340B Senior Business Analyst-Pharmacy Department

POSITION RESPONSIBILITIES

• Supports the maintenance of the pharmacy split billing software.
• Ensures compliance with HRSA and OPA rules and regulations surrounding the 340B program.
• Maintains knowledge of 340B program legislation and policy changes from HRSA and OPA.
• Assists with updating policies and procedures and providing education to staff based on new regulatory changes, internal needs, and best practices.
• Evaluates operations, investigates concerns, and audits contract pharmacy, internal pharmacies, and mixed-use settings.
• Evaluates contract pharmacies and internal pharmacies for cost savings opportunities.
• Analyze data, document audits, and recommend process designs to improve financial performance of the 340B program.
• Develops and monitors dashboards and longitudinal monitoring tools to track financial performance and compliance performance for retail, mixed use, and/or contract pharmacy initiatives.
• Provides financial analysis for future contract pharmacy business opportunities.
• Use data analysis to create cost-benefit analysis of 340B related business opportunities including, but not limited to opening new retail sites, relocation/reclassification of clinics, formulary changes, and payer changes.
• Identifies compliance risks, recommends avoidance strategies, and implements 340B best practices.
• Attend webinars and 340B related professional meetings to compare practices with peers resulting in recommending and implementing best practices at UI Health Care.
• Using data analysis, participates in decision making process for issues impacting 340B program.
• Assists with implementation of new contract pharmacies including third party administrator implementation, prescription auditing, purchase auditing, and financial monitoring.
• Assists with implementation of new UI Health Care child sites including third party administrator implementation, prescription auditing, purchase auditing, and financial monitoring.
• Lead business process improvement initiatives related to 340B operations, contract pharmacy administration, and pharmacy purchasing systems.
• Cookordination complex multi-disciplinary initiatives involving pharmacy, finance, IT, supply chain, vendors, and compliance stakeholders.
• Independently develops data driven recommendations to support operational, financial, compliance, and strategic decision making.
• Completes contract pharmacy financial analysis activities to support mid-month and month end financial tracking to support the Finance Department and pharmacy budgeting processes.
• Communicates routinely with Finance Department regarding contract pharmacy profitability and monthly contract pharmacy financial performance.
• Makes sure contract pharmacy arrangements are receiving appropriate fees.
• Collaborates with pharmacy operations supervisor to create contract pharmacy budget projections.
• Provide data analysis for year-end 340B Report Card.
• Monitors purchasing, replenishment, and invoicing of all drug purchases including WAC, GPO, and 340B accounts.
• Completes internal audits on a routine basis and assists with management of annual independent 340B audit.
• Responsible for appropriately communicating project status and resolving issues.
• Identifies operational and financial concerns and determines which issues to escalate to technical support staff associated with vendors and third-party administrators and communicates with the support staff.
• Evaluates functionality of new and existing software and vendor tools to assist in developing operational and financial improvements related to 340B program.
• Creates and maintains positive relationships with purchasing team, finance team, IT team, contract pharmacies, and associated vendors.
• Serve as a liaison to support communication between pharmacy team, IT team and contract pharmacy partners to troubleshoot and resolve problems.
• Participates in problem solving and other customer service-related duties.
• Supports the functions of independent auditors including HRSA auditors.
• Provides complex user support to pharmacy staff, finance staff, and contract pharmacy partners for concerns related to all third-party administrator platforms.
• Provide consultation to third party administrator partners and other 340B covered entities to develop problem solving strategies for emerging challenges and changes to the 340B program.
• Create tools to efficiently analyze substantial amounts of utilization, purchase, and financial data.
• Process detailed information with excellent accuracy.
• Assists with interviewing and training of new 340B staff members.
• Advise and support project design work of senior business analysts.
• Assists with functional supervision, training, and project guidance for students.
• Audits other areas and assists with maintaining other regulatory compliances.

  EDUCATION REQUIREMENTS

  • Bachelor’s degree in finance, business management, legal, compliance, or other degree related to data/business analytics or equivalent combination of education and experience.
  • Registration with Iowa Board of Pharmacy as Pharmacy Support Person within thirty (30) days of employment.

  EXPERIENCE REQUIREMENTS

  • Minimum of 5 years’ experience in data management, including analytics and auditing.
  • Strong analytical and creative critical thinking skills.
  • Proficient in MS Office Suite with an emphasis on Microsoft Excel.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple concurrent projects and objectives and prioritize time allocation.
  • Ability to provide and accept ideas and suggestions in a constructive and helpful manner.
  • Excellent interpersonal skills, creating positive working relationships with team members including healthcare providers, vendors, supply chain staff and pharmacy staff.

  DESIRABLE QUALIFICATIONS

  • Knowledge and/or experience with PeopleSoft, Epic, McKesson Connect, Macro Helix™, and Wellpartner.
  • Experience at an academic health care center.
  • Demonstrated knowledge of 340B drug pricing program.
  • Experience with supply chain/inventory purchasing.
  • Experience with compliance or financial auditing.
  • Ability to effectively multi-task, keeping multiple initiatives moving forward simultaneously.
  • Previous pharmacy experience.