Manager, Community and Specialty Pharmacy Financial Operations
Baptist Health System KY & INKentucky30+ days ago
Job type
- Full-time
Job descriptionBachelor’s Degree in Finance, Management, Information Technology, Statistics or related field 3+ years relevant experience in an accounting or finance role Previous experience in data analytics and business strategy, managing referral processes, or working with 340B program referrals within a healthcare organization Strong understanding of pharmacy business and / or data analytics. Knowledge and experience with Revenue Cycle and BI / Analytics tools such as payment modeling, auditing and denial management Excellent analytical skills with the ability to interpret complex data, identify trends, and provide data-driven insights and recommendations
Description
This role is responsible for overseeing and optimizing the financial performance and revenue cycle processes across various community and specialty pharmacy services. The scope of the role includes community pharmacies, shared services pharmacies, ambulatory care pharmacy services, specialty pharmacy services and 340B drug pricing programs.
Essential Functions :
- Overseeing the revenue cycle process for the community and specialty pharmacy services
- Implementing and monitoring effective billing practices and procedures for various pharmacy services
- Preparing and monitoring community and specialty pharmacy services monthly financial reports in consultation with system and department leadership.
- Forecasting drug expenses for purposes of revenue and expense budget planning
- Delivering comprehensive reporting to senior management that communicates relevant trends, KPIs, and analytical insight into performance
- Developing and implementing effective strategies for timely and successful collections.
- Monitoring and reconciling accounts receivable transactions, resolving discrepancies promptly. Maintaining accurate records and collaborating with the accounting team to ensure smooth closing processes
- Preparing regular reports and providing insights into financial metrics, aging reports, and cash flow projections
- Developing and implementing revenue cycle training programs for managers and staff within the department
- Directing patient accounting activities to maintain accuracy as well as optimize and accelerate reimbursement for the services provided
Qualifications :
Baptist Health is an employer.