University of California San Diego

Pharmacy Reimbursement Analyst IV - 141389

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Minimum of nine years of related experience or a Bachelor's degree with five years in a related field.
  • Advanced understanding of healthcare reimbursement processes and financial reporting best practices.
  • Comprehensive knowledge of medical center policies and the ability to identify risk areas.
  • Proficient in data management and analysis with strong problem-solving skills.
  • Demonstrated project management skills and adaptability to changing environments.
  • Extensive experience in financial analysis within healthcare reimbursement contexts.
  • Strong interpersonal and communication skills to collaborate on complex projects.

Responsibilities

  • Lead projects and team members to enhance revenue capture effectiveness.
  • Identify opportunities for improvement in processes and efficiencies.
  • Analyze complex data to support decision-making and strategy formulation.
  • Produce and present comprehensive reports to various stakeholders.
  • Support compliance with healthcare reimbursement and financial reporting policies.
  • Facilitate cross-departmental collaboration on high-priority projects.

Benefits

  • Comprehensive healthcare coverage options.
  • Generous paid time off policy.
  • Retirement savings plans with employer contributions.
  • Professional development and training opportunities.
  • Flexible work hours and locations based on business needs.
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).

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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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