risks.
  • Advanced data management and analysis skills.
  • Proficient project management skills with a focus on leading teams and meeting deadlines.
  • Expertise in financial analysis and reporting within healthcare environments.
  • Strong interpersonal skills for collaboration across clinical and business teams.
  • Exceptional communication skills for presenting complex information clearly and effectively.

Responsibilities

  • Lead projects and guide team members towards enhancing revenue capture effectiveness.
  • Perform high-level analysis to identify areas for improvement within reimbursement processes.
  • Collaborate with various departments to optimize financial workflows and reporting.
  • Apply knowledge of healthcare policies to mitigate risks and improve operations.
  • Utilize advanced data analysis techniques to inform strategic decisions and policy recommendations.
  • Prepare clear reports and presentations for stakeholders at all organizational levels.
  • Troubleshoot and recommend enhancements for reimbursement application programs.

Benefits

  • Comprehensive healthcare coverage.
  • Retirement savings options with employer matching.
  • Paid time off and holiday observances.
  • Professional development opportunities.
  • Access to on-site amenities and wellness programs.
Full Job Description
Payroll Title:
REIMB HC ANL 4 Department:
OUTPATIENT PHARMACY Hiring Pay Scale
$105,000 - $130,000 / Year Worksite:
Jacobs Medical Center Appointment Type:
Career Appointment Percent:
100% Union:
Uncovered Total Openings:
1 Work Schedule:
Days, 8-Hour Shifts, Monday-Friday

#141389 Pharmacy Reimbursement Analyst IV
Filing Deadline: Fri 10/2/2026
Apply Now

DESCRIPTION

Leads projects and/or team members, identifies opportunities to improve effectiveness of revenue capture, and performs analysis at the highest level of scope and complexity.

MINIMUM QUALIFICATIONS
  • Nine (9) years of related experience, education/training, OR a Bachelor's degree in related area plus five (5) years of related experience/training. Related experience includes a combination of: Data analysis, reporting, and business intelligence, revenue cycle, margin optimization, profitability reporting, project management and process improvement initiatives.
  • Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts and industry best practices. Proven ability to apply knowledge and skills to identify improvements.
  • Comprehensive knowledge of relevant department, medical center, and UC policies and processes. Ability to apply policy knowledge to proactively identify potential risk areas.
  • Advanced skills in data management and analysis.
  • Project management skills to lead a team, prioritize personal and team tasks and see projects through from inception to completion on schedule. Demonstrates adaptability and flexibility to effectively handle change.
  • Advanced knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings.
  • Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas.
  • Advanced 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 to all levels of staff and management.
  • Advanced knowledge of organization's Reimbursement Healthcare application programs to troubleshoot issues and recommend improvements in convenience and efficiency.
PREFERRED QUALIFICATIONS
  • Advanced proficiency in Microsoft Excel, including Pivot Tables, Power Query, data modeling, and complex formulas.
  • Experience with data visualization and business intelligence tools such as Power BI, Tableau
  • Working knowledge of SQL and database querying.
  • Lean Six Sigma, project management, or other process improvement training/certification preferred.
  • Epic Reporting Workbench experience.
  • Pharmacy reimbursement analytics experience.
  • Drug utilization / financial analysis experience.
SPECIAL CONDITIONS
  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act

Annual Full Pay Range: $90,600 - $166,400 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $43.39 - $79.69

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).

Apply Now

If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

About University of California San Diego

The University of California San Diego (UC San Diego) is a public research university in San Diego, California. Established in 1960 near the pre-existing Scripps Institution of Oceanography, UC San Diego is the seventh-oldest of the 10 University of California campuses and offers over 200 undergraduate and graduate degree programs, enrolling approximately 38,325 students. UC San Diego is organized into six undergraduate residential colleges (Revelle, John Muir, Thurgood Marshall, Earl Warren, Eleanor Roosevelt, and Sixth College) and five academic divisions (Arts and Humanities, Biological Sciences, Jacobs School of Engineering, Physical Sciences, and Social Sciences). The university operates 19 organized research units (ORUs), including the Center for Energy Research, Qualcomm Institute (a branch of the California Institute for Telecommunications and Information Technology), and the San Diego Supercomputer Center.
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