Manager, Pharmacy Accounting

Rush University Medical Center; Chicago (IL); On-site; USD 95,000 - 154,000; Full time

Job summary

Rush University Medical Center is seeking a Manager, Pharmacy Accounting to lead strategic financial oversight of Rush System for Health's multi-channel pharmacy enterprise. You will ensure GAAP compliance across pharmacy operations including retail, specialty, home infusion, and hospital infusion, coordinating with pharmacy and finance leadership.

The role drives general ledger management, monthly close, and audit coordination within a large academic health system, partnering with fiscal

Qualifications

• Bachelor's degree in Accounting required.
• CPA or MBA preferred.
• Five years of public accounting or healthcare industry experience.
• Strong Excel and analytic skills.
• Self-directed with timeliness and accountability.

Responsibilities

• Manages revenue cycle portion of the financial close for a multi-specialty plan of 370+ employed physicians.
• Prepares financial statement packages for physician practices and the hospital for senior financial management.
• Prepares monthly analyses of revenue cycle trends for physician practices and the hospital.
• Prepares monthly analyses of bad debt, free care and contractual reserves on the balance sheet.
• Provides net revenue assumptions for long-term financial plans and budgets for physician practices and hospital.
• Maintains understanding of reimbursement for physician practices through collaboration with contracting.
• Becomes expert user of the Epic patient accounting system and develops advanced report writing.
• Handles ad-hoc reports requests from senior financial reporting and verifies profitability reporting with Decision Support.
• Becomes expert user of Insights contracting system to compare expected vs. actual payments.
• Represents Corporate Finance at divisional meetings with Medical Affairs and internal constituents.
• Prepares community benefit analysis for RUMG.
• Acts as project lead for financial audits and liaison to external agencies.

Skills

Excel

Analytical skills

Education

Bachelor's degree in Accounting

CPA or MBA

Tools

Epic

Insights contracting system

Job description

Job Description

Location: 1700 W Van Buren St, Chicago, Illinois 60612

Business Unit: Rush University System for Health

Department: Finance - General Accounting

Work Type:

Full-Time - 40 Hours per week (1.0 FTE)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range:

$94,827 - $154,315 per year

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:

The Manager of Accounting provides strategic financial oversight and operational accounting leadership for the Rush System for Health (RUSH) multi‑channel pharmacy enterprise. This role ensures the integrity, accuracy, and compliance of financial activities across a diverse portfolio of pharmacy operations, including retail, specialty, home infusion, hospital infusion, physician‑clinic infusion, home delivery, investigational drug services, and emerging pharmacy ventures.

Operating within a large, multi‑entity academic health system, the Manager of Accounting leads core accounting functions—general ledger management, financial statement preparation, audit coordination, and monthly close—while applying healthcare‑specific accounting standards (GAAP and statutory requirements). This role partners closely with pharmacy and finance leadership, exemplifying the RUSH mission, vision, and values and ensuring reliable, transparent financial outcomes across all pharmacy channels.

Other information:

Required Job Qualifications:

• Bachelor's degree in Accounting.
• CPA or MBA.
• Five years of public accounting or healthcare industry experience.
• Strong Excel and analytic skills.
• Self-directed with an emphasis on timeliness and accountability.

Responsibilities:

1. Manages the revenue cycle portion of the financial statement close for a multi-specialty faculty physician plan of 370+ employed physicians.
2. Prepares financial statement packages for physician practices and the Rush University Medical Center Hospital for senior financial management.
3. Prepares monthly analyses of revenue cycle trends for physician practices and the hospital.
4. Prepares monthly analyses of bad debt/free care and contractual allowance reserves on the balance sheet for physician practices and the hospital.
5. Provides net revenue assumptions for long-term financial plans and prepares net revenue budgets for physician practices and the hospital.
6. Maintains detailed understanding of reimbursement for physician practices through collaboration with the Managed Care Contracting department and physician billing entity.
7. Becomes an expert user of the Epic patient accounting system including developing advanced report writing capabilities.
8. Satisfies requests for ad-hoc reports from senior financial reporting. Collaborates with the Decision Support area to verify the accuracy of profitability reporting for physician practices and the hospital.
9. Becomes an expert user of Insights contracting system to compare expected payments based on contract versus actual payments.
10. Represents Corporate Finance at divisional meeting with Medical Affairs, Vyridian, Rush University Medical Group (RUMG) and other internal constituents.
11. Prepares community benefit analysis for RUMG.
12. Acts as project lead for financial audits regarding physician practices and is the primary liaison to external agencies.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Position

Manager, Pharmacy Accounting

Location

US:IL:Chicago

Req ID

26936