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University of Miami · 16 hours ago

Pharmacist Reimbursement Analyst, Full Time

Miami, FL

Full-time

Onsite

Mid Level

The University of Miami is a leading academic medical center providing innovative patient care and research. The Reimbursement Pharmacist will perform clinical and financial analysis functions to ensure the safe and cost-effective utilization of oncology and non-oncology therapy at the Sylvester Cancer Center.

Higher Education

H1B Sponsor Likely

Responsibilities

Collaborate with Utilization Review Department and providers to ensure clinically appropriate, safe, cost-effective use for oncology treatment regimens

Support system-wide formulary management, including but not limited to, performing cost-benefit analysis of formulary considerations

Perform continuous medication maintenance to ensure appropriate third-party billing, including but not limited to HCPCS/CPT updates, validation of billing mechanisms to ensure alignment to all federal and state regulatory and contractual requirements when applicable

Conduct periodic Medication Use Evaluations (MUE) reviews to assess appropriate utilization and cost effectiveness of oncology and non-oncology agents and optimize use accordingly

Participate in Pharmacy and collaborative departmental subcommittees, including but not limited to Pharmacy and Therapeutics Committee

Ensure Revenue Integrity optimization through active Pharmacy participation and initiatives to support system growth

Complete regular systemic medication audits to identify trends and create mitigation strategies to improve processes to prevent suboptimal reimbursement

Manage system-wide manufacturer driven medication

Patient Assistance Program (mPAP) program for facility administered oncology and non-oncology treatments for uninsured and underinsured patients

Maintain oversight of all medication

Patient Assistance Program inventory, and records ensuring compliance to all program rules and requirements

Supervise all tasks conducted by Pharmacy Patient Assistance Technicians Precept pharmacy students and PGY-1/2 residents

Qualification

PharmDFlorida Pharmacy LicenseOncology ExperienceHospital ExperienceComputer SkillsSupervisory ExperienceOrganizational SkillsProblem Solving SkillsWritten CommunicationVerbal Communication

Required

Requires current licensure in good standing in the State of Florida and a degree in Pharmacy from an accredited College of Pharmacy

PharmD is required; consideration will be given to all candidates who have been grandfathered by the state of Florida to keep their licenses active/current if obtained before the changes to the Pharmacists' licenses (PharmD requirement) took place, this also includes candidates from other countries that have obtained a Florida license

Must possess good organizational, problem solving and computer skills

Strong written and verbal communication skills required for interacting with all levels of UMHC staff

Preferred

Previous hospital experience preferred

Previous oncology experience beneficial, although not required

Prior manager or supervisor experience preferred

Benefits

Medical

Dental

Tuition remission

And more

Company

University of Miami

Glassdoor3.9

At UM you'll join a diverse and energized academic community.

Founded in 1925

Coral Gables, fl, US

5001-10000 employees

http://miami.edu

H1B Sponsorship

University of Miami has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (137)

2024 (153)

2023 (150)

2022 (122)

2021 (95)

2020 (114)