Please login/register to apply for this job.
18 Mar 2023

Full-Time 340B Program Compliance Analyst – Pharmacy 340B Programs

UNC Health – Posted by cconrad060 –  Anywhere

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
This position provides general support to the senior analyst by conducting routine audits and performing system maintenance of the third party administrator or split billing software to ensure compliance.

Responsibilities:
– Perform audits on a scheduled basis evaluating patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.; may involve presenting and resolving reconciliation issues.
– Ensure compliance with 340B program requirements for qualified patients, drugs, and locations
– Monitor and audit state Medicaid claims to ensure compliance to prevent duplicate discounts
– Monitor drug purchasing activity and perform general maintenance of third party splitting software
– Perform checks on file transfer jobs to splitting software and support Business Analytics Specialist to triage transfer job failures.
– Support senior analyst in developing data extracts from multiple data systems for annual program audits and HRSA audits
– Monitor and triage incoming communications from external vendors, other entities, and regulatory bodies
– Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers

 

Other Information

Other information:
Education Requirements:

  • BS degree or equivalent

Licensure/Certification Requirements:
Professional Experience Requirements:

  • Preferred experience in an analyst role with auditing and/or pharmacy supply chain.
  • AA with 3 years of pharmacy experience

Knowledge/Skills/and Abilities Requirements:

 

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Pharmacy 340B Programs

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

To Apply for this job, please go to:
http://post.talemetry.com/respond.cfm?posting=1000884786&bid=165

Job Categories: Pharmacy Jobs. Job Types: Full-Time.

Job expires in 31 days.

Apply for this Job