Pharmacy Cost Specialist

General Purpose: Supports pharmacy cost management initiatives through detailed analysis, auditing, reporting, and execution of cost‑saving strategies. This role functions as a subject matter expert and operational driver for pharmacy cost optimization across facilities.

Essential Duties

• Perform pharmacy cost analysis, audits, and trend identification to support leadership.
• Track and maintain savings initiatives, credits, rebates, and audit outcomes.
• Conduct invoice and billing audits, identify discrepancies, and escalate issues.
• Support billing accuracy through payer, coding, and export file validation.
• Assist with preparation of financial reports and leadership materials.
• Maintain contract documentation and support vendor coordination.
• Support implementation of cost‑saving initiatives and tools.
• Ensure accurate documentation, data integrity, and organization across systems.

Minimum Qualifications

• 3–5 years of experience in pharmacy operations, healthcare billing, revenue cycle, or related healthcare setting.
• Experience with pharmacy billing, medication ordering systems, or long‑term care/SNF operations preferred.
• Experience auditing invoices, identifying billing discrepancies, or working with financial data strongly preferred.
• Strong proficiency in Microsoft Excel required (data analysis, formulas, reporting).
• Experience working with EHR systems (PCC preferred) and large datasets.

Preferred Qualifications

• Pharmacy, clinical, or healthcare‑related background preferred (e.g., CNA, LPN, RN, Pharmacy Technician, or pharmacy account management experience).
• Relevant certifications in healthcare, billing, or analytics a plus but not required.

Pay Range

$75,000 – $80,000 depending on experience.

Physical Demands

• Prolonged periods of sitting and working on a computer, including frequent use of a keyboard, mouse, calculator, and telephone.
• Frequent viewing and analysis of spreadsheets, invoices, reports, billing records, and electronic data.
• Ability to communicate effectively with internal teams, vendors, pharmacies, and facility personnel through verbal and written communication.
• Ability to occasionally stand, walk, bend, reach, and move throughout office and healthcare facility environments.
• Ability to lift and carry light office materials and equipment up to 15 pounds occasionally.
• Ability to maintain attention to detail, analyze large amounts of data, and perform repetitive auditing and reporting tasks with accuracy.
• Ability to manage multiple priorities and deadlines in a fast‑paced healthcare and operational environment.
• Visual ability to read detailed financial records, reports, spreadsheets, and electronic communications.
• Occasional travel to facilities, meetings, or training sessions may be required based on business needs.

Benefits

• Health Coverage: medical, dental, and vision plans.
• PTO and Vacation: generous paid time off and holidays.
• Financial Wellness: Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
• Retirement Planning: 401(k) plan with company contributions.
• Employee Assistance Plan (EAP): confidential support for personal and professional challenges.

Join PACS: Elevate Healthcare with Us! Guided by core values of love, excellence, trust, accountability, mutual respect, and commitment, we foster a culture of compassionate care. We celebrate diversity and are committed to an inclusive environment for all employees.