Pharmacy Cost Specialist

General Purpose

Supports pharmacy cost management initiatives through detailed analysis, auditing, reporting, and execution of cost-saving strategies. This role functions as a subject matter expert and operational driver for pharmacy cost optimization across facilities.

Essential Duties

• Perform pharmacy cost analysis, audits, and trend identification to support leadership
• Track and maintain savings initiatives, credits, rebates, and audit outcomes
• Conduct invoice and billing audits, identify discrepancies, and escalate issues
• Support billing accuracy through payer, coding, and export file validation
• Assist with preparation of financial reports and leadership materials
• Maintain contract documentation and support vendor coordination
• Support implementation of cost-saving initiatives and tools
• Ensure accurate documentation, data integrity, and organization across systems

Minimum Qualifications

• 3–5 years of experience in pharmacy operations, healthcare billing, revenue cycle, or related healthcare setting required
• Experience with pharmacy billing, medication ordering systems, or long-term care/SNF operations preferred
• Experience auditing invoices, identifying billing discrepancies, or working with financial data strongly preferred
• Strong proficiency in Microsoft Excel required (data analysis, formulas, reporting)
• Experience working with EHR systems (PCC preferred) and large datasets

Preferred Qualifications

• Pharmacy, clinical, or healthcare-related background preferred (e.g., CNA, LPN, RN, Pharmacy Technician, or pharmacy account management experience)
• Relevant certifications in healthcare, billing, or analytics a plus but not required

Pay Range: $75,000 - $80,000 depending on experience

Physical Demands

• Prolonged periods of sitting and working on a computer, including frequent use of a keyboard, mouse, calculator, and telephone.
• Frequent viewing and analysis of spreadsheets, invoices, reports, billing records, and electronic data.
• Ability to communicate effectively with internal teams, vendors, pharmacies, and facility personnel through verbal and written communication.
• Ability to occasionally stand, walk, bend, reach, and move throughout office and healthcare facility environments.
• Ability to lift and carry light office materials and equipment up to 15 pounds occasionally.
• Ability to maintain attention to detail, analyze large amounts of data, and perform repetitive auditing and reporting tasks with accuracy.
• Ability to manage multiple priorities and deadlines in a fast-paced healthcare and operational environment.
• Visual ability to read detailed financial records, reports, spreadsheets, and electronic communications.
• Occasional travel to facilities, meetings, or training sessions may be required based on business needs.

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.

If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.

• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.

• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.

• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.

• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS and take advantage of a workplace that truly values you!

We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.