Ohio State University
Senior Pharmacy Audit and Reconciliation Coordinator
Ohio State University, Glen Ellyn, Illinois, us, 60138
Senior Pharmacy Audit and Reconciliation Coordinator page is loaded## Senior Pharmacy Audit and Reconciliation Coordinatorlocations:
Outpatient Care/Ambulatorytime type:
Full timeposted on:
Posted Todayjob requisition id:
R142880Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these .**Current Employees and Students:**If you are currently employed or enrolled as a student at The Ohio State University, please log in to
to use the internal application process.Welcome to The Ohio State University's career site.
We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:* Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.* Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.## Job Title:Senior Pharmacy Audit and Reconciliation Coordinator## Department:Retail Rx | OSU Outpatient Pharmacy CCCT**Scope of Position**The Senior Pharmacy Audit and Reconciliation Coordinator at The Ohio State University Outpatient Pharmacy (OSU OP) provides expert knowledge in Medicare billing and audit requirements for pharmacy-dispensed products. This role also involves expertise in pharmacy benefit manager (PBM) audits and compliance. The ideal candidate will possess a strong understanding of retail and specialty pharmacy revenue cycle management, Medicare regulations, and will effectively utilize interpersonal, customer service, problem-solving, and collaboration skills to support pharmacy operations.**Position Summary**This position oversees Medicare and pharmacy benefit manager audit management and response, as well as the specialty and retail revenue cycle. Activities include, but are not limited to, audit and compliance for retail and specialty pharmacy claims billed to Medicare, Medicaid, and pharmacy benefit managers. It requires an expert understanding of regulatory knowledge related to billing and payment of retail, specialty, and Medicare pharmacy claims, oversight of all audits of retail and specialty prescription claims, and management of the OSU OP revenue cycle, including the escalation of complex claims and unpaid or denied claims.This position requires a detail-oriented individual with strong analytical skills, effective communication abilities, and the capacity to collaborate with various stakeholders to ensure compliance and resolve issues efficiently. Proficiency in Microsoft Excel, Microsoft Teams, and other computer-related skills is also essential.**Minimum Qualifications****For Hire:** Bachelor’s in Business, healthcare or related field or equivalent combination of education and related experience and 3 years of experience as a Pharmacy Audit and Reconciliation Coordinator (S2) or similar position at another Health System required.
4 to 8 years of relevant experience preferred.
Must be registered technician with the State of Ohio Board of Pharmacy and hold active PTCB/NHA certification.## Additional Information:## Location:Ackerman Rd, 600 (2435)## Position Type:Regular## Scheduled Hours:40## **Shift:**Varying Shifts***Final candidates are subject to successful completion of a background check.
A drug screen or physical may be required during the post offer process.***Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the
section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the .The university is an equal opportunity employer, including veterans and disability.As required by Ohio Revised Code section
3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.**Each day, Buckeyes across the state and around the world make a lasting impact.**
The Ohio State University sets the stage for academic achievement and innovation. It's where friendships are forged, tradition is brought to life and a better global community is built. Our mission is as clear today as it was 150 years ago: to illuminate a pathway to education, research and health care that creates vibrant futures.Faculty and staff build the incomparable Buckeye spirit through collaboration, a strong sense of community and an unwavering commitment to excellence. Our strength comes from our ability to bring out the best in people and learn from Buckeyes of all backgrounds, passions and talents.Ohio State is a dynamic community where opportunity thrives and individuals transform themselves and their world. Positions are available in countless fields and specialties.Ohio State is a top-20 public university, and its Ohio State Wexner Medical Center is one of America’s leading academic health centers.Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions.Become a Buckeye and contribute to an incredible legacy that serves to guide our future and shape a better tomorrow. #J-18808-Ljbffr
Outpatient Care/Ambulatorytime type:
Full timeposted on:
Posted Todayjob requisition id:
R142880Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these .**Current Employees and Students:**If you are currently employed or enrolled as a student at The Ohio State University, please log in to
to use the internal application process.Welcome to The Ohio State University's career site.
We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:* Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.* Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.## Job Title:Senior Pharmacy Audit and Reconciliation Coordinator## Department:Retail Rx | OSU Outpatient Pharmacy CCCT**Scope of Position**The Senior Pharmacy Audit and Reconciliation Coordinator at The Ohio State University Outpatient Pharmacy (OSU OP) provides expert knowledge in Medicare billing and audit requirements for pharmacy-dispensed products. This role also involves expertise in pharmacy benefit manager (PBM) audits and compliance. The ideal candidate will possess a strong understanding of retail and specialty pharmacy revenue cycle management, Medicare regulations, and will effectively utilize interpersonal, customer service, problem-solving, and collaboration skills to support pharmacy operations.**Position Summary**This position oversees Medicare and pharmacy benefit manager audit management and response, as well as the specialty and retail revenue cycle. Activities include, but are not limited to, audit and compliance for retail and specialty pharmacy claims billed to Medicare, Medicaid, and pharmacy benefit managers. It requires an expert understanding of regulatory knowledge related to billing and payment of retail, specialty, and Medicare pharmacy claims, oversight of all audits of retail and specialty prescription claims, and management of the OSU OP revenue cycle, including the escalation of complex claims and unpaid or denied claims.This position requires a detail-oriented individual with strong analytical skills, effective communication abilities, and the capacity to collaborate with various stakeholders to ensure compliance and resolve issues efficiently. Proficiency in Microsoft Excel, Microsoft Teams, and other computer-related skills is also essential.**Minimum Qualifications****For Hire:** Bachelor’s in Business, healthcare or related field or equivalent combination of education and related experience and 3 years of experience as a Pharmacy Audit and Reconciliation Coordinator (S2) or similar position at another Health System required.
4 to 8 years of relevant experience preferred.
Must be registered technician with the State of Ohio Board of Pharmacy and hold active PTCB/NHA certification.## Additional Information:## Location:Ackerman Rd, 600 (2435)## Position Type:Regular## Scheduled Hours:40## **Shift:**Varying Shifts***Final candidates are subject to successful completion of a background check.
A drug screen or physical may be required during the post offer process.***Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the
section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the .The university is an equal opportunity employer, including veterans and disability.As required by Ohio Revised Code section
3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.**Each day, Buckeyes across the state and around the world make a lasting impact.**
The Ohio State University sets the stage for academic achievement and innovation. It's where friendships are forged, tradition is brought to life and a better global community is built. Our mission is as clear today as it was 150 years ago: to illuminate a pathway to education, research and health care that creates vibrant futures.Faculty and staff build the incomparable Buckeye spirit through collaboration, a strong sense of community and an unwavering commitment to excellence. Our strength comes from our ability to bring out the best in people and learn from Buckeyes of all backgrounds, passions and talents.Ohio State is a dynamic community where opportunity thrives and individuals transform themselves and their world. Positions are available in countless fields and specialties.Ohio State is a top-20 public university, and its Ohio State Wexner Medical Center is one of America’s leading academic health centers.Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions.Become a Buckeye and contribute to an incredible legacy that serves to guide our future and shape a better tomorrow. #J-18808-Ljbffr