Senior Manager Pharmacy Reimbursement & Revenue

Beth Israel Lahey Health; Boston (MA); On-site; USD 95,000 - 130,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Manager, Pharmacy Reimbursement to lead the revenue cycle for the pharmacy enterprise with ~ $300 million annual revenue. You will optimize reimbursement, manage denials, and supervise accounts receivable while ensuring compliance and supporting strategic growth.

You will partner with Pharmacy Operations, Finance, Revenue Cycle, 340B, and Compliance teams to develop executive reports, dashboards, and forecasts.

Qualifications

• Bachelor's degree required in Finance, Accounting, Healthcare Administration, Business Administration, Pharmacy, or related field.

Responsibilities

• Lead pharmacy revenue cycle operations, including billing, charge capture, reimbursement, denials management, and accounts receivable performance.
• Develop and implement strategies to optimize revenue, improve collections, reduce revenue leakage, and enhance cash flow.
• Oversee manufacturer rebate programs and Medicare Maximum Fair Price (MFP) financial processes to maximize reimbursement and financial performance.
• Partner with Pharmacy Operations, Finance, Revenue Cycle, 340B, Compliance, and Informatics teams to support operational and growth initiatives.
• Monitor revenue integrity, reimbursement trends, and key performance indicators, providing actionable insights and recommendations.
• Develop executive-level financial reports, dashboards, forecasts, and analyses to support decision-making and strategic planning.
• Recruit, develop, and lead revenue cycle staff while fostering a culture of accountability, service excellence, and continuous improvement.

Skills

Revenue cycle

Financial analysis

Executive reporting

Excel / BI

Leadership

Stakeholder management

Education

Bachelor's degree in Finance/Accounting/Healthcare Administration

Tools

Epic Willow

Beacon

BI tools

Excel

Job description

Beth Israel Lahey Health is seeking a Manager, Pharmacy Reimbursement to lead the revenue cycle for the pharmacy enterprise with ~ $300 million annual revenue. You will optimize reimbursement, manage denials, and supervise accounts receivable while ensuring compliance and supporting strategic growth.

You will partner with Pharmacy Operations, Finance, Revenue Cycle, 340B, and Compliance teams to develop executive reports, dashboards, and forecasts.