Overview

We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day.

Sound like a perfect match? Apply now - we can't wait to hear from you!

The Specialist - System Pharmacy provides coordination and support for pharmacy department including process improvement, reporting and data analysis, and monitoring compliance with regulatory requirements. Analyzes and monitors claims against fraud, waste, and abuse. Investigates, reviews, and analyzes claims data applying knowledge of pharmacy policy and practice and data mining techniques to determine details of fraudulent, erroneous, or abusive billing activity. Utilizes LEAN principles to ensure efficient operations. Monitors and reports compliance issues with regulatory requirements. Manages database tools for internal processing of various components of pharmacy audit reports. Responsible for coordinating and ensuring all regulatory required activities are performed as required. Coordinates the development of pharmacy audit result reports as needed. Provides subject matter expertise, functional guidance, support, and training to pharmacy staff across the system. Performs Pharmacy Technician duties as required.

This position will support documentation, charging and reimbursement of medications administered in the ambulatory space. Duties include reviewing charges that fail to post to a patient’s account, trouble-shooting why this occurred and working to reconcile the charge to ensure an accurate patient bill and charge capture. This investigation will require interactions with clinical staff (providers, pharmacists), purchasing staff (buyers, receivers), Revenue Cycle employees as well as Information Systems support personnel. The position will also work to develop processes and standard of work to support and spread appropriate documentation and data capture across the IU Health system.

Position is Full time, Day shift. Specific work hours may vary.