System Pharmacy Charge & Compliance Analyst

About the role

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
• Active Pharmacy technician licensure (either in OR, HI or CA)
• IV compounding experience within the last year in an inpatient pharmacy hospital setting and/or hospital infusion center IV compounding
• Background in procurement (preferred)
• Background in oncology infusion center, including filling and doing inventory in ADC (preferred)
• Background in medication charges from inpatient pharmacy (preferred)
• Background in 340B (preferred)
• High School Education/GED or equivalent (preferred)
• Associate’s/Technical Degree or equivalent combination of education/related experience (preferred)
• Three years' of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance (required)
• Experience working in Epic Resolute, Cerner Revenue Cycle, or similar EMR/billing systems (preferred)
• State Pharmacy Technician license (CA, OR, &/or HI) (required)
• Pharmaceutical Technician Board certification (preferred)
• Advanced certification (e.g., CHRI, CRCR, or 340B ACE) (preferred)