Census Management Specialist

Job Summary Our client is seeking a Census Management Specialist to play a critical role in maintaining accurate patient data and ensuring seamless communication with healthcare providers. This position supports the pharmacy's mission of delivering high-quality care by reconciling patient records, analyzing census trends, and collaborating across departments to align clinical data with billing requirements.

Key Responsibilities Census Management:

Monitor and maintain accurate patient census records; reconcile data with referrals, admissions, discharges, and transfers from healthcare facilities.

Coordination:

Serve as the primary point of contact for census-related inquiries; coordinate with internal pharmacy teams to ensure timely prescription processing.

Financial Alignment:

Work closely with billing and reimbursement teams to ensure census data aligns with specific payer and insurance requirements.

Data Analysis:

Generate and analyze daily, weekly, and monthly reports to track census trends, demographics, and service utilization for leadership review.

Problem Solving:

Identify discrepancies or patterns in data and recommend corrective actions; use reason and analytical skills to resolve issues.

Regulatory Compliance:

Ensure all census management practices comply with regulatory and accreditation standards; maintain meticulous documentation for auditing.

Process Improvement:

Identify opportunities to streamline workflows, improve data accuracy, and provide training or guidance to staff as needed.

Professional Communication:

Speak clearly and persuasively in all situations; listen effectively and provide high-quality customer service to clinical partners.

Teamwork:

Contribute to a positive team spirit by giving and welcoming feedback and supporting organizational goals.

Quality Assurance:

Demonstrate accuracy and thoroughness in all work to promote the highest quality of patient care. Qualifications High School Diploma or GED 4+ years of experience in pharmacy operations, process optimization, or healthcare coordination.

Pharmacy Knowledge:

Experience in pharmacy billing, authorizations, or pharmacy technician roles.

Analytical Skills:

Strong ability to gather and analyze information skillfully to develop alternative solutions.

Technical Proficiency:

Ability to build knowledge in pharmacy systems and maintain organized documentation.

Preferred:

Prior experience in Provider Relations or Quality Assurance within a pharmacy setting. Must be able to be fully onsite in Plano, TX • We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). • As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients