Pharmacist Reimbursement Analyst, Full Time at University of Miami in Miami, Florida

Job Description:

Current Employees:



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The University of Miami Hospital and Clinics Sylvester Cancer Center has an exciting opportunity for a Full Time Reimbursement Pharmacist.



CORE JOB SUMMARY:



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.



Primary Duties and 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 leading to 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
  
  

Minimum Qualifications (Essential 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.
  
  


• Previous hospital experience preferred.
  
  


• Previous oncology experience beneficial, although not required.
  
  


• Prior manager or supervisor experience preferred.
  
  


• Must possess good organizational, problem solving and computer skills.
  
  


• Strong written and verbal communication skills required for interacting with all levels of UMHC staff, Physicians and others.
  
  

Supervision Received:

• Director of Pharmacy
  
  


• Assistant Director of Pharmacy
  
  

Supervision Exercised:

• Pharmacy Technicians
  
  


• Student Interns/Externs
  
  

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.


UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.


The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.



Job Status:

Full time



Employee Type:

Staff



Pay Grade:

H16 Apply Now