Pharmacy Analyst 340B

Join our team at INTEGRIS Health Southwest Medical Center in Oklahoma City, OK as a full-time, day shift Pharmacy Analyst. INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to partner with people to live healthier lives.

Benefits

• Front-loaded PTO
• Medical benefits through the extensive INTEGRIS Health network
• Financial assistance for continued education
• 24/7 mental health support

Responsibilities

• Develop a thorough understanding of the 340B Program and improve the overall efficiency, value, and internal support of the 340B program.
• Understand split billing/third party administrator systems and the functions to be performed.
• Provide regulatory oversight of the INTEGRIS Health 340B program through internal audit functions, including compliance auditing, deficiency identification, and written compliance recommendations.
• Develop, implement, and maintain processes to ensure compliance with State and Federal regulations.
• Develop and maintain internal relationships (billing, IT, legal, etc.) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendor, etc.) to ensure sound operations of the 340B program.
• Work closely with the 340B Compliance Director on audit results and recommend changes to improve 340B integrity and compliance.
• Actively participate in audit preparation and serve as a face-to-face member of the facility audit team during actual audits.

340B Mixed-use Functions

• Ensure mixed-use pharmacies are monitored for diversion through routine auditing of medication orders.
• Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas by reviewing patient medical records, insurance plans, location, provider eligibility, and hospital status.
• Prepare detailed reports on mixed-use audit findings and convey information to the 340B Oversight Compliance team regularly.
• Resolve reconciliation issues arising during the monitoring/auditing process and report to the 340B Compliance Director.
• Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
• Update the package size/BUPP for covered entities.
• Review the split billing software system and perform transaction reviews to ensure accurate reflection of 340B eligible dispensations.
• Monitor and audit State Medicaid claims for compliance and prevention of duplicate discount rebates.
• Develop, implement, and monitor systems to ensure all computer systems supporting the mixed-use area of the 340B Program are working appropriately.
• Assess the definitions of an eligible provider specific to the covered entity and review physicians, nurse practitioners, residents, physician assistants, and medical residents who write 340B prescriptions.
• Review and recommend changes to the OPAIS database quarterly.

Requirements

• Bachelor's Degree in Accounting, Finance, or related field or 4 years of equivalent experience
• 4 years of accounting or pharmacy experience
• Audit and/or compliance experience preferred
• Previous work experience using various software applications
• Must be able to communicate effectively in English