Pharmacy Reimbursement & Revenue Analyst

bilh; United States; On-site; USD 72,000 - 96,000; Full time

Job summary

Beth Israel Lahey Health (BILH) is hiring a Healthcare Revenue Cycle Analyst to optimize pharmacy reimbursement and revenue capture across the organization. You will work with pharmacy leadership, finance, contracting, and revenue cycle teams to enhance financial outcomes and ensure accurate payment capture.

Your responsibilities include denials and rebate analysis, dashboards, and staying current on evolving payer policies and 340B requirements.

Qualifications

• Bachelor's degree in Finance, Business, Healthcare Administration, Pharmacy Administration, or related field.
• 3+ years of healthcare revenue cycle, pharmacy finance, specialty pharmacy, infusion reimbursement, or healthcare analytics experience.
• Advanced Excel and data analytics skills with the ability to translate complex data into actionable insights.
• Strong analytical, organizational, problem-solving, and project management skills.
• Demonstrated ability to manage multiple priorities while maintaining attention to detail and accuracy.

Responsibilities

• Analyze pharmacy reimbursement, denials, underpayments, and AR trends to identify revenue recovery opportunities.
• Perform analytics, rebate reconciliation, dispute management, and financial performance reporting.
• Analyze 340B and MFP rebate eligibility and variances; prepare appeals to manufacturers and payers.
• Investigate payer denials and underpayments; coordinate resolution with payers and internal stakeholders.
• Support medication charge capture, reimbursement integrity, and revenue cycle process improvements.
• Develop dashboards and reports tracking reimbursement performance, denials, rebates, and payer trends.
• Collaborate with pharmacy leadership, finance, contracting, and revenue-cycle teams to improve outcomes.
• Stay current on reimbursement regulations, payer policies, 340B, and Medicare changes.

Skills

Revenue cycle analysis

Data analytics

Excel proficiency

Stakeholder collaboration

Project management

Education

Bachelor's degree in Finance/Business/Healthcare

3+ years healthcare analytics experience

Job description

Beth Israel Lahey Health (BILH) is hiring a Healthcare Revenue Cycle Analyst to optimize pharmacy reimbursement and revenue capture across the organization. You will work with pharmacy leadership, finance, contracting, and revenue cycle teams to enhance financial outcomes and ensure accurate payment capture.

Your responsibilities include denials and rebate analysis, dashboards, and staying current on evolving payer policies and 340B requirements.