Pharmacy Compliance Auditor - 340B Program

Job Overview

The Pharmacy Compliance Auditor works under the supervision of the Sr. Director of Pharmacy and guidance of the 340B Pharmacy Compliance Coordinator to audit and monitor the 340B Program. Functions will include, but not limited to, execution and documentation of daily, weekly, monthly, and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines and as outlined in 340B policies and procedures.

Job Responsibilities

• Accurately and efficiently performs 340B audits on a scheduled basis, including contract pharmacy, mixed use pharmacy, and outpatient pharmacy, and ensures compliance to the 340B Program.
• Adds addresses any reconciliations that arise.
• Maintains and audits the Prescriber file provided by Medical Staffing Office.
• Assists with external audits, as assigned.
• Maintains easily retrievable copies of audits and reports for compliance and audit purposes.
• Reviews findings, issues, and steps taken to reconcile the issue with the Pharmacy Compliance Coordinator.
• Ensures that reporting meets organizational, regional, national, state, and federal requirements/guidelines.
• Routinely monitors industry publications and websites, and that organization has latest updates and information.
• Signs up for 340b webinars.
• Audits Contract Pharmacy matches and analyzes the causes of incorrect accumulations and reverses incorrect matches.
• Audits Outpatient Pharmacy matches and analyzes the causes of incorrect accumulations and reverses incorrect matches.
• Audits whether correct pricing plan was applied to Medicaid/Managed Medicaid.
• Audits the sub-clarification code 20 application to all FFS and MCO Medicaid claims, as well as verifying that the 08 code was applied.
• Identifies and accumulates eligible matches from suspects.
• Responsible for loan-borrow tracking.
• Maintains auditable records and facilitates inventory reconciliations.
• Compiles purchasing information, such a list of TriHealth purchasing accounts.
• Provides the Pharmacy Buyers with information needed to place orders using the appropriate accounts to replenish inventory in the mixed-use inventory setting.
• Verifies data integrity within 340B software and wholesaler/vendor purchase reports to after corrections and rebills are made and approves the order review in the queue.
• Provides root cause analysis and corrections of NDCs.
• Identifies and submits Individual wastes.

About the Role

Play a vital role in ensuring access to affordable medications for underserved communities. Help safeguard the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients.

Requirements

• High School Diploma or GED (required)
• Minimum of 2–3 years of experience in one or more of the following areas (required): Technical Pharmacy, Hospital Pharmacy, Pharmacy purchasing, 340B program administration
• Ability to successfully complete Apexus 340B University within six (6) months of hire (required)
• Ability to successfully earn the 340B Operations Certificate within one (1) year of hire (required)
• National Pharmacy Technician Certification (CPhT) is required. Accepted certifications include: Pharmacy Technician Certification Board (PTCB), ExCPT Certification through the National Healthcareer Association (NHA)
• Must be currently registered as a Certified Pharmacy Technician with the Ohio Board of Pharmacy (required)

Qualifications

• Detail-oriented
• Passionate about compliance
• Eager to grow in a critical area of pharmacy operations

Skills

• Microsoft Office software proficiency, specifically Excel, Word, and Outlook
• Proficiency in technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems
• Ability to work in a complex team environment and collaborate with peers
• Excellent verbal and written communication skills

Benefits

We offer a comprehensive benefits package, including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. For more information, please visit our benefits page: https://careers.trihealth.com/what-we-offer/benefits