Pharmacy Analyst Jobs in USA with Visa Sponsorship
Pharmacy Analyst roles qualify for H-1B visa and TN visa sponsorship when the position requires a bachelor's degree or higher in pharmacy, pharmaceutical sciences, or a closely related field. Employers in hospital systems, PBMs, and health-tech firms regularly sponsor for this title. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsResponsibilities/Job Description:
Provide analysis and demonstrate understanding of pharmacy revenue cycle management to optimize the payment cycle for retail, specialty, compounding, and long-term care pharmacy claims. Ensure maintenance and understanding of the overall workflow of pharmacy accounts. Review payments for accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred collection procedures to obtain third party payments and ensure compliance with Fairview Pharmacy Services (FPS) and Fairview Health Services (FHS) payer contracts. Ensure accuracy of FPS' secondary billing processes and related vendor data feeds into FPS systems as required. Advocate on behalf of FPS to ensure the most efficient processes regarding claim resolution. Evaluate denials, short-pays and rejections. Provide proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the process. Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
Responsibilities
- Understand the overall workflow to proactively solve problems, provide analysis and evaluate trends in the revenue cycle.
- Demonstrates analytical skills including the ability to reconcile payer remittances.
- Understands the payer denials and impact on FPS revenue cycle and overall margins.
- Displays initiative to resolve 835 remittance issues including but not limited to; unapplied cash, claim exceptions and partial pays.
- Evaluates contracts, analyzes payments and proactively problem solves to optimize the pharmacy claim payment cycle.
- Provides claims resolution to ensure accuracy in the process.
- Proactively communicates with pharmacy site staff, revenue integrity operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies.
- Analyzes existing reimbursement arrangements/networks and reimbursement and operational issues with claims systems and their subsequent impact on financial results.
- Understand contracts to achieve results and department metrics; including but not limited to:
- Payer Days Service Outstanding (DSO) equals or exceeds department goals
- Open Accounts Receivable % aged greater than 60 days meets or exceeds department goals
- Ensures timely submission of secondary payer billing which meets or exceeds department goals.
- Ensures applied cash targets are met for assigned payers.
- Review payment for accuracy, ensure collection according to contracts, understand and follow-up with insurance payers (both pharmacy benefit managers and health plans) to leverage the pharmacy revenue cycle process.
- Utilizes preferred collection procedures to obtain third party payments and ensures compliance with Fairview Pharmacy Services and Fairview Health Services payer contracts.
- Ensures accuracy of FPS’ secondary billing processes and related vendor data feeds into FPS systems as required.
- Understands regulatory, HMO, PPO, Federal, State and other third party payer requirements needed to prepare and or process claims.
- Ensure optimal revenue cycle performance through evaluation, analysis and problem solving.
- Uses data for projections as part of contractual analysis.
- Completes detailed financial impact analysis of provider rate.
- Produces reports for payment variances, rejected, denied and partial pay claims.
- Reviews aging reports that have reached certain aged categories (30, 60, 90 days, etc).
- Generates manual and on-line billing for resubmission for third party payer’s outstanding balances.
- Reviews payment process for accuracy; provides necessary follow-up.
- Communicates and resolves reimbursement issues to coordinate payer/provider relations between payers and Fairview Pharmacy Services.
- Identifies and communicates trends to PBO leadership to improve overall pharmacy revenue cycle performance.
- Provides analysis to stakeholders with explanations of reimbursement findings from assigned providers utilizing Excel and displays initiative to assist in identifying potential compliance issues to FPS staff and makes recommendations to Finance management for resolution.
- Constantly analyzes operations, and attempts to improve processes in order to provide better customer service and improve the pharmacy revenue cycle (including minimizing controllable loss categories, i.e. Timely Filing).
- Attend periodic meetings with payer representatives to discuss discrepancies and assist in developing action plan for correction.
- Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
- Provides retail, specialty, compounding and long-term care pharmacy revenue cycle insights to venture partner teams and PBO vendors to assist with product/service improvement.
- Collaborates with PBO leadership team to assist in the development of new process capabilities to improve efficiency, scalability and margin for FPS.
- Uses problem solving and critical thinking to evaluate to identify, define, analyze and resolve work problems through investigation of alternative ideas and approaches.
Required Qualifications
- B.S./B.A. in Business, healthcare or related field or equivalent combination of education and related experience
- 3 years healthcare reimbursement analysis, collection experience, revenue cycle process knowledge experience and/or pharmacy insurance experience
- This individual should have strong interest in learning new IS systems (Enterprise Rx, RMS StarLink, Frameworks LTC, Epic, Inmar, etc) as well as the ability to work independently
- Excellent customer service skills, proficient in English language, capable of solving problems effectively, ability to follow policies and procedures, and competent mathematical skills
- Strong critical thinking and analytical skills
- Ability to work independently and exercise independent judgment
- Ability to prioritize and deal with fluctuation in workload
- Good computer and telephone skills
Preferred Qualifications
- 5 years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience
- Pharmacy dispensing knowledge and/or experience
- Pharmacy experience in infusion therapies, retail, specialty and/or hospital setting
- Knowledge of third party payers, billing procedures and insurance
- Pharmacy Technician MN
Qualifications
$29.29 - $41.35 Hourly
Responsibilities/Job Description:
Provide analysis and demonstrate understanding of pharmacy revenue cycle management to optimize the payment cycle for retail, specialty, compounding, and long-term care pharmacy claims. Ensure maintenance and understanding of the overall workflow of pharmacy accounts. Review payments for accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred collection procedures to obtain third party payments and ensure compliance with Fairview Pharmacy Services (FPS) and Fairview Health Services (FHS) payer contracts. Ensure accuracy of FPS' secondary billing processes and related vendor data feeds into FPS systems as required. Advocate on behalf of FPS to ensure the most efficient processes regarding claim resolution. Evaluate denials, short-pays and rejections. Provide proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the process. Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
Responsibilities
- Understand the overall workflow to proactively solve problems, provide analysis and evaluate trends in the revenue cycle.
- Demonstrates analytical skills including the ability to reconcile payer remittances.
- Understands the payer denials and impact on FPS revenue cycle and overall margins.
- Displays initiative to resolve 835 remittance issues including but not limited to; unapplied cash, claim exceptions and partial pays.
- Evaluates contracts, analyzes payments and proactively problem solves to optimize the pharmacy claim payment cycle.
- Provides claims resolution to ensure accuracy in the process.
- Proactively communicates with pharmacy site staff, revenue integrity operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies.
- Analyzes existing reimbursement arrangements/networks and reimbursement and operational issues with claims systems and their subsequent impact on financial results.
- Understand contracts to achieve results and department metrics; including but not limited to:
- Payer Days Service Outstanding (DSO) equals or exceeds department goals
- Open Accounts Receivable % aged greater than 60 days meets or exceeds department goals
- Ensures timely submission of secondary payer billing which meets or exceeds department goals.
- Ensures applied cash targets are met for assigned payers.
- Review payment for accuracy, ensure collection according to contracts, understand and follow-up with insurance payers (both pharmacy benefit managers and health plans) to leverage the pharmacy revenue cycle process.
- Utilizes preferred collection procedures to obtain third party payments and ensures compliance with Fairview Pharmacy Services and Fairview Health Services payer contracts.
- Ensures accuracy of FPS’ secondary billing processes and related vendor data feeds into FPS systems as required.
- Understands regulatory, HMO, PPO, Federal, State and other third party payer requirements needed to prepare and or process claims.
- Ensure optimal revenue cycle performance through evaluation, analysis and problem solving.
- Uses data for projections as part of contractual analysis.
- Completes detailed financial impact analysis of provider rate.
- Produces reports for payment variances, rejected, denied and partial pay claims.
- Reviews aging reports that have reached certain aged categories (30, 60, 90 days, etc).
- Generates manual and on-line billing for resubmission for third party payer’s outstanding balances.
- Reviews payment process for accuracy; provides necessary follow-up.
- Communicates and resolves reimbursement issues to coordinate payer/provider relations between payers and Fairview Pharmacy Services.
- Identifies and communicates trends to PBO leadership to improve overall pharmacy revenue cycle performance.
- Provides analysis to stakeholders with explanations of reimbursement findings from assigned providers utilizing Excel and displays initiative to assist in identifying potential compliance issues to FPS staff and makes recommendations to Finance management for resolution.
- Constantly analyzes operations, and attempts to improve processes in order to provide better customer service and improve the pharmacy revenue cycle (including minimizing controllable loss categories, i.e. Timely Filing).
- Attend periodic meetings with payer representatives to discuss discrepancies and assist in developing action plan for correction.
- Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
- Provides retail, specialty, compounding and long-term care pharmacy revenue cycle insights to venture partner teams and PBO vendors to assist with product/service improvement.
- Collaborates with PBO leadership team to assist in the development of new process capabilities to improve efficiency, scalability and margin for FPS.
- Uses problem solving and critical thinking to evaluate to identify, define, analyze and resolve work problems through investigation of alternative ideas and approaches.
Required Qualifications
- B.S./B.A. in Business, healthcare or related field or equivalent combination of education and related experience
- 3 years healthcare reimbursement analysis, collection experience, revenue cycle process knowledge experience and/or pharmacy insurance experience
- This individual should have strong interest in learning new IS systems (Enterprise Rx, RMS StarLink, Frameworks LTC, Epic, Inmar, etc) as well as the ability to work independently
- Excellent customer service skills, proficient in English language, capable of solving problems effectively, ability to follow policies and procedures, and competent mathematical skills
- Strong critical thinking and analytical skills
- Ability to work independently and exercise independent judgment
- Ability to prioritize and deal with fluctuation in workload
- Good computer and telephone skills
Preferred Qualifications
- 5 years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience
- Pharmacy dispensing knowledge and/or experience
- Pharmacy experience in infusion therapies, retail, specialty and/or hospital setting
- Knowledge of third party payers, billing procedures and insurance
- Pharmacy Technician MN
Qualifications
$29.29 - $41.35 Hourly
See all 144+ Pharmacy Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Pharmacy Analyst roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Pharmacy Analyst
Confirm the degree requirement is explicit
For H-1B specialty occupation status, your offer letter and job description must state a specific degree field is required, not preferred. Roles listing 'bachelor's preferred' can be denied. Ask the recruiter to confirm the posting language before applying.
Target hospital systems and pharmacy benefit managers
Large hospital networks and PBMs have established immigration programs and sponsor Pharmacy Analysts regularly. These employers have dedicated HR teams familiar with H-1B and TN processes, which reduces delays and increases petition quality significantly.
Canadian and Mexican pharmacists should explore TN status
Pharmacists from Canada or Mexico may qualify for TN visa status, which has no lottery, no cap, and can be obtained at the border or port of entry. Confirm your role aligns with the pharmacist USMCA category before pursuing this path.
Get your foreign pharmacy degree evaluated early
If your pharmacy degree is from outside the U.S., obtain a credential evaluation from a NACES-recognized evaluator before applying. Employers and USCIS both need confirmation your degree is equivalent to a U.S. bachelor's or higher in a relevant field.
Understand that analyst roles face more RFE risk than clinical roles
Pharmacy Analyst is a hybrid title that can blur clinical and business functions. USCIS sometimes questions whether the role truly requires a pharmacy degree. A strong job description emphasizing clinical data, drug utilization, or formulary analysis strengthens the petition considerably.
Start the sponsorship conversation before the offer stage
Raise visa sponsorship early in the interview process, not after receiving an offer. Many employers are willing to sponsor but need time to assess legal costs and timelines. Early conversations filter out employers who cannot sponsor and save you significant time.
Frequently Asked Questions
Does a Pharmacy Analyst role qualify as an H-1B specialty occupation?
Yes, in most cases, but the job description must clearly require a degree in pharmacy, pharmaceutical sciences, clinical informatics, or a directly related field. If the posting accepts any bachelor's degree regardless of field, USCIS may issue an RFE or deny the petition. Roles centered on drug utilization review, formulary management, or clinical data analysis typically hold up well under scrutiny.
Can I work as a Pharmacy Analyst on OPT or STEM OPT?
Yes, if your degree is in a qualifying STEM field such as pharmaceutical sciences, health informatics, or a related discipline, you may be eligible for 24-month STEM OPT extension beyond the initial 12 months. Standard OPT applies for pharmacy degrees generally. You'll need your employer to be enrolled in E-Verify for STEM OPT, so confirm this before accepting an offer.
Are Pharmacy Analyst positions commonly sponsored by employers?
Sponsorship is common among large employers such as hospital networks, integrated health systems, pharmacy benefit managers, and specialty pharma companies. Smaller independent pharmacies and regional employers sponsor less frequently due to legal costs and administrative burden. Migrate Mate filters job listings by sponsorship willingness, so you can focus only on roles where sponsorship is available.
Does a three-year bachelor's degree in pharmacy from India or Australia qualify for H-1B?
It can qualify if a credential evaluation confirms it is equivalent to a U.S. bachelor's degree in pharmacy or a related field. USCIS accepts foreign degrees that are determined equivalent by a recognized evaluator. A four-year Pharm.D. or B.Pharm from a recognized institution typically evaluates well. Get the evaluation done through a NACES-member organization before the petition is filed.
What visa options exist if I don't get selected in the H-1B lottery?
If you're not selected, options include cap-exempt H-1B visa positions at qualifying nonprofits or universities, O-1A if you have significant professional recognition, or TN visa status for Canadian and Mexican nationals whose role fits the pharmacist category. Some Pharmacy Analysts also explore L-1 visa transfers if their current employer has a U.S. entity. Your specific situation determines which path is viable.
What is the prevailing wage requirement for sponsored Pharmacy Analyst jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.