[Remote] 340B Compliance Analyst

Note: The job is a remote job and is open to candidates in USA. Mercy Health is an integrated health system delivering exceptional coordinated care across multiple hospitals and clinics. They are seeking a 340B Compliance Analyst to assist with daily 340B program operations and compliance activities, while leading projects and collaborating with stakeholders to enhance program efficiency and ensure regulatory compliance.

Responsibilities

• Maintain up-to-date policies and procedures on 340B purchasing processes
• Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion
• Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance
• Develop proper 340B quality assurance training for employees as appropriate
• Assign staff training based on their role/responsibility
• Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures
• Expand professional development through related classes and seminars, current publications, and regional/national association membership participation
• Be involved in any and all 340B Program audits
• Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process
• Perform monthly audits of contract pharmacies
• Perform monthly self-audits of 340B pharmacy operations
• Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations
• Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates
• Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers
• Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status
• Ensure that facilities maintain adherence to 340B Program regulations and guidelines
• Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
• Provide data, information, and reports as needed for other business units within the organization
• Develop a thorough understanding of the 340B Program and improve the overall efficiency, value, and internal support of the 340B Program
• Assess opportunities for cost savings and system improvements to yield higher compliance
• Continue to build knowledge of the health care and pharmacy services industry, and use that knowledge to identify ways and make recommendations to improve the 340B Program
• Evaluate and implement cost savings opportunities
• Assist all customers to clarify requirements, propose sourcing options; evaluate and recommend the best sourcing solution
• Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization
• Build other reports, as appropriate, to monitor and improve 340B Program compliance and performance
• Maintain copies of reports for compliance and audit purposes
• Collaborate with the Pharmacy, Compliance, and 340B Oversight council to develop monthly, quarterly, and yearly audit metrics
• Construct appropriate financial metrics to assess areas of improvement
• Develop and update 340B Program reporting packages detailing volume, financial value, and other reporting metrics as needed
• Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes
• Summarize and report results to the appropriate individuals
• Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency
• Perform covered entity-specific gross financial analysis and make recommendations to improve program performance
• Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability
• Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns
• Oversee all aspects of the inventory purchasing process for applicable pharmacies
• Procure supplies, equipment, services, and merchandise; request price quotes; facilitate purchasing proposals and contract negotiations
• Process requisitions and issue purchase orders; expedite deliveries; resolve receiving and invoicing issues or problems
• Manage existing contracts and supplier relations
• Manage drug selection, procurement, and inventory control
• Manage purchasing, receiving, and inventory control processes
• Continually monitor product par levels to effectively balance product availability and cost- efficient inventory control
• Ensure appropriate safeguards and system integrity
• Perform annual inventory and monthly cycle counts
• Monitor ordering processes, integrating the most current pricing from wholesalers
• Analyze invoices, shipping, and inventory processes
• Comply with all track-and-trace legal requirements of the Drug Supply Chain Security Act for purchasing and distribution of drug products
• Develop a thorough understanding of the split-billing/third party administrator systems and the functions to be performed
• Educate others involved in the purchasing process to ensure proper operation and compliance
• Provide each buyer with information needed to place orders using the appropriate accounts (e.g. WAC, GPO, and 340B and non-340B) to replenish inventory in the mixed-use inventory setting
• Coordinate purchasing for dual or multiple split inventories within pharmacies

Skills

• Associate degree in a related field
• In lieu of a degree, one to two years related experience and/or training; or equivalent combination of education and experience
• Bachelor's degree in a related field

Benefits

• Medical, Dental, Vision
• Life & Disability Insurance
• FSA/HSA Options
• Generous, accruing paid time off
• Paid Parental and caregiver leave
• Career advancement and educational opportunities
• Tuition and certification reimbursement
• Certification Reimbursement
• Well-being Programs
• Employee Discounts
• On-Demand Pay
• Financial Education
• Annual recognition/awards events
• Partner appreciation days
• Family entertainment/attractions discount
• Community service/improvement opportunities

Company Overview