Pharmacy 340B Specialist

About the Role

Under the general supervision of the Director of Pharmacy or direct supervision of a registered pharmacist, this non-professional health care employee performs specific job responsibilities authorized by the Board of Pharmacy Rules and Regulations.

Required Qualifications

• At least 18 years of age
• Proof of highest level of education completed, not less than high school education or equivalent
• Basic typing and computer skills
• Certification in good standing by the PTCB (Pharmacy Technician Certification Board Inc.)
• 5 years of previous healthcare experience
• Ability to effectively communicate in oral and written form
• Understanding of computer systems, process design and data management
• Familiarity with state/federal legal and pharmacy regulatory compliance
• Well-groomed, professional appearance
• Mental and physical ability to perform, with or without reasonable accommodation, the essential functions of the job
• Ability to lift, carry, pull, and push 20 pounds
• Language proficiency in English, with excellent written and verbal fluency

Preferred Qualifications

• 5 years of previous experience in a hospital or related setting
• Previous experience as a 340B analyst or pharmacist or pharmacy technician
• Previous experience with management or auditing of 340B systems
• Previous Meditech experience or other related electronic records systems

Responsibilities

340B Analyst

• Analyzes data sets from various information systems to assess and assure compliance with 340B Program regulatory requirements, related to diversion, duplicate discounts, HRSA and OPA requirements, and 340B program trends
• Responsible for accurate maintenance of the 340B split-billing system including, but not limited to:
  • New products added to information systems in a timely manner
  • National Drug Code crosswalks are up to date
  • CMS Healthcare Common Procedure Coding System (HCPCS) mapping is accurate across the split-billing system, Pharmacy Information System, and other systems
  • Claims review and auditing
  • Manual invoice entry in the split-billing system
  • Locations are mapped correctly in the split-billing system
• Develops a process to compare volumes in split-billing system to volumes in organizational revenue cycle/billing systems
• Provides active monitoring of 340B processes on an on-going basis
• Develops and maintains reports of 340B Key Performance Indicators and 340B financial results
• Provides reports as needed to pharmacy leadership, Compliance, Finance, IT, Legal departments, and executive leadership as requested
• Proactively assists pharmacy and executive leadership with preparing 340B compliance policies, procedures and related approaches to 340B purchasing and program operations to meet organizational, state and program standards
• Maintains current knowledge on 340B programs and attends related continuous education events

Other Duties

• Other duties as assigned