Pharmacy Billing & Compliance Analyst

Pharmacy Billing & Compliance Analyst – UVM Health – UVM Medical Center

The Pharmacy Billing and Compliance Analyst is responsible for working with all inpatient units and outpatient clinics to ensure compliance with medication safety and billing regulations. They conduct audits of both inpatient and outpatient clinics and work to correct and maintain standards of medication safety. After an audit, the Analyst reports findings to Pharmacy Leadership and the audited unit's leadership team.

They research medication safety trends and proactively correct any non‑compliance with UVMMC medication safety, storage, and maintenance policies. The Analyst ensures compliance with The Joint Commission (JCAHO) and all applicable laws, regulations, and professional standards related to medication safety, storage, and maintenance. They collaborate with inpatient units and outpatient clinics to educate, investigate, and resolve medication safety compliance issues or concerns and act as the primary contact for medication safety concerns in clinics and units supplied by the Inpatient Pharmacy.

The Analyst supports the Dialysis Home Program billing process, ensures manual billing for Home Dialysis patients is entered correctly, works with the Practice Supervisor and Dialysis team members to obtain medication data, and research and manually post emergency code medication charges for departments that fail to reach the billing system from EPIC. They track, bill, and document transfers of medications between hospital departments and pharmacies, recordkeeping of anesthesia and narcotics, and manual charging for paramedic units.

The Analyst also manages recordkeeping, documentation, and billing of all medications sent to paramedic sites, hospitals, nursing homes, veterinary sites, and clinics, communicates with Financial Edge to obtain payment, resolves outstanding invoices, and reports medication cost and purchase records. They participate in the COA/COD report, analyze high‑cost medication usage, discrepancies, and utilize EPIC, DOSEDGE, and Pyxis ES to resolve billing discrepancies.

They collaborate with Pharmacy, EPIC team, and clinical providers for accurate medication charging and contribute to internal policy reviews and meetings related to medication auditing, billing, and compliance.

Associate degree or combination of education and experience required. College coursework with auditing, billing, compliance, Pharmacy or accounting background preferred. Must be licensed as a Pharmacy Technician in the State of Vermont.

Two years of experience as a Pharmacy Technician with working experience in an acute care setting preferred. Knowledge of medication inventory/distribution systems and medication safety/auditing/billing experience preferred. Must have familiarity with 340B Drug Pricing Program.

Entry level

Full‑time

Legal

Hospitals and Health Care