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Pharmacy Revenue Cycle Analyst Jobs (NOW HIRING)

Augusta Health

REVENUE CYCLE ANALYST

Fishersville, VA · On-site

Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e ... As a Revenue Cycle Analyst, this position performs functions which could include any combination of ...

AHMC Healthcare

Revenue Cycle Analyst

Riverside, CA · On-site

Overview The Revenue Cycle Analyst is responsible for ensuring that the hospital's revenue cycle processes are documented, understood and acted upon by the various clinical-financial areas within the ...

AHMC Healthcare

Revenue Cycle Analyst

Riverside, CA · On-site

$23/hr

Overview The Revenue Cycle Analyst is responsible for ensuring that the hospital's revenue cycle processes are documented, understood and acted upon by the various clinical-financial areas within the ...

AHMC Healthcare

Revenue Cycle Analyst

Riverside, CA

The Revenue Cycle Analyst is responsible for ensuring that the hospital's revenue cycle processes are documented, understood and acted upon by the various clinical-financial areas within the hospital.

CornerStone Staffing

REVENUE CYCLE ANALYST

Fort Worth, TX · On-site

$18/hr

REVENUE CYCLE ANALYST LOCATION: DFW Area, TX | Onsite Training ? Remote (must reside in the DFW area) COMPENSATION & SCHEDULE * $18.00/hour * 40 hours/week * Direct Hire ROLE IMPACT The Revenue Cycle ...

Houston Methodist

Revenue Cycle Analyst

Katy, TX · On-site

The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement.

Houston Methodist

Revenue Cycle Analyst

Katy, TX · On-site

The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement.

Robert Half

Revenue Cycle Analyst

Durham, NC · On-site

$20 - $25/hr

We are looking for a Revenue Cycle Analyst to join a growing healthcare organization in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in complex ...

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Pharmacy Revenue Cycle Analyst information

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$15

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$56

How much do pharmacy revenue cycle analyst jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for pharmacy revenue cycle analyst in the United States is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $36.06 per hour, depending on experience, location, and employer.

What are some common challenges faced by pharmacy revenue cycle analysts and how can they be addressed?

Pharmacy Revenue Cycle Analysts often encounter challenges such as staying updated with frequently changing billing regulations, resolving insurance claim denials, and coordinating across multiple departments to ensure accurate charge capture. Addressing these challenges requires strong attention to detail, continuous education on compliance updates, and proactive communication with pharmacy, billing, and IT teams. Many analysts find that developing standardized workflows and leveraging data analytics tools can help streamline processes and reduce errors.

What are the key skills and qualifications needed to thrive as a pharmacy revenue cycle analyst?

A Pharmacy Revenue Cycle Analyst needs a solid understanding of medical billing, pharmacy operations, and healthcare reimbursement, often supported by a degree in healthcare administration, finance, or a related field. Familiarity with revenue cycle management software, electronic health record (EHR) systems, and pharmacy billing codes (such as NCPDP or HCPCS) is typically required, along with certifications like Certified Revenue Cycle Representative (CRCR) being advantageous. Strong analytical skills, attention to detail, and effective communication are crucial soft skills for identifying revenue opportunities and collaborating with cross-functional teams. These competencies ensure accurate billing, optimize reimbursement, and help maintain the financial health of pharmacy operations.

What is the difference between Pharmacy Revenue Cycle Analyst vs Pharmacy Billing Specialist?

AspectPharmacy Revenue Cycle AnalystPharmacy Billing Specialist
CredentialsTypically requires a degree in healthcare administration, pharmacy, or related field; certifications like CPC or CPB are commonOften requires high school diploma or associate degree; certifications like Certified Billing and Coding Specialist (CBCS) may be preferred
Work EnvironmentWorks in healthcare facilities, insurance companies, or pharmacy settings, analyzing revenue processesPrimarily in pharmacy or healthcare billing departments, focusing on processing and submitting claims
Job FocusAnalyzes revenue cycle processes, identifies billing issues, and improves revenue flowHandles billing, coding, and claims submission for pharmacy services

The Pharmacy Revenue Cycle Analyst and Pharmacy Billing Specialist roles both operate within pharmacy and healthcare revenue environments. While the analyst focuses on analyzing and optimizing revenue processes, the billing specialist handles the day-to-day billing and claims submission tasks. Understanding these differences helps in choosing the right career path or job search focus.

What is a pharmacy revenue cycle analyst?

Pharmacy Revenue Cycle Analysts are professionals who oversee and optimize the financial processes related to pharmacy services within healthcare organizations. They are responsible for managing billing, claims processing, reimbursement, and compliance to ensure accurate and timely revenue collection. Their role involves analyzing data to identify trends, resolve discrepancies, and implement process improvements that enhance the efficiency and effectiveness of the pharmacy revenue cycle. They also work closely with pharmacists, billing teams, and insurance providers to ensure adherence to regulations and maximize reimbursement.
More about Pharmacy Revenue Cycle Analyst jobs
What cities are hiring for Pharmacy Revenue Cycle Analyst jobs? Cities with the most Pharmacy Revenue Cycle Analyst job openings:
What states have the most Pharmacy Revenue Cycle Analyst jobs? States with the most job openings for Pharmacy Revenue Cycle Analyst jobs include:
What job categories do people searching Pharmacy Revenue Cycle Analyst jobs look for? The top searched job categories for Pharmacy Revenue Cycle Analyst jobs are:
Pharmacy Revenue Cycle Analyst jobs near you
Infographic showing various Pharmacy Revenue Cycle Analyst job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $65,719 per year, or $31.6 per hour.

VP of Revenue Cycle

Caring Health Center, Inc.

Springfield, MA • On-site

$105K - $150K/yr

Full-time

Re-posted yesterday

Caring Health Center rating

4.9

Company rating: 4.9 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

General Description:
The Vice President (VP) of Revenue Cycle is responsible for the strategic oversight and operational performance of revenue cycle functions. This role plays a key part in ensuring financial sustainability by maximizing reimbursements, improving cash flow across all clinical and pharmacy service lines, strengthening payer relationships, and ensuring full compliance with FQHC-specific billing regulations. This role is also responsible for effective payer contract negotiation, and the development and oversight of AR and financial performance through reporting, data analysis, and key metrics.
Reporting to the Chief Financial Officer (CFO), the VP collaborates closely with finance, clinical, operations, billing, compliance, pharmacy, and credentialing teams to drive operational excellence and mitigate risk across all service lines, including medical, dental, behavioral health, and pharmacy (retail and 340B).
While this position does not have direct supervisory oversight of the Billing team, it holds a dotted-line relationship and works in close partnership to ensure billing functions are fully aligned with financial performance objectives, payer requirements, and FQHC best practices.
Minimum Requirements:
  • Associate's degree required; Equivalent experience considered.
  • Certified coder (CPC, CCS, or equivalent) strongly preferred.
  • Minimum of 10 years in revenue cycle leadership, with FQHC or community health center.
  • Deep knowledge of FQHC billing regulations and payer requirements (MassHealth, HSN, Medicare, Medicaid/Medicare ACO's, PPS, wrap payments, capitation, etc.).
  • Proven experience with pharmacy billing, 340B revenue management, and retail pharmacy revenue cycle workflows.
  • Expertise in medical, dental, and behavioral health revenue cycle management.
  • Extensive knowledge of revenue cycle management, including billing, coding, collections, reporting and analysis.
  • Expertise with state systems (e.g., MMIS) and electronic health record platforms (e.g., eClinicalWorks, NextGen, Athena, Epic).
  • Proven ability and success in managing and negotiating payer relations and contracting.
  • Strong analytic skills with advanced Excel capability and data reporting tools.
  • Demonstrated ability to influence cross-functional teams without direct authority.
  • Excellent communication, leadership, and problem-solving skills.
  • High attention to detail, integrity, and commitment to the organization's mission.

Key Competencies:
  • FQHC Reimbursement Strategy & Compliance
  • Revenue Cycle Analytics, Reporting & Performance Metrics
  • MassHealth, HSN, Medicare, Medicaid, and Commercial Payer Expertise
  • Pharmacy Revenue Cycle (Retail & 340B) Oversight
  • Contracting, Capitation, and Wrap Payment Management
  • Cross-Functional Collaboration & Process Improvement
  • Credentialing Coordination & Denial Mitigation

Principal Responsibilities and Duties:
Payer Contracting & Reimbursement Strategy
  • Review and support negotiation of third-party payer contracts, including commercial payers, Medicare Advantage, and Medicaid Managed Care plans.
  • Analyze reimbursement terms, payment methodologies, and ensure alignment with FQHC reimbursement models (PPS, wrap payments, APMs).
  • Track and report on payer performance trends; identify opportunities for enhanced reimbursement.
  • Serve as a subject matter expert on FQHC-specific reimbursement rules, including MassHealth, HSN, Medicare PPS, Medicaid ACOs, and state-specific billing regulations.
  • Review and validate quarterly MassHealth wrap payments and monthly capitation payments; report discrepancies and trends to CFO.
  • Monitor payer policy changes and FQHC reimbursement guidance to ensure organizational readiness.

Revenue Cycle Oversight
  • Develop and implement strategies to optimize revenue, reduce days in AR, and improve net collections.
  • Lead process improvements that enhance billing accuracy and operational efficiencies across medical, dental, behavioral health and pharmacy departments.
  • Lead root-cause analysis of denials and write-offs; present recommendations to reduce preventable rejections and payment delays.
  • Oversee AR aging review processes to ensure timely resolution by payer type and self-pay category.
  • Develop dashboards and conduct detailed KPI reporting (charges, payments, adjustments, denials, encounter closure).
  • Ensure annual review and update of organizational fee schedules in collaboration with the CFO and Billing Director.

Pharmacy (Retail & 340B) Revenue Cycle
  • Monitor and optimize pharmacy revenue workflows and payment posting processes.
  • Lead analysis and reconciliation of 340B and retail pharmacy AR, reserves, and payment accuracy.
  • Provide monthly pharmacy revenue cycle reporting with detailed performance and reserve analysis.
  • Oversee monthly revenue cycle reporting package, including detailed analysis

Internal Audit, Compliance & Reporting
  • Coordinate external coding audits and conduct internal audits to ensure compliance with payer-specific and billing regulations.
  • Support audit readiness for HRSA OSV, financial audits, and payer reviews.
  • Assist with the preparation of UDS reports, Medicare/Medicaid cost reports, and other regulatory filings.
  • Lead reporting and analysis of KPIs, collection rates, and net revenue performance.

Collaboration & Departmental Leadership
  • Partner with the Billing Director and team to improve billing workflows, resolve escalations, and implement best practices.
  • Identify and implement automation opportunities for posting, reconciliation, denial tracking, and reporting.
  • Deliver staff development support, including Excel and data tool training, to increase operational efficiency.
  • Collaborate with medical, dental, behavioral health, and pharmacy departments to address incomplete or open visits and improve charge readiness.
  • Facilitate cross-departmental meetings focused on revenue cycle strategy, compliance, and clinical integration.
  • Mentor and support billing and operational teams, fostering a high-performance, mission-driven culture with a focus on customer service excellence and accountability.
  • Develop educational resources and provide training to operational/clinical leaders on their role/impact on revenue cycle.
  • Research new service lines as to potential reimbursements

Credentialing Support & Vendor Relations
  • Work with internal credentialing staff and external vendors to ensure timely provider enrollment, revalidation, and updates across all payers.
  • Monitor credentialing-related denials and assist in tracking, resolving, and preventing claims rejections due to enrollment issues.
  • Develop centralized tracking systems and communication pathways to proactively manage credentialing-related revenue risks.

Ad Hoc & Strategic Reporting
  • Respond to leadership requests for financial, operational, and payer performance reports.
  • Assist the CFO in developing reimbursement projections, financial models, and data for strategic initiatives, grants, or capital projects.
  • Continually assess technology and automation tools to enhance revenue cycle processes and system efficiency.

Working Conditions
  • Position requires prolonged periods of sitting at a desk and typing on a computer; ability to stand for prolonged periods of time; ability to perform moderate activities such as climbing stairs, bending, stooping, reaching, and lifting up to 20 pounds at times.

Salary Range: 105,000- $150,000
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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