Pharmacy - Pharmacist

Adventist Health System West - AS; Roseville (CA); On-site; USD 95,000 - 110,000; Full time

Job summary

Adventist Health System West - AS seeks a System Pharmacy Charge & Compliance Analyst for a travel assignment in Roseville, CA. The role supports accurate charging, billing, and compliance across outpatient departments, with a focus on 340B, payer requirements, and audit readiness.

The position requires three years of hospital pharmacy experience, active Pharmacy Technician license, and preferred advanced certifications.

Qualifications

• Active State Pharmacy Technician license required.
• Three years of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance.
• Preferred certifications in Pharmaceutical Technician Board; preferred CHRI/CRCR/340B ACE.

Responsibilities

• Supports accurate medication charging, billing, and reimbursement across outpatient hospital departments.
• Ensures medication-related charges are complete, accurate, compliant, and aligned with regulatory requirements.
• Serves as a liaison between pharmacy operations, revenue cycle, compliance, and finance.
• Reviews and reconciles medication charges in outpatient encounters and monitors UB-04 claim accuracy.
• Validates NDC-to-HCPCS mapping, billable units, and appropriate modifiers per guidelines.
• Ensures compliance with 340B, GPO, and WAC pricing policies.
• Collaborates with departments to maintain audit readiness and supports audits.
• Identifies and corrects charge capture errors prior to billing and assists in denial resolution.

Education

Active State Pharmacy Technician license

Three years of hospital/health system pharmacy experience

Job description

Details

Client Name: Adventist Health System West - AS

Job Type: Travel

Offering: Allied

Profession: Pharmacy

Specialty: Pharmacist

Job ID: 35585123

Weekly Pay: $1949.0

Shift Details

Shift: Day - 8x5 - 07AM

Scheduled Hours: 40

Job Order Details

Start Date: 10/26/2026

End Date: 01/24/2027

Duration: 13 Week(s)

Job Description

Job Title: System Pharmacy Charge & Compliance Analyst

Profession: System Pharmacy Charge & Compliance Analyst

Specialty: System Pharmacy Charge & Compliance Analyst

Duration: 13 months

Shift: Day Shift

Hours per Shift: 40 hours per week, Monday - Friday, 7:00 AM - 3:30 PM

Experience: Three years of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance required.

License: State Pharmacy Technician license required.

Certifications: Preferred certification in Pharmaceutical Technician Board; preferred advanced certification (e.g., CHRI, CRCR, or 340B ACE).

Must-Have: Active State Pharmacy Technician license.

• Supports accurate and compliant medication charging, billing, and reimbursement across outpatient hospital departments.
• Ensures medication-related charges are complete, accurate, compliant, and aligned with regulatory requirements.
• Serves as a liaison between pharmacy operations, revenue cycle, compliance, and finance.
• Utilizes a deep understanding of pharmacy workflows, coding, charge capture, and payer requirements to prevent revenue loss and mitigate compliance risks.
• Reviews and reconciles medication charges in outpatient encounters.
• Validates NDC-to-HCPCS mapping, billable units, and appropriate modifiers according to guidelines.
• Ensures compliance with 340B, GPO, and WAC pricing policies.
• Collaborates with relevant teams to maintain audit readiness.
• Participates in internal and external audits.
• Identifies and corrects charge capture errors prior to billing to ensure accurate claims submission.
• Monitors UB-04 claim accuracy for outpatient medication billing.
• Ensures HCPCS and revenue codes align with clinical documentation.
• Collaborates with various departments to maintain compliant and optimized Charge Description Master entries for medications.
• Stays updated on regulatory guidance and requirements.
• Supports resolution of claim denials related to outpatient drug charges or billing errors.
• Performs root cause analysis of denied or underpaid medication claims and recommends preventive actions.
• Partners with relevant teams to adjust, rebill, or appeal denied medication claims when appropriate.
• Works with procurement and compounding teams to understand medication usage patterns and potential billing impacts.
• Serves as a subject matter expert during EMR upgrades and workflow changes.
• Assists in the design and maintenance of charge automation rules and EMR charge capture mapping.
• Educates staff on charge accuracy, compliance, and billing best practices.
• Tracks and reports charge correction trends and denial root causes.
• Identifies systemic issues and recommends process improvements to reduce errors.
• Performs other job-related duties as assigned.
• Commits to the safety and wellbeing of associates and patients.
• Requires that all associates receive all necessary vaccinations as a condition of employment.
• Medical and religious exemptions may apply.
• Participates in E-Verify.

Client Details

City: Roseville

State: CA

Zip Code: 95661