340B Program Analyst

340B Program Analyst
340B Dept of Pharmaceutical

The 340B Program Analyst will:
Collaborate with the 340B Pharmacy Program team to develop daily,
monthly, quarterly and yearly audit metrics insuring compliance with 340B
program requirements and guidelines.
• Participate in monthly self-audits of 340B pharmacy operations documenting
procedures for presenting and resolving reconciliation issues as they arise
during the monitoring and reconciliation process.
• Regularly perform spot audits or compliance assessments of specific areas
and specific products to ensure the CDM is accurate, charges are coming
across accurately, and that the utilization numbers are translating accurately
into the report for 340B reorders.
• Monitors and audits state Medicaid claims to ensure compliance and or
event potential duplicate discounts.
• Identifies gaps in program performance and assists in development of
action plans to resolve identified issues.
• Audit patient records to determine if prescription written is from an eligible
clinic or hospital location, by a covered entity provider, and the prescription
is related to the care received at the covered entity documented in the EMR.
• Develop formal written reports to communicate audit results to clients and
make recommendations, as appropriate.
• Regarding staff, develop and assign proper 340B quality assurance training
and provide proactive education on policies and procedures related to
inventory management and 340B procedures.
• Routinely reviews and monitors all points of service where 340B
participation occurs to ensure policies and procedures are followed, entities
qualify, and all encounters qualify under the regulations.
• Develops, monitors, and presents reports on 340B participations which
clearly documents utilization, savings, problem areas, or discrepancies, to
be passed to Pharmacy leadership and health system leadership and
administration.
• Manages relationships, billing services, and compliance with contracted
340B pharmacies (e.g., Rite-Aid, Walgreens, CVS, Internal, and others).
• Each quarter, perform a thorough review of the 340B pricing list, searching
for costly changes to be detected quickly and addressed.
• Maintains knowledge of current professional trends and practices through
participation in professional organizations and attendance at seminars,
conferences and other continuing education programs.
• Establishes understanding and relationships with Finance to monitor for
changes that could affect 340B qualification, such as changes to the cost
report, variations or negative trends in DSH percentages that could impact
340B qualification.
• Performs other responsibilities as requested by the Manager(s), Pharmacy
Services, or Director of Pharmacy

Requirements:
• Knowledge of pharmaceutical terminology and medications, as well completion of 340B University on Demand.
• Bachelor’s degree in Accounting, Finance, or Economics required.
• Excellent computer skills in Microsoft Excel, Word, PowerPoint and financial software.
• Must be able to act independently, have meticulous follow-up skills, organizational skills, prioritization skills, and experience working in a team environment.
• Must be able to interpret rules and regulations and be able to formulate into compliance audits.

Grade 120