The Wilshire Group

Pharmacist

• Participate in initiative-related meetings to represent revenue cycle interests and provide subject matter expertise
• Identify and communicate downstream impacts of pharmacy build decisions on Hospital Billing (HB), Professional Billing (PB), and Claims teams
• Provide build guidance, advising on how proposed builds affect billing workflows and revenue cycle outcomes
• Collaborate closely with billing team members to support and inform build efforts
• Support the expansion of compound medication offerings within the Epic pharmacy build

Senior Epic General Pharmacy Billing Consultant

Director

• Provide executive leadership for revenue cycle optimization, Epic implementations, operational transformation, and strategic initiatives across healthcare organizations.
• Lead enterprise revenue cycle transformation initiatives, including hospital billing, charge capture, revenue integrity, coding, patient access, reimbursement, and centralized business office operations.
• Partner with executive leadership to identify opportunities for operational efficiency and financial improvement.
• Direct Epic implementations, upgrades, acquisitions, and post-live optimization efforts.
• Manage complex, multidisciplinary programs involving finance, legal, compliance, operations, clinical teams, and information technology.

Senior Director, Revenue Cycle Transformation – Epic Strategy

Analyst

• Perform Epic application build, configuration, optimization, and maintenance for Radiant, Cupid, and Lumens modules
• Collaborate with clinical, operational, and technical teams to gather requirements and implement solutions
• Troubleshoot application issues and provide timely resolution support
• Participate in workflow analysis, system testing, validation, and upgrades
• Create and maintain documentation related to build decisions, workflows, and change management
• Support integrated workflows across multiple Epic applications
• Assist with go-live support, enhancements, and ongoing optimization initiatives
• Ensure system configurations align with organizational standards and best practices
• Participate in meetings with stakeholders and provide recommendations for process improvement

Build Analyst

Operations

• Lead the strategic oversight, maintenance, and optimization of the Charge Description Master (CDM)
• Partner with operational, finance, clinical, compliance, and IT teams to improve revenue integrity processes
• Monitor and maintain compliance with CPT, HCPCS, ICD-10, CMS, and payer requirements
• Conduct CDM audits and identify opportunities for charge capture accuracy and reimbursement improvement
• Manage annual and ongoing code set updates, pricing reviews, and regulatory changes
• Analyze reimbursement trends and recommend operational and pricing enhancements
• Support system implementations, upgrades, and integrations impacting CDM workflows, including Epic
• Develop best practices and provide guidance to department leaders on CDM governance and charge capture processes
• Assist with resolving billing discrepancies, denials trends, and compliance risks
• Drive process improvement initiatives that enhance operational efficiency and financial performance

Senior Epic General Pharmacy Billing Consultant

Senior Director, Revenue Cycle Transformation – Epic Strategy

Build Analyst

Revenue Integrity Manager, CDM Operations