Pharmacy Reimbursement Analyst IV - 141389

University of California San Diego; San Diego (CA); On-site; USD 105,000 - 130,000; Full time

Job summary

University of California San Diego is seeking a Pharmacy Reimbursement Analyst IV to lead revenue analysis for outpatient pharmacy operations at Jacobs Medical Center. This role focuses on optimizing reimbursement workflows and delivering data-driven insights for decision makers.

The position requires extensive experience in data analysis, project management, and healthcare revenue cycles, with advanced Excel and BI tool skills. Collaboration across clinical and administrative teams is essential.

Qualifications

• Nine (9) years of related experience, education/training OR a Bachelor’s degree in related area plus five (5) years of related experience/training.
• Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow and financial reporting concepts.
• Knowledge of policies and processes; identify potential risk areas.
• Advanced data management and analysis skills.
• Project management to lead a team and drive initiatives to completion.

Responsibilities

• Lead projects and teams to improve revenue capture and reporting.
• Analyze revenue cycle data to identify opportunities for optimization.
• Develop and present reports and recommendations to management.
• Collaborate with clinical and business partners across departments.

Skills

Data analysis

Project management

Communication

Team leadership

Healthcare reimbursement

Financial analysis

SQL basics

Excel

Education

Bachelor's degree in related field

Tools

Power BI

Tableau

SQL

Epic Reporting Workbench

Excel

Job description

Payroll Title: REIMB HC ANL 4

Department: OUTPATIENT PHARMACY

Hiring Pay Scale: $105,000 - $130,000 / Year

Worksite: Jacobs Medical Center

Appointment Type: Career

Appointment Percent: 100%

Union: Uncovered

Total Openings: 1

Work Schedule: Days, 8-Hour Shifts, Monday-Friday

#141389 Pharmacy Reimbursement Analyst IV

Filing Deadline: Fri 10/2/2026

UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UCSD Layoff from Career Appointment: Apply by 09/22/26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Reassignment Applicants: Eligible Reassignment clients should contact their Disability Counselor for assistance.

DESCRIPTION

Leads projects and/or team members, identifies opportunities to improve effectiveness of revenue capture, and performs analysis at the highest level of scope and complexity.

MINIMUM QUALIFICATIONS

• Nine (9) years of related experience, education/training, OR a Bachelor’s degree in related area plus five (5) years of related experience/training. Related experience includes a combination of: Data analysis, reporting, and business intelligence, revenue cycle, margin optimization, profitability reporting, project management and process improvement initiatives.

• Maintains advanced knowledge in healthcare reimbursement revenue cycle workflow, financial reporting concepts and industry best practices. Proven ability to apply knowledge and skills to identify improvements.

• Comprehensive knowledge of relevant department, medical center, and UC policies and processes. Ability to apply policy knowledge to proactively identify potential risk areas.

• Advanced skills in data management and analysis.

• Project management skills to lead a team, prioritize personal and team tasks and see projects through from inception to completion on schedule. Demonstrates adaptability and flexibility to effectively handle change.

• Advanced knowledge of financial analysis, research, and reporting, particularly as it applies to reimbursement in healthcare settings.

• Advanced interpersonal skills, with the ability to collaborate effectively on highly-complex projects in a team environment with a wide variety of business and clinical areas.

• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations to all levels of staff and management.

• Advanced knowledge of organization's Reimbursement Healthcare application programs to troubleshoot issues and recommend improvements in convenience and efficiency.

PREFERRED QUALIFICATIONS

• Advanced proficiency in Microsoft Excel, including Pivot Tables, Power Query, data modeling, and complex formulas.

• Experience with data visualization and business intelligence tools such as Power BI, Tableau

• Working knowledge of SQL and database querying.

• Lean Six Sigma, project management, or other process improvement training/certification preferred.

• Epic Reporting Workbench experience.

• Pharmacy reimbursement analytics experience.

• Drug utilization / financial analysis experience.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act

Annual Full Pay Range: $90,600 - $166,400 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $43.39 - $79.69

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements.

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands‑on practice and in‑person skills assessment; online‑only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading‑edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute‑designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening.

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

a. "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct:

• UC Sexual Violence and Sexual Harassment Policy
• UC Anti-Discrimination Policy
• Abusive Conduct in the Workplace