340B Coordinator

Overview

Assists in providing 340B financial analysis. Ensures 340B claims meet eligibility criteria. Assists in Maximizing 340B Revenue. Proficiency in data management and Microsoft Office are essential to this role, along with the ability to work independently through task completion. Serves as liaison for all 340B related matters.

Responsibilities

The 340B Coordinator audits for compliance with OPA/HRSA and other regulatory bodies relating to 340B claims. The 340B Coordinator also assists in developing and updating documents, process, and policies and, procedures for daily operations and monthly financial reporting and tracking. A component of the latter would consist of preparing reports regarding 340B business operations, revenue, and expenses. The Coordinator would regularly navigate UHC’s EHR to verify 340B claims as well as process and document new 340B eligible referral claims while maintaining all files and records regarding referral claim processing. Another key component of the responsibilities of the Coordinator are to develop and maintain knowledge of current regulatory trends and issues within the 340B environment as well as track, trend, and report 340B pharmaceutical sales and purchases. The Coordinator will assist, with help from other key staff members, with the completion of the established audit schedule. The 340B Coordinator will perform moderately complex statistical, cost, and financial analysis of data regarding the 340B program and through those analyses and audits will identify and act upon reimbursement and revenue opportunities. The Coordinator will ensure revenue optimization through the implementation of charge capture and charge reconciliation tools. The 340B Coordinator will assist in the investigation of charging and/or billing opportunities for existing and future revenue projects while determining reimbursement potential. The Coordinator will identify trends and monitor utilization for the purpose of data analysis and projection. The 340B Coordinator will utilize all necessary software and applications to investigate, analyze, report, educate, and develop procedural improvements relative to all components of the 340B Program. Lastly, the 340B Coordinator develops and maintains relationships with wholesalers, manufacturers, and contract pharmacies as well as maintaining the accounting for the 340B and pharmacy services.

• Serves as primary internal and external liaison for all 340B related matters.
• Develops and maintains relationships with wholesalers, manufacturers, and contract pharmacies as well as maintaining the accounting for the 340B and pharmacy services.
• Monthly Invoice reconciliation
• Weekly invoice delivery/tracking to A/R
• Monthly financial reporting
• Weekly transaction audit
• Monthly provider specific audit
• Monthly Provider Eligibility Checklist and Review
• Reversal of duplicate discounts and diversions as needed
• Root cause analysis for 340B transactions
• Audit 340B inventory and returns process
• 340B business opportunity analysis and reporting
• Prepare financial reports and record transactions in the general ledger for revenue and expenses of the pharmacy program services
• Other data reporting as needed
• Other research as needed

Qualifications

EDUCATION:

• Associates Degree required.
• Bachelor's Degree preferred in Business Administration, Finance, or Accounting.

LICENSE/CERTIFICATION:

• Possess a valid CA driver's license

PRIOR EXPERIENCE:

• Minimum of two years of financial experience.
• Minimum of two years with the Federal 340B Drug Discount Program preferred.

PHYSICAL REQUIREMENTS:

• Must be able to travel to all UHC job sites.
• Must be able to lift up to 20 pounds and push up to 50 pounds (on wheels).
• Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to patients and staff.
• Must be able to read memos, computer screens, personnel forms and clinical and administrative documents.
• Must have high manual dexterity.
• Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn 

The pay range for this non-exempt position starts at $30.75 an hour. Our salaries are dependent on knowledge, skills, and experience.

In addition, our comprehensive benefits package for regular status employees includes:

• Medical, Dental, and Vision insurance with low premium cost
• Paid time off and paid holidays
• 401k plan with matching contribution
• Educational Assistance
• Employee discounts and more!

Salary : $31