Strategic Pharmacy Revenue Cycle Lead

Medical University of South Carolina; South Carolina; Hybrid; USD 120,000 - 180,000; Full time

Job summary

Medical University of South Carolina in the United States seeks a Pharmacy Revenue Cycle Manager to lead revenue cycle and revenue integrity across the health system. You will promote accurate charge capture, billing, reimbursement, and financial reporting while reducing revenue leakage and ensuring payer compliance.

You will collaborate with Pharmacy, Revenue Cycle, Finance, IT, Compliance, and managed care leaders to optimize processes and provide executive insight through dashboards and

Qualifications

• Bachelor's degree or equivalent education is required.
• Five years of progressive experience in pharmacy operations or healthcare revenue cycle.
• Experience with medication charging, billing, reimbursement analysis, financial reporting, or revenue reconciliation.
• Demonstrated supervisory or cross-functional project leadership experience.

Responsibilities

• Lead pharmacy revenue cycle activities across hospital, ambulatory, and clinic services.
• Oversee charge capture, billing validation, claim reconciliation, and denial analysis.
• Identify lost revenue and implement corrective actions.
• Maintain controls for pricing, coding, documentation, and reimbursement.
• Develop dashboards and KPIs for revenue, denials, and recoveries.
• Prepare executive reports for pharmacy and organizational leadership.

Skills

Excel proficiency

Billing analytics

Leadership

Communication

Education

Bachelor's degree or equivalent

Advanced degree (PharmD/MBA/MHA)

Tools

Epic/EHR systems

Power BI

Tableau

Willow

Workday

Job description

Medical University of South Carolina in the United States seeks a Pharmacy Revenue Cycle Manager to lead revenue cycle and revenue integrity across the health system. You will promote accurate charge capture, billing, reimbursement, and financial reporting while reducing revenue leakage and ensuring payer compliance.

You will collaborate with Pharmacy, Revenue Cycle, Finance, IT, Compliance, and managed care leaders to optimize processes and provide executive insight through dashboards and