Job Description

Job Title: Revenue Cycle Manager 

Job Summary

We are looking for a Revenu Cycle Manager with Pharmacy experience to work in our cost consulting department, ensuring optimal formulary interchanges and cost containment strategies. This role requires a positive attitude, excellent communication skills, and ability to multitask, while providing exceptional customer service.

Key Responsibilities

• Cost Analysis and Consulting : Analyze pharmaceutical costs, identify opportunities for cost savings, and develop strategies for formulary interchanges.
• Formulary Management: Collaborate with stakeholders to develop, implement, and manage formularies, ensuring cost-effective medication options.
• Customer Service : Provide exceptional service to our customers, healthcare providers, and internal teams, addressing medication inquiries and concerns.
• Billing and Reimbursement : Ensure accurate billing and reimbursement processes, resolving issues promptly.
• Cost Containment : Develop and implement cost containment strategies, monitoring and evaluating their effectiveness.
• Data Analysis: Analyze data to inform cost-saving decisions, identifying trends and opportunities for improvement.
• Collaboration: Work closely with cross-functional teams, including clinical, operations, and finance.
• Staying Current: Stay up-to-date with regulatory changes, industry developments, and best practices.

Requirements

• 5+ years in Revenue Cycle Management within the Pharmacy Industry
• Experience in formulary management and cost analysis
• 3+ years of pharmacy experience, preferably in cost consulting or managed care
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to manage high-stress situations
• Proficiency in Microsoft Office and data analysis software
• Familiarity with billing and reimbursement processes

Preferred Qualifications

• Doctor of Pharmacy (PharmD) degree
• Current licensure to practice pharmacy
• Knowledge of Medicare, Medicaid, and commercial insurance reimbursement policies
• Certification in Pharmacotherapy (BCPS) or Clinical Pharmacology (CCP)
• Experience with cost containment strategies and initiatives

Work Environment

• Fast-paced, dynamic work environment
• Collaboration with cross-functional teams
• Regular interactions with customers, healthcare providers, and internal stakeholders
• Opportunities for professional growth and development

What We Offer

• Competitive salary and benefits package
• Professional development opportunities
• Collaborative work environment
• Recognition and rewards for outstanding performance
• Opportunities for career advancement

If you're a motivated and results-driven with excellent communication skills, we encourage you to apply for this exciting opportunity.

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