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Indiana University Health

Specialist - System Pharmacy

System Services
Date Posted
24 March, 2021
Schedule & Shift
Full Time
Day
Requisition Number
305160
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Specialist - System Pharmacy

Job Description

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.

 High School Diploma/GED required.
• Associate degree preferred.
• Requires Indiana Pharmacy Technician License.
• Requires Pharmacy Technician National Certification.
• Requires the absence of criminal history related to the ability to work with drugs.
• Requires strong mathematical calculation skills.
• Requires working knowledge of pharmacy operations.
• May require travel to system pharmacies.

 

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Qualifications for the Specialist - System Pharmacy Role

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.

  • qualifications__list
     High School Diploma/GED required.
  •  Associate degree preferred.
  •  Requires Indiana Pharmacy Technician License.
  •  Requires Pharmacy Technician National Certification.
  • Requires the absence of criminal history related to the ability to work with drugs.
  •  Requires strong mathematical calculation skills.
  •  Requires working knowledge of pharmacy operations.
  •  May require travel to system pharmacies.
Job Page Content image

Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.

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