340B Compliance Analyst

Job Knowledge:

• Generates reports from 340B software to gather and analyze data.
• Audits 340B-qualified transactions to assess customers’ compliance in the 340B Drug Discount Program.
• Verifies patient, provider and drug eligibility.
• Confirms drug charges are captured properly throughout all eligible locations and assesses purchasing eligibility based on qualified drug utilization.
• Responds positively and productively to coaching, mentoring and feedback from pharmacy leadership and our customers.
• Completes all training modules and materials in a timeframe established by pharmacy leadership.
• Completes all assigned hospital audits and reports 4 days prior to month end and/or as directed.

Customer Service:

• Positively represents Health Enterprises to our customers.
• Present audit findings via Webinar to C-Suite, pharmacy staff members and others.

Compliance:

• Reviews and identifies compliance issues discovered during audit sampling.
• Compiles 340B monthly compliance reports.
• Attends 340B conferences/seminars and routinely monitors OPA and other industry related websites/publications for the latest information regarding interpretations, rulings and suggestions.
• Adheres to all HIPAA, HITECH and Health Enterprises security policies and regulations.

Referral Capture (when assigned):

• Generates reports from Third Party Administrator to analyze possible referrals.
• Audits possible referrals within customers Electronic Medical Records.
• Creates a list of recommendations for Customer regarding patient transactions missing required information to convert to an eligible 340B transaction.
• Captures referrals within Third Party Administrator software.
• Creates Referral Capture documentation and creates report for customer and Health Enterprises.
• Reviews Referral Capture documentation with customer through video conferencing, if requested.

All other duties as assigned.

Education & Experience: High school diploma or equivalent. CPhT. Three plus (3+) years of pharmacy experience working with electronic health records preferred. Experience with multiple electronic health record applications preferred. Prior experience with 340B software applications preferred. Working knowledge of inpatient and outpatient pharmacy practices, including the associated policies and procedures of each practice as well as the billing processes.

Knowledge, Skills and Abilities: Ability to develop, maintain and analyze data sets. Ability to meet assigned project deadlines and adhere to reporting procedures and requirements. Excellent analytical and organizational skills. Strong written communication skills. Ability to work independently and follow through on assigned tasks. Proficiency in MS Word and Excel. Must have valid drivers’ license and be company insurable.

Essential Functions: Regularly required to use hands, talk and hear. Specific vision ability required by this job includes close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Requires the ability to sit for long durations, continuously for up to two (2) hours and interrupted up to eight (8) hours. The employee may occasionally lift and/or move up to 10 pounds, and infrequently up to 25 pounds. Successfully pass all IT connectivity requirements from remote home location.

This position may allow the right candidate the ability to work from home and offers a competitive salary and benefits package, including, but not limited to:

• 401(k)
• AD&D insurance
• Dental insurance
• Disability insurance
• Flexible spending accounts
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance