Reimbursement optimization jobs

Pharmacy Technician I - MUSCP

Medical University of South Carolina · Posted Nov 9, 2026

Open

Charleston
Full-time
2+ years

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Pharmacy Technician I - MUSCP

Medical University of South Carolina · Posted Nov 9, 2026

Open

Charleston
Full-time
2+ years

Apply with Referso

Infusion Pharmacy Manager

Duly Health and Care · Posted Nov 5, 2026

Open

Schaumburg, Illinois, United States
Full-time · Manager
$125K–$188K per year
5+ years

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The Manager, Infusion Pharmacy is responsible for the day-to-day operational leadership and performance of Duly Health and Care's Infusion Pharmacy services.

Compensation

The compensation for this role includes a base pay range of $125,000-188,000 with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Responsibilities

Provide day-to-day operational oversight for Infusion Pharmacy services, ensuring safe, efficient, and compliant operations.
Supervise pharmacy staff to achieve operational, quality, financial, and service excellence goals.
Monitor key performance indicators, including therapy starts, turnaround times, patient satisfaction, adherence, and productivity, and escalate trends to the Director of Pharmacy as needed.
Support and help maintain policies, procedures, and workflows that ensure operational consistency and regulatory compliance.
Contribute to process improvement, workflow optimization, and operational efficiency initiatives.

Requirements

Doctor of Pharmacy (PharmD)
Nice to have: Supervising leaders, pharmacists, and/or pharmacy technicians
Nice to have: Clinical research programs
Nice to have: Investigational drug services
Nice to have: Infusion-based therapies

Skills

Chief Financial Officer

Roswell Park Comprehensive Cancer Center · Posted Aug 3, 2026

Open

Full-time · Executive
8+ years

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Senior executive responsible for financial strategy, planning, and operations at a leading cancer center.

Responsibilities

Serve as trusted advisor to President & CEO, executive leadership team, and Board of Directors
Lead development and execution of financial plans
Oversee finance, accounting, treasury, budgeting, forecasting, and reporting
Provide executive leadership for revenue cycle operations and payer relations
Drive initiatives to strengthen revenue integrity and cash flow

Requirements

Master’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field
Bachelor’s degree in Business Administration, Accounting or Finance
Nice to have: Certified Public Accountant (CPA)
Nice to have: Certified Healthcare Financial Professional (CHFP)
Nice to have: EHR implementation experience

Skills

Healthcare finance Budgeting Forecasting Accounting Reimbursement optimization

Director, Revenue Cycle (FQHC)

Centerstone · Posted Nov 6, 2026

Open

Nashville, Tennessee, United States
Full-time · Director
$74K–$112K per year
7+ years

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The Director, Revenue Cycle (FQHC) is responsible for the strategic leadership, oversight, and optimization of revenue cycle operations across the organization's Federally Qualified Health Center (FQHC) services.

Compensation

$74,400.00--$111,600.00

Responsibilities

Provide strategic leadership and oversight for all revenue cycle functions, including patient registration, charge capture, coding, billing, collections, denials management, appeals, reimbursement, and accounts receivable.
Serve as the organization's subject matter expert on FQHC reimbursement methodologies, including Medicare and Medicaid Prospective Payment Systems (PPS), encounter billing, and wrap payment processes.
Monitor federal and state regulatory changes affecting FQHC reimbursement and proactively implement operational and billing process improvements.
Develop and execute revenue cycle strategies that improve cash flow, reduce denials, increase clean claim rates, and optimize reimbursement.
Lead the evaluation, development, and implementation of revenue cycle policies, procedures, and best practices.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field
Nice to have: Master's degree
Nice to have: 340B Drug Pricing Program operations
Nice to have: pharmacy billing
Nice to have: revenue cycle leadership experience within FQHC

Senior Vice President (SVP) of Managed Care | PAM Health Corporate

PAM Health, LLC · Posted Nov 6, 2026

Open

Enola, Pennsylvania, United States
Full-time · Executive
10+ years

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The SVP of Managed Care is responsible for providing strategic leadership and oversight of the organization's managed care and payor engagement strategy across a multi-state network of Inpatient Rehabilitation Facilities (IRFs), Long-Term Acute Care Hospitals (LTACHs), outpatient programs, home health agencies, physician enterprises, and behavioral health hospitals.

Responsibilities

Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management across commercial, government, and value-based programs.
Oversee development, review, and execution of managed care agreements, ensuring alignment with organizational, financial, and regulatory objectives
Collaborate with operations, finance, admissions, and revenue cycle teams to improve reimbursement, reduce denials, and optimize payor performance
Provide strategic direction and leadership to managed care team, including Regional Directors, ensuring effective execution of priorities and initiatives
Build and maintain relationships with national, regional, and local payors to expand market access and strengthen partnerships

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
Master’s degree (MBA, MHA, or similar) strongly preferred
Nice to have: Inpatient Rehabilitation Facilities (IRF) experience
Nice to have: Long-Term Acute Care Hospitals (LTACH) experience

Skills

Senior Patient Account Specialist

KPC GLOBAL MEDICAL CENTERS INC. · Posted Nov 5, 2026

Open

Santa Ana, California, United States
Senior
5+ years

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Senior Patient Account Specialist ensuring compliance with payer requirements, maximizing reimbursement, and reducing denials and aged accounts.

Responsibilities

Resolve accounts within established productivity and quality standards
Audit patient accounts for compliance with payer guidelines, contracts, billing regulations, and internal policies
Review accounts throughout the revenue cycle to identify compliance risks, reimbursement opportunities, and process gaps
Analyze underpayments, denials, payment variances, and reimbursement discrepancies
Monitor payer performance and identify trends affecting reimbursement and collections

Requirements

High school diploma or equivalent
Nice to have: commercial payers
Nice to have: managed care payers
Nice to have: workers' compensation payers
Nice to have: government payers

Skills

payer compliance reimbursement analysis data analysis Microsoft Office Excel

Pharmacy Technician I - MUSCP

Pharmacy Technician I - MUSCP

Responsibilities

Requirements

Skills

Infusion Pharmacy Manager

Compensation

Responsibilities

Requirements

Skills

Chief Financial Officer

Responsibilities

Requirements

Skills

Director, Revenue Cycle (FQHC)

Compensation

Responsibilities

Requirements

Senior Vice President (SVP) of Managed Care | PAM Health Corporate

Responsibilities

Requirements

Skills

Senior Patient Account Specialist

Responsibilities

Requirements

Skills

Benefits

Skills

Benefits

Benefits