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Business Analyst- Duke Regional LCHC Pharmacy

Duke Clinical Research Institute
United States, North Carolina, Durham
300 West Morgan Street (Show on map)
Jun 15, 2026
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Job Summary Analyze and evaluate various sources of clinical and financial data in support of clinical service lines to reduce costs, improve quality and further the goals and objectives of hospital administration. Location: 1301 Fayetteville Street Durham, NC 27707 Schedule:8am-5pm or 9am-6pm; 1 hour lunch Work Performed Business Analyst Role would provide centralized financial oversight and accountability for LCHC Pharmacy including: * Maintain working knowledge regarding pharmacy operations, billing, and reimbursement methodologies. * Invoice for medications and supplies covered under special funding. Manages invoices in department and transfer funds to correct accounts. * Assist management in budget preparation including forecasting supported by historical information and business practice changes. * Track pharmacy's fiscal year spend by account. Collaborate with department leadership and appropriate personnel to ensure budgetary compliance. * Reconciling Medicare claims through CMS's Medicare Transaction Facilitator and Beacon dashboards * Building and submitting manufacturer claim-level reports * Managing implementation of any 340B Rebate Model Program * Reconciling Medicaid claims across multiple Pharmacy Benefit Administrators * Preventing duplicate discounts across Medicare, Medicaid, and commercial payers * Responding to Good Faith Inquiries and supporting audit preparation * Working with the Pharmacy Services Administrative Organization to recover unpaid and underpaid claims * Maintaining financial reconciliation records * Providing financial analysis of drug reimbursements and trends * Other responsibilties as assigned Knowledge, Skills and Abilities Analytical, problem solving and interpersonal skills required Level Characteristics Minimum Qualifications Education Bachelor's degree in Accounting, Economics or a related business field Experience Work generally requires 1 year of experience Degrees, Licensures, Certifications N/A Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.