Pharmacy Revenue Integrity Lead

Memorial Healthcare System; Florida; On-site; USD 120,000 - 170,000; Full time

Job summary

Memorial Healthcare System in Miramar, FL seeks a Pharmacy Business Manager to optimize medication-related revenue across outpatient pharmacy lines. You will analyze finance and utilization, manage contracts with payers/PBMs, credentialing, and business development, while leading pharmacy staff and aligning patient care with financial integrity.

Collaborate with leadership across revenue cycle, finance, compliance, and operations to reduce revenue leakage, monitor denials, and implement

Qualifications

• Doctorate: Pharmacy (Required).
• Pharmacist License - State of Florida (FL).
• Minimum 3 years in pharmacy administration or revenue integrity.
• Experience in hospital/health-system pharmacy.

Responsibilities

• Guides financial and utilization analytics across reimbursement, margins and utilization.
• Supports contract review, credentialing, re-credentialing with payers and PBMs.
• Leads payer/manufacturer engagement to support access and contract compliance.
• Oversees reimbursement performance, denials, and write-offs with escalation when needed.

Skills

Financial analytics

Reimbursement optimization

Contract management

Leadership

Stakeholder engagement

Education

Doctorate: Pharmacy

Pharmacist License (FL)

Job description

Memorial Healthcare System in Miramar, FL seeks a Pharmacy Business Manager to optimize medication-related revenue across outpatient pharmacy lines. You will analyze finance and utilization, manage contracts with payers/PBMs, credentialing, and business development, while leading pharmacy staff and aligning patient care with financial integrity.

Collaborate with leadership across revenue cycle, finance, compliance, and operations to reduce revenue leakage, monitor denials, and implement