Clinical Pharmacist-RCM and Contracts
Clinical Pharmacist-RCM and Contracts
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1 Vacancy
Job Description
Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
We are seeking a highly motivated and detailoriented Pharmacist to join our team in a specialized role focused on Revenue Cycle Management (RCM) and Medication Contracting. This position is responsible for optimizing medication reimbursement managing payer policies ensuring compliance with contractual terms and supporting formulary strategies to enhance financial performance across pharmacy operations.
Location: Hybrid UT Medical Center Knoxville Tennessee
Responsibilities:
Lead pharmacy initiatives in revenue cycle optimization including billing practices charge capture and denial management.
Collaborate with finance compliance and clinical teams to ensure accurate and efficient medication reimbursement processes.
Interpret payer contracts and develop strategies to ensure compliance with medicationrelated terms and maximize reimbursement.
Analyze utilization trends reimbursement data and drug pricing benchmarks (e.g. WAC AWP ASP) to support cost containment.
Support 340B program compliance and optimization where applicable.
Assist in the negotiation and maintenance of medication purchasing and payer contracts.
Monitor regulatory changes affecting medication billing and reimbursement.
Provide guidance and education to clinical and operational teams on revenue cycle and contracting processes.
Education:
PharmD or equivalent degree from an accredited school of pharmacist license in TN or eligible for 35 years of experience in health system pharmacy managed care or pharmacy benefit management.
Strong understanding of healthcare reimbursement models payer policy and pharmaceutical with 340B GPO contracting CMS billing regulations and drug pricing analytical communication and crossfunctional collaboration skills.
Preferred Qualifications:
PGY1 Residency and/or advanced training in pharmacy administration health economics or business (e.g. MBA MHA).
Experience with Cerner.
Experience working with specialty or infusion pharmacy services.
What Cencora offers
We provide compensation benefits and resources that enable a highly inclusive culture and support our team members ability to live with purpose every day. In addition to traditional offerings like medical dental and vision care we also provide a comprehensive suite of benefits that focus on the physical emotional financial and social aspects of wellness. This encompasses support for working families which may include backup dependent care adoption assistance infertility coverage family building support behavioral health solutions paid parental leave and paid caregiver leave. To encourage your personal growth we also offer a variety of training programs professional development resources and opportunities to participate in mentorship programs employee resource groups volunteer activities and much more. For details visit time Cencora is committed to providing equal employment opportunity without regard to race color religion sex sexual orientation gender identity genetic information national origin age disability veteran status or membership in any other class protected by federal state or local law. The companys continued success depends on the full and effective utilization of qualified individuals. Therefore harassment is prohibited and all matters related to recruiting training compensation benefits promotions and transfers comply with equal opportunity principles and are nondiscriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment please call 888.692.2272 or email . We will make accommodation determinations on a requestbyrequest basis. Messages and emails regarding anything other than accommodations requests will not be returnedEqual Employment Opportunity
Affiliated Companies
Affiliated Companies: Value Apothecaries Inc
Employment Type
Full-Time
