Revenue Cycle Integrity Manager - Pharmacy

Pharmacy Revenue Integrity Manager

Location : Hybrid - Orlando, FL

Salary : $100,000 - $120,000

About the Company & Role

Join a nationally recognized healthcare system committed to excellence, compliance, and innovation. They are seeking a skilled Pharmacy Revenue Integrity Manager to lead revenue integrity efforts and ensure optimal charge capture, compliance, and reimbursement. This is a highly visible position partnering with finance, pharmacy, and operations leadership to maximize both financial performance and patient care outcomes.

Why You'll Love This Opportunity

High-Impact Role : Directly influence revenue integrity and compliance outcomes

Cross-Functional Collaboration : Work with senior leadership across clinical, financial, and operational teams

Innovative Environment : Join a system that invests heavily in technology and process improvement

Key Responsibilities

Oversee pharmacy revenue workflows from charge capture through reimbursement

Monitor key performance indicators (KPIs), perform audits, and identify revenue leakage risks

Partner with finance, operations, and pharmacy teams to streamline workflows and improve accuracy

Manage and maintain the Pharmacy Charge Description Master (CDM) for compliance

Train staff on proper documentation, billing, and compliance practices

Prepare and present reports on revenue performance, compliance trends, and audit findings to leadership

Qualifications

Bachelor's degree in Pharmacy, Healthcare Administration, Business, or related field (Master's preferred)

5+ years of healthcare revenue cycle experience, including 2+ years in pharmacy revenue integrity, compliance, or related field

Strong knowledge of pharmacy billing, coding, and reimbursement processes

Experience with Epic, Cerner, or similar revenue cycle platforms

Excellent analytical, communication, and leadership skills

In-depth understanding of regulatory requirements (CMS, HIPAA, payer compliance)

Perks & Benefits

Career Growth : Ongoing training, leadership development, and advancement opportunities

Culture : Collaborative, mission-driven team focused on quality patient outcomes

Comprehensive Benefits : Medical, retirement match, bonus eligibility

Flexibility : Hybrid schedule and generous PTO for work-life balance

If you are looking for a leadership role where your expertise directly impacts financial integrity and patient care, this is your opportunity to make a measurable difference.

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