Revenue Cycle Integrity Manager - Pharmacy

Pharmacy Revenue Integrity Manager

Location : Orlando, FL (Hybrid Schedule)

Compensation : $100,000 - $120,000 + Bonus Eligibility

About the Opportunity

Join a nationally recognized healthcare system known for its innovation, integrity, and commitment to patient care excellence. The Pharmacy Revenue Integrity Manager plays a pivotal role in ensuring the accuracy, compliance, and efficiency of pharmacy-related revenue processes.

This is an outstanding opportunity for an experienced professional to collaborate with finance, clinical, and compliance leaders to optimize charge capture, streamline operations, and safeguard revenue integrity within a forward-thinking healthcare organization.

Why This Role Stands Out

High-impact position influencing both financial outcomes and patient care quality

Partner with executive and clinical leadership on systemwide revenue and compliance initiatives

Work for an organization that invests in technology, process improvement, and employee development

Enjoy a hybrid work environment with excellent benefits and growth potential

Key Responsibilities of the Pharmacy Revenue Integrity Manager

Oversee pharmacy revenue operations from charge capture through reimbursement

Monitor and analyze KPIs, audits, and compliance reports to identify risks, trends, and revenue leakage

Collaborate cross-functionally with finance, operations, and pharmacy leadership to improve workflows and accuracy

Maintain and manage the Pharmacy Chargemaster (CDM) to ensure billing accuracy and regulatory compliance

Develop and deliver training programs for staff on documentation, coding, and compliance best practices

Prepare and present performance reports on revenue integrity, compliance, and financial outcomes to leadership

Support continuous improvement initiatives across pharmacy and revenue cycle operations

Qualifications

Required :

Bachelor's degree in Pharmacy, Healthcare Administration, Business, or related field

5+ years of experience in healthcare revenue cycle management, with 2+ years in pharmacy revenue integrity or compliance

Strong understanding of pharmacy billing, coding, charge capture, and reimbursement workflows

Familiarity with Epic, Cerner, or similar revenue cycle systems

Excellent leadership, analytical, and problem-solving skills

In-depth knowledge of regulatory requirements (CMS, payer rules, HIPAA, etc.)

Preferred :

Master's degree in a related field

Experience leading cross-functional revenue integrity initiatives in a hospital or health system setting

Why You'll Love Working Here

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

Team Culture : Mission-driven, collaborative environment focused on patient care and innovation

Comprehensive Benefits : Competitive healthcare coverage, retirement plan with match, and bonus potential

Work-Life Balance : Hybrid schedule, generous PTO, and supportive leadership

This is an exceptional opportunity for a Pharmacy Revenue Integrity Manager ready to take on a strategic and visible leadership role within a respected healthcare organization. If you're passionate about driving operational excellence and ensuring financial integrity in pharmacy services, apply today!