Clinical Informatics Pharmacist - Revenue Cycle Clinical Services (CLIN INFORMATICS SPEC 4)

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining whats possible for the patients we serve a promise we share with the professionals who make up our team. 

Ranked by U.S. News & World Report as seventh in the country UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

The Department of Pharmaceutical Services provides a full range of contemporary services for patients cared by the UCSF Medical Center, as well as its providers and payers.

The UCSF Pharmacy Enterprise encompasses Inpatient Pharmacy Services, Ambulatory Care Services, Specialty Drug Pharmacy, Pharmacy Business Services, Pharmacy Informatics, Medication Safety and Regulatory Compliance, Oncology Infusion Services, 340B Management, Pharmacy Revenue Cycle and Central Pharmacy Production and Repackaging Services.

The Department of Pharmaceutical Services is fully responsible for the medication use process across the health system. Services provided by pharmacy include, but are not limited to, drug procurement, drug storage and security; safe, accurate and timely preparation and distribution of drugs; clinical pharmacy services for patients; drug information services for clinicians and patients; retail specialty drug pharmacy services;  ambulatory care pharmacy services; oversight of sate medication practices; antimicrobial stewardship; pharmacy oncology infusion services; pharmacy revenue cycle; central drug production and distribution with state-of-the-art automation; and development and management of drug use policies and procedures within the Medical Center.

The department is integrated with the Department of Clinical Pharmacy, an academic campus unit within the School of Pharmacy, which has a primary responsibility for teaching professional courses in the PharmD curriculum, research, and public service.

Department of Pharmaceutical Services provides inpatient pharmacy services for Moffitt Long Hospital at Parnassus, Benioff Childrens Hospital in Mission Bay and Mount Zion Hospital. Inpatient pharmacies provide clinical and drug distribution services to the associated clinics and medical offices of each hospital.

Applies advanced professional clinical informatics concepts and extensive knowledge of medication-use systems and technology to projects of all levels of scope and complexity. Leads and supports Pharmacy Services initiatives and practice as a pharmacy informatics subject matter expert. Responds to intra-departmental analytics requests and designs data visualization tools for departmental utilization.

Supports Pharmacy Department with the management and oversight of Pharmacy Revenue Cycle. Works in collaboration with the Revenue Management and Patient Financial Services department to trouble shoot revenue integrity issues and claim denials to improve revenue capture and integrity.

Leads projects, manages revenue cycle work queues, develops reports and analyzes data, and monitors corrective actions implemented to improve pharmacy revenue cycle and reduce claim denials.

• Five years directly related experience
• Registered Pharmacist (CA Board of Pharmacy)
• Bachelor of Science in Pharmacy; or Doctor of Pharmacy (PharmD) Degree
• ASHP Accredited Postgraduate Year 1 (PGY1) Pharmacy Residency Program or equivalent practice experience
• Broadly encompassing or highly in-depth knowledge of pharmacy practice; knowledge of controlled terminology, clinical workflows, user interface optimization, clinical decision support, rules development, data integration and mining, clinical ontologies and adoption of technology
• In-depth knowledge of all relevant clinical informatics and revenue cycle software and systems, and of the highly-complex concepts, principles, policies, methodologies, techniques, best practices, regulations, and standards practices involved with patient care and electronic medical data management in the UC health care system
• Advanced knowledge of CMS Billing and HRSA 340B Guidelines
• Advanced understanding of data systems related to Revenue Cycle, Patient Financial Services, CDM, Hospital Billing, Professional Billing, Clinical Systems and 340B Management Software
• Advanced organizational and project management skills, with the ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Advanced interpersonal communications skills, to convey highly technical information and instructions to all levels of clinical users in a clear and concise manner, to provide technical support, and to develop and deliver training materials as needed.
• Advanced analytical skills and expertise in documentation and reporting, with the ability to apply metrics, design and run queries, collect and analyze performance data, and produce sophisticated reports and analyses for management use.
• Advanced ability to serve as a technical leader and information resource, and to work collaboratively with senior staff and management across departments, providing advice, counsel, and analysis on issues of policy, functionality, system efficiency, upgrades, business analytics, and industry advances and trends
• Ability to apply advanced problem-resolution skills to highly complex issues, quickly diagnose problems, and develop, test, and implement appropriate and effective solutions in a timely manner
• Ability to develop process maps and workflows to document design requirements for applications, to identify system inefficiencies and/or to identify opportunities for improve to efficiencies, productivity and/or reduce cost
• Ability to serve as a technical liaison between pharmacy operations, Revenue Cycle, IT and Clinical Systems to support the effective development of application design requirements and implementation of automation, drug distribution systems, analytical tools, and/or clinical applications
• The flexibility to orient and work at all UCSF Health locations

• Epic Systems Certification in analytical or reporting  modules (e.g., Clarity) 
• Epic Systems Certification in medication-use modules (e.g., Willow Inpatient, Willow Ambulatory, Willow Inventory, Beacon) or positioned for training and certification on hire
• Board of Pharmacy Specialties Certification
• ASHP Accredited Postgraduate Year 2 (PGY1) Pharmacy Informatics Specialty Residency Program or equivalent informatics practice experience

• Registered Pharmacist (CA Board of Pharmacy)

Service Excellence

• Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Centers values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.   
• Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards. 
• Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
• Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
• Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
• Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets. 

Work Environment

• Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
• Picks up and disposes of any litter found throughout entire facility. 
• Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
• Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.  
• Protects the physical environment and equipment from damage and theft.

The flexibility to orient and work at all UCSF Health locations is required.

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Further information about the University of California, San Francisco, is available at diversity.ucsf.edu. UCSF seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence, and the communities we serve.

#LI-CH1