Pharmacy Reimbursement Analyst IV - 141389

UC San Diego Health; San Diego (CA); On-site; USD 105,000 - 130,000; Full time

Job summary

UC San Diego Health is hiring a Pharmacy Reimbursement Analyst IV to lead projects and key initiatives within the outpatient pharmacy revenue cycle at Jacobs Medical Center. This role focuses on optimizing revenue capture through advanced data analysis and cross-functional collaboration.

The position requires extensive experience in healthcare reimbursement, data management, and financial reporting, with strong leadership and the ability to present complex findings to staff and leadership.

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, financial reporting concepts and industry best practices.
• Comprehensive knowledge of relevant department, medical center, and UC policies and processes.
• Advanced skills in data management and analysis.
• Project management skills to lead a team and see projects through from inception to completion.
• Advanced knowledge of financial analysis, research, and reporting in healthcare reimbursement.
• Advanced interpersonal and communications skills for complex projects across diverse teams.
• Advanced knowledge of Reimbursement Healthcare application programs to troubleshoot issues.

Responsibilities

• Leads projects and/or team members in reimbursement initiatives.
• Identifies opportunities to improve effectiveness of revenue capture.
• Performs analysis at the highest level of scope and complexity.

Skills

Data analysis

Revenue cycle

Financial reporting

Project management

Process improvement

Communication

Healthcare reimbursement

Education

Bachelor's degree in related area

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

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

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.

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.

• "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