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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

+ The Financial Analyst is responsible for managing the billing operations for HUP pharmacy locations including HUP Inpatient Pharmacy, HUP Cedar, PCAM and Penn Medicine at Rittenhouse. This includes maintaining the EMR work queues and completing billing compliance audits to ensure accurate submissions. The position also supports the financial and 340B operations for the HUP Inpatient Pharmacy as assigned. This includes providing direct support in completing the month end close requirements. Also, assisting the inpatient pharmacy purchasing team in maintaining 340B compliance. Analysis of data and identifies gaps and trends in operational business development and distribution, while identifying opportunities for process improvement.

Responsibilities:

+ Management of all pharmacy billing operations through continous billing audits, processing of claim corrections and rebilling as needed for the identified HUP Pharmacy locations Maintains the charge master Epic work queues to ensure proper documentation including new formulary additions and prices changes. Understanding of clinical and billing terminology. Responsible for reconciling any pharmacy charge discrepancies Partners with the UPHS Willow team, Pharmacy Finance, and Pharmacy IT to manage ongoing pharmacy billing issues and changes in Willow Builds compliance tools and reports to evaluate high-dollar, high risk medications to audit for accuracy of charging and reimbursement Works with Pharmacy operational leaders and Pharmacy IT team to ensure ongoing data feeds are functional and accurate in capturing charges1. Reporting and analysis of Pharmacy Key Performance Metrics (KPM). Including Purchasing Trends/Patterns etc.2. Analyze pharmacy utilization patterns and call attention to significant changes in drug utilization or expenditures. Works with Pharmacy operational leaders and Pharmacy IT team to ensure ongoing data feeds are functional and accurate in capturing charges1. Reporting and analysis of Pharmacy Key Performance Metrics (KPM). Including Purchasing Trends/Patterns etc.2. Analyze pharmacy utilization patterns and call attention to significant changes in drug utilization or expenditures. Provides support to finance/business manager in all aspects of the inpatient pharmacy financial operations as assignedPrepares monthly financial reports and analysis as part of the month end close process. Helps review results and provide recommendations for areas of concern Generates and analyzes monthly trend reports to help correlate pharmacy expenses to pharmacy revenue dataPresents monthly and quarterly reports to leadership not limited to revenue trends metrics, high dollar claim corrections, revenue optimization opportunities, 340B charge data auditMonitors expenses vs. budget and prepares monthly variance analysisProcesses and reconciles all inpatient pharmacy invoices Assists finance/business manager in processing capital purchasing requests, check requests, employee reimbursements, and depositsProvides 340B operational support to inpatient pharmacy purchasing team through split billing software maintenance and preparing quarterly audit reports as assignedHelps 340B team identify compliance concerns related to duplicate discounts and diversionResponsible for management and completion of special projects as assignedAttend meetings and other committee meeting as assigned

Credentials:

Education or Equivalent Experience:

+ Bachelor of Arts or Science (Required)

+ Education Specialization:Equivalent Experience:

+ Associate of Arts or Science

+ Education Specialization:Business Administration or AccountingEquivalent Experience:•Bachelor Degree in Accounting, Finance, or Business Administration. MBA or MS is a plus

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 258005