Pharmacist - Revenue Integrity Specialist

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. 

Work Shift:

Day (United States of America)

Scheduled Weekly Hours:

40

Salary Range: $53.00 - $71.00

Union Position:

No

Department Details

QUALIFICATIONS:
Education required: Graduate from an accredited School of Pharmacy

Experience required: Pharmacy Practice Residency or equivalent experience in hospital-based pharmacy practice with experience in operations, infusion/oncology, billing and compliance. Can work proficiently in Excel, Epic, Omnicell and other pharmacy programs or databases. Other combinations of formal education, training and experience may be considered.

Summary

In the revenue integrity specialist pharmacist role, the successful candidate will be responsible for ensuring optimal revenue capture for pharmaceuticals across ambulatory and inpatient care settings for the Fargo region.

Job Description

As a part of day-to-day activities, the revenue integrity specialist will serve as the operational and clinical liaison between Pharmacy, Finance, Revenue Integrity, Compliance, and clinical specialties to support and optimize medication billing compliance and financial performance in our hospital and professional based billing systems.  The position will develop policies and/or guidelines to improve revenue integrity, capture, and compliance, and work with sites to decrease medication-related claim denials and outstanding claims.  This pharmacist will develop strategies and provide guidance on all matters related to pharmacy and medication charging, including the maintenance of electronic health record medication record build and the pharmacy charge description master. 

In a retail/community pharmacy setting, the Pharmacist reviews, interprets and dispenses both prescription and non-prescription medication to patients. The pharmacist takes an active role in responding to prescription issues and advising providers on the selection, dosage, interaction and side effects of medications. Counsels patients on the medication prescription including but not limited to: proper administration, possible side effects, expected response, storage and any other questions posed by the patient. Monitors the health and progress of patients in response to drug therapy. Must be able to learn and utilize new technology as the profession of pharmacy evolves. Provides oversight and clinical supervision for pharmacy series and pharmacy support personnel.

In a medical center or institutional setting, the Pharmacist reviews and interprets provider orders, provides drug information, assists in problem solving, and provides other aspects of pharmaceutical care. Duties may consist of unit dose dispensing, IV Admixtures, outpatient prescriptions, navigating the electronic medical record, compounding, and working with automated dispensing devices. The Pharmacist utilizes appropriate age-related patient information to assess the pharmaceutical needs of patients, which may include provision of pharmaceutical care to neonatal, pediatric, adolescent, adult, and geriatric patients. The Pharmacist follows all established regulations and standards that govern the practice of pharmacy. May be required to act as a shift supervisor under direct or indirect supervision by department managers. Demonstrates good written and verbal communication skills. Must be able to learn and utilize new technology as the profession of pharmacy evolves. Provides oversight and clinical supervision for pharmacy services and pharmacy support personnel.

Pharmacy services at Sanford Health may include involvement in acute care surgery, neurology, cardiology, pediatrics, oncology, infusion services, intensive care, general medicine, dialysis, transplant, antimicrobial stewardship, and medication reconciliation. May include decentralized clinical functions, such as direct patient interaction/interdisciplinary team rounding, chart reviews, customer or patient counseling, collecting accurate medication list. May also include centralized clinical functions, such as checking and dispensing medications and overseeing the clinical functions of the IV room.

Qualifications

In a retail/community pharmacy setting: Graduate of an accredited School of Pharmacy. Must have a thorough knowledge of drugs and their actions; knowledge of state and local regulations. In a medical center or institutional setting: Graduate of an accredited School of Pharmacy. Must have a thorough knowledge of drugs and their actions; knowledge of state and local regulations. Hospital experience or residency preferred.



License must be in good standing by the State Board of Pharmacy in state(s) of practice and/or possess multi-state licensure privileges as required by position.

Sanford is an EEO/AA Employer M/F/Disability/Vet. 

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.