Senior Pharmacy Revenue Cycle Analyst

Beth Israel Lahey Health; Westwood (KY); On-site; USD 72,000 - 96,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Pharmacy Revenue Cycle Analyst to optimize reimbursement and revenue integrity across the pharmacy enterprise. You will analyze denials, underpayments, rebates, and payer performance while supporting analytics and reporting for stakeholders.

You will collaborate with Pharmacy Operations, Finance, Revenue Cycle, and IS teams to drive financial improvements and stay current on policy changes affecting reimbursement.

Qualifications

• Bachelor's degree required 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 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 accuracy.

Responsibilities

• Analyze pharmacy reimbursement, denials, underpayments, and accounts receivable trends to identify revenue recovery and optimization opportunities.
• Perform analytics, rebate reconciliation, dispute management, and financial performance reporting.
• Analyze 340B and MFP rebate eligibility, reimbursement, and payment variances within pharmacy systems; prepare and submit appeals and disputes to manufacturers, payers, and third-party administrators to ensure accurate rebate capture and revenue recovery.
• Investigate payer denials and underpayments, prepare appeals, and coordinate resolution with payers and internal stakeholders.
• Support medication charge capture, reimbursement integrity, and pharmacy revenue cycle process improvements.
• Develop dashboards and reports tracking reimbursement performance, denials, rebates, payer trends, and key pharmacy financial indicators.
• Collaborate with pharmacy leadership, finance, contracting, and revenue cycle teams to improve operational and financial outcomes.
• Stay current on pharmacy reimbursement regulations, payer policies, 340B requirements, and Medicare reimbursement changes.

Skills

Advanced Excel

Data analytics

Financial analysis

Attention to detail

Project management

Education

Bachelor's degree in Finance, Business, Healthcare Administration, Pharmacy Administration, or related field

Job description

Beth Israel Lahey Health is seeking a Pharmacy Revenue Cycle Analyst to optimize reimbursement and revenue integrity across the pharmacy enterprise. You will analyze denials, underpayments, rebates, and payer performance while supporting analytics and reporting for stakeholders.

You will collaborate with Pharmacy Operations, Finance, Revenue Cycle, and IS teams to drive financial improvements and stay current on policy changes affecting reimbursement.