System Pharmacy Charge & Compliance Analyst

Windsor Healthcare Recruitment Group, Inc.; Roseville (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

Windsor Healthcare Recruitment Group, Inc. seeks a System Pharmacy Charge & Compliance Analyst to ensure accurate charging, billing, and reimbursement across outpatient hospital departments.

You will align charges with CMS/HRSA and payer requirements, and liaise between pharmacy operations, revenue cycle, and finance to prevent revenue leakage. The role requires an active CA OR HI Pharmacy Technician license, recent IV compounding experience in a hospital setting or infusion center, and at least

Qualifications

• Active Pharmacy Technician license in CA, OR, or HI.
• IV compounding experience (within last year) in inpatient hospital setting or infusion center.
• Three years' experience in hospital or health system pharmacy, revenue integrity, billing, or compliance.
• Experience with Epic Resolute, Cerner Revenue Cycle, or similar EMR/billing systems.
• High School/GED or Associate/Technical Degree preferred.
• Background in oncology infusion center preferred.
• Background in 340B compliance preferred.

Responsibilities

• Ensure accurate charging, billing, and reimbursement across outpatient hospital departments.
• Bridge pharmacy operations, revenue cycle, compliance, and finance to prevent revenue leakage.
• Maintain awareness of CMS/HRSA and payer requirements and ensure compliance.
• Support 340B programs and infusion-center charging as applicable.

Skills

Epic Resolute

Cerner Revenue Cycle

Charge capture

Payer regulations

Education

High School/GED

Associate/Technical Degree

Tools

Epic Resolute

Cerner Revenue Cycle

Job description

System Pharmacy Charge & Compliance Analyst

Supports accurate and compliant medication charging, billing, and reimbursement across outpatient hospital departments such as observation units, emergency departments, outpatient surgery centers, and infusion clinics. Ensures medication-related charges are complete, accurate, compliant, and aligned with Centers for Medicare and Medicaid Services (CMS), health resources & services administration (HRSA), and payer regulations. Serves as the bridge between pharmacy operations, revenue cycle, compliance, and finance, using deep understanding of pharmacy workflows, coding, charge capture, and payer requirements to prevent revenue leakage and mitigate compliance risks.

Requirements

Onsite at Roseville, Day Shift, 40 hours per week, M - F 7-3:30. Must have an active Pharmacy technician licensure (either in OR, HI or CA), Must have the IV compounding experience. With the IV compounding experience within the last year, within tan inpatient pharmacy hospital setting and or hospital infusion center IV compounding. Background in procurement, preferred. if background in oncology infusion center. filling and doing inventory in ADC. background in medication charges from inpatient pharmacy. have a background in 340B, preferred.Education and Work Experience:High School Education/GED or equivalent: PreferredAssociate?s/Technical Degree or equivalent combination of education/related experience: PreferredThree years' of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance: RequiredExperience working in Epic Resolute, Cerner Revenue Cycle, or similar EMR/billing systems: PreferredLicenses/Certifications:State Pharmacy Technician license: Required (CA, OR, &/or HI): RequiredPharmaceutical Technician Board certification: PreferredAdvanced certification (e.g., CHRI, CRCR, or 340B ACE): PreferredState Pharmacy Technician license: Required