Job Title: Clinical Pharmacist – RCM and Contracts
Category: Pharmacy & Clinical
Location: Knoxville, Tennessee, United States
Job Type: Full Time
Posted Date: April 10, 2025
Job ID: R256445
About Cencora:
At Cencora, our people power our purpose: to create healthier futures. Every team member is crucial to our mission, and we foster an inclusive, innovative environment where individuals can thrive. If you want to make a tangible difference in healthcare, this is the place to be.
Job Description:
We are currently seeking a Clinical Pharmacist with expertise in Revenue Cycle Management (RCM) and Medication Contracting. Based in a hybrid role at UT Medical Center, Knoxville, this position focuses on enhancing financial performance through strategic pharmacy reimbursement and contract compliance initiatives.
Key Responsibilities:
Lead and optimize pharmacy-related revenue cycle initiatives: charge capture, billing, denial resolution
Collaborate with finance, compliance, and clinical departments to streamline medication reimbursement
Interpret payer contracts and develop strategies for compliance and reimbursement maximization
Analyze trends in drug utilization, reimbursement data, and pricing (WAC, AWP, ASP)
Support and ensure compliance with the 340B Drug Pricing Program
Assist in negotiating and managing medication purchasing and payer contracts
Monitor and respond to regulatory changes related to medication billing
Provide training and guidance to internal teams on contracting and revenue processes
Qualifications:
PharmD or equivalent degree from an accredited pharmacy school
Active pharmacist license in TN or eligibility for licensure
3–5 years of relevant experience in health system pharmacy, managed care, or PBM
Strong understanding of healthcare reimbursement, payer policies, and pharmaceutical contracting
Familiarity with 340B program, GPO contracts, CMS billing rules, and drug pricing
Strong analytical, communication, and cross-functional collaboration skills
Preferred Qualifications:
PGY-1 residency or advanced training in pharmacy administration, health economics, or business (MBA, MHA)
Experience with Cerner EHR system
Experience in specialty or infusion pharmacy services
What Cencora Offers:
A comprehensive benefits package focused on physical, emotional, financial, and social well-being
Family-oriented support programs including backup dependent care, parental leave, and infertility/adoption assistance
Access to training, professional development, mentorship, and employee resource groups
A culture of inclusion, collaboration, and purpose-driven work
🔗 Learn more at: Cencora Virtual Fair Hub
Affiliated Company: Value Apothecaries Inc
📧 For accommodations: hrsc@cencora.com
📞 Or call: 888.692.2272
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