WVU Medicine · 12 hours ago
Pharmacy Business Analyst
Ruby Memorial Hospital (WVUH)
Full-time
Hybrid
Entry, Mid Level
2+ years expWVU Medicine is a healthcare organization seeking a Pharmacy Business Analyst to support its pharmacy operations. The role involves managing waste billing, maintaining medication lists, and conducting data analysis to ensure financial integrity and operational efficiency.
Health CareHospitalMedical
Responsibilities
Assures that billing procedures performed by the department are accurate and timely
Coordinates with Patient Financial Services to review underpayments or denials
Routinely reviews medications administered that are included on the transitional pass-through list and assures accurate billing procedures are followed
Assures charges governed by APC’s are handled correctly
Facilitates the addition, deletion or correction of charges to the charge master as needed
Maintains all the HCPCS changes and updates for Chargemaster
Assures utilization of all available indigent care programs for inpatient and outpatient Administration of medications
Coordinates with Clinical Specialists to evaluate practice change opportunities that would allow inpatient medication administration to be switched to outpatient medication administration
Evaluates drug inventory levels and makes recommendations to pharmacy manager
Monitors purchases for contract compliance and accurate pricing
Coordinates with Premier (GPO) and Amerisource Bergen to assist with contract compliance and identify savings opportunities that we are not taking advantage of at this time. Relay those items to Pharmacy Manager & Inventory Buyer to implement changes when possible
Monitors monthly budget variance, identifies significant activity
Generates a year-end report of budget versus expended dollars based on reconciliation of budget with the general ledger, for each cost center by account
Compiles data, profiles comparisons and generates reports related to current expenses to serve as the basis for the asking budget
Provides data to support department performance improvement activities related to drug utilization, purchasing, billing and reimbursement
Generates pharmacy spend advisor reports on a monthly basis to ensure that we are purchasing pharmaceuticals in the most cost efficient manner. Communicate those opportunities to Pharmacy Manager & Buyers. Follow up to assist with implementation of changes
Documents expenditure activity by account by cost centers as expenditures are processed and according to accepted accounting practices
Reconciles department current expenditure documentation with the hospital general ledger and rectifies errors within 30 days
Identifies irregular spending and system failures related to current expense activity and reports to department Director
Interacts with hospital purchasing, materials handling and other departments responsively and productively to promote efficient systems interface and problem resolution related to fiscal and clinical management
Interacts regularly with the department management team and clinical specialists to supply drug usage information, identify irregularities in spending, and provide recommendations for alternative products
Supports Pharmacy, Nutrition and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process, including opportunities for therapeutic interchange of medications
Works with department management in the development and implementation of departmental goals and objectives
Participates in the planning and implementing change and maintaining the improving productivity through attendance and participation in staff meetings, committees, task forces and projects
Participates in the education of other health-care professionals as it pertains to appropriate use and billing of medications
Accountable agent for 340B compliance
Responsible for maintenance and testing of tracking software
Responsible for documentation of policy and procedures
Maintain system databases to reflect changes in the drug formulary or product specifications
Assure appropriate safeguards and system integrity
Assure compliance with 340B program requirements of qualified patients, drugs, providers, vendors, payers, and locations
Review and refine 340B cost savings report detailing purchasing and replacement practices, as well as dispensing patterns
Monitor ordering processes, integrating most current pricing from wholesaler, analyze invoices, shipping, and inventory processes
Qualification
Required
Bachelor degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance, or related field and two (2) years of experience in pharmacy or one (1) year of experience with financial reporting
Associates degree in Information Technology, Business Management, Hospital Administration, Accounting, or Finance, or related field and Four (4) years of experience in pharmacy or Three (3) year of experience with financial reporting
High School Diploma and Nationally Certified Pharmacy Technician within 15 months of hire and six (6) years' experience in a healthcare setting or five (5) years' experience with financial reporting or data analytics
Extensive working knowledge of Microsoft Office applications Excel & Access
Preferred
Direct experience in data analysis and/or health care planning background preferred
Two (2) years of experience in a professional capacity in healthcare, preferably in Pharmacy
Company
WVU Medicine
West Virginia University Health System is a non-profit organization that offers a full range of healthcare services.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Albert L. Wright, Jr.
President and CEO
Zach Kerns
VP of Finance / CFO East Region
Recent News
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