340B Analyst (Pharmacy)

General Duties

• Coordinates the 340B Drug Pricing Program and maintains the program’s standards.
• Serves as first step in scoping and escalating discovered operational or compliance issues in collaboration with internal audits and the 340B Auditors.
• Communicates and escalates compliance issues or gaps in 340B program operations.
• Affords real-time guidance to pharmacy buyers and staff on purchasing, inventory management, and other practices which maximize 340B compliance and savings.
• Assists covered entity leadership to provide ongoing training, education, and communication required for the 340B program at the entity.
• Serves as primary internal liaison to ensure appropriate utilization of the 340B program and compliance with all program requirements.
• Escalates any identified compliance issues to covered entity stakeholders and the 340B Manager.
• Develops action plans to mitigate and/or remove any potential or identified compliance concerns and works to implement approved programmatic changes.
• Participates in sub-committees of the 340B Executive Oversight Committee to develop and update policies and procedures for the 340B program.
• Provides education to covered entity pharmacy team and works to ensure pharmacy operations are in alignment with the 340B policies and procedures.
• Works with affiliated departments (finance, information technology, medical staffing office, etc.) to ensure 340B program integrity.
• Provides ongoing compliance coaching to 340B staff and participants.
• Participates in system 340B committees and with covered entity leadership to develop a comprehensive internal audit plan.
• Conducts regular 340B internal audits and data analysis to identify risk and prevent a compliance breach.
• Documents audit completion/results and communicate results and escalate issues to identified parties.
• Maintains awareness of 340B regulations and legislation, attend ongoing trainings/conferences to help ensure continued compliance with current regulations.

Reporting and Analysis

• Creates/maintains monthly reports of 340B program metrics and financial savings.
• Analyzes monthly reports, completes monthly variance reporting, and identifies cost savings and system improvements to maximize compliance.

Covered Entity Liaison Duties

• Serves as primary internal liaison to ensure appropriate utilization of the 340B program and compliance with all program requirements.
• Escalates any identified compliance issues to covered entity stakeholders and the 340B Manager.
• Develops action plans to mitigate and/or remove any potential or identified compliance concerns and works to implement approved programmatic changes.
• Participates in sub-committees of the 340B Executive Oversight Committee to develop and update policies and procedures for the 340B program.
• Provides education to covered entity pharmacy team and works to ensure pharmacy operations are in alignment with the 340B policies and procedures.
• Works with affiliated departments (finance, information technology, medical staffing office, etc.) to ensure 340B program integrity.
• Provides ongoing compliance coaching to 340B staff and participants.
• Participates in system 340B committees and with covered entity leadership to develop a comprehensive internal audit plan.
• Conducts regular 340B internal audits and data analysis to identify risk and prevent a compliance breach.
• Documents audit completion/results and communicate results and escalate issues to identified parties.
• Maintains awareness of 340B regulations and legislation, attend ongoing trainings/conferences to help ensure continued compliance with current regulations.

Pharmacy Affairs Subject Matter Expert

• Works collaboratively with other pharmacy 340B team members and become a subject matter expert in one or more of the following fields: Contract Pharmacy, Policy and Procedure, Data & Reporting, Compliance (Audits), and/or 340B Split Billing Software.
• Serve as the split billing software expert in order to troubleshoot software issues and continually improve software functionality.
• Ensures integrity of split billing software and reviews applicable software reports to identify areas of improvement.
• Ensures covered entity is successfully utilizing the split billing software to place orders in a compliant manner which demonstrates cost savings for the ministry.
• Trades live-site issues within the split billing software, electronic medical record, or charge master as it relates to 340B.
• Collaborates with Epic charge team and charge master managers on a corrective action plan and participate in the implementation of any necessary changes.
• Coordinates covered entity issue resolution process with split billing software vendor.
• Serves as the primary point of contact for pharmacy affairs and ensures 340B operations are aligned with policies and procedures.

Skills and Abilities

• Proficiently trained in Microsoft Office Software, specifically Microsoft Outlook and Excel.
• Advanced knowledge of 340B Drug Pricing Program and/or healthcare billing regulations and practices.
• Experience in Epic Electronic Health Record.
• Auditing hospital charging/patient records.
• Experience in 340B Split Billing/Third Party Administrator Software and/or manual 340B operations.
• Excellent communication skills with ability to develop cross-departmental professional relationships.
• Ability to begin 340B operations in new environment (including program operations design, setup of split billing software or manual tracker, staff education, policy and procedure development).
• Knowledge/training in Microsoft Access.
• Experience in training employees.
• Experience in software implementations.