Clinical Pharmacist-RCM and Contracts

We are seeking a highly motivated and detail-oriented Pharmacist to join our team in a specialized role focused on Revenue Cycle Management (RCM) and Medication Contracting. This position is responsible for optimizing medication reimbursement, managing payer policies, ensuring compliance with contractual terms, and supporting formulary strategies to enhance financial performance across pharmacy operations.

Location: Hybrid UT Medical Center Knoxville, Tennessee

Responsibilities:

• Lead pharmacy initiatives in revenue cycle optimization including billing practices, charge capture, and denial management.

• Collaborate with finance, compliance, and clinical teams to ensure accurate and efficient medication reimbursement processes.

• Interpret payer contracts and develop strategies to ensure compliance with medication-related terms and maximize reimbursement.

• Analyze utilization trends, reimbursement data, and drug pricing benchmarks (e.g., WAC, AWP, ASP) to support cost containment.

• Support 340B program compliance and optimization where applicable.

• Assist in the negotiation and maintenance of medication purchasing and payer contracts.

• Monitor regulatory changes affecting medication billing and reimbursement.

• Provide guidance and education to clinical and operational teams on revenue cycle and contracting processes.

Education:

PharmD or equivalent degree from an accredited school of pharmacy.Active pharmacist license in TN, or eligible for licensure.Minimum 3-5 years of experience in health system pharmacy, managed care, or pharmacy benefit management.
Strong understanding of healthcare reimbursement models, payer policy, and pharmaceutical contracting.Familiarity with 340B, GPO contracting, CMS billing regulations, and drug pricing standards.Excellent analytical, communication, and cross-functional collaboration skills.

Preferred Qualifications:

• PGY-1 Residency and/or advanced training in pharmacy administration, health economics, or business (e.g., MBA, MHA).

• Experience with Cerner.

• Experience working with specialty or infusion pharmacy services.

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned