Pharmacist Reimbursement Analyst, Full Time

University of Miami Miller School of Medicine•Miami, FL

45d

About The Position

The Reimbursement Pharmacist will perform clinical and financial analysis functions for the University of Miami Hospital and Clinics Sylvester Cancer Center to ensure appropriate, safe, cost effective utilization of oncology and non-oncology therapy.

Requirements

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.

Nice To Haves

Previous hospital experience preferred.
Previous oncology experience beneficial, although not required.
Prior manager or supervisor experience preferred.

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