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Analyst

2 months ago

Union, United States Essentia Health Full time

Education Qualifications:

Job Description

Key Responsibilities: Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity Provides expertise with the 340B Program to staff and participants regarding ongoing compliance Serves as the point person and coordinator for all audits. Coordinates all requests and responses Evaluates 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 Monitors 340B compliance within workflow processes and ensures evaluations of gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program Assists with development of policies and procedures and ensures they are maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department Provides ongoing training, education, and communication required for the 340B Program at the organization Monitors and assesses 340B guidance and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff Reviews and negotiates any new 340B contracts. Maintains all 340B contracts and manages relationships, billing services, and compliance with contracted 340B pharmacies Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame, HRSA 340B OPAIS is accurate for all organization entities and registration of any new child sites within the allowable time frame Develops monthly and annual reports on 340(b) Program participation which clearly documents utilization, savings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration Develops and maintains internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers [PBMs], and third-party administrator [TPA] vendors) as needed Develop and monitor routine reports that are integrated into the inventory process and software, allowing for concise information to be communicated to pharmacists and technicians responsible for 340(b) Program to ensure that consistent processes are followed Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings Educational Requirements: Bachelor's Degree in IT, Business, or other related field Required Qualifications: 1 year of experience in healthcare finance, pharmacy operations, data analysis or equivalent area 340(b) experience preferred. Proficiency in MS Office applications including Excel, Word, PowerPoint, Outlook and Teams Job Description: The 340(b) Program Analyst is responsible for providing ongoing program development and ensures a compliant program for the organization’s 340(b) drug pricing program.

The 340(b) Analyst performs internal regulatory compliance audits, analyzes and interprets data to identify cost and clinical opportunities, creates reports, develops and maintains policies and procedures in accordance with the 340B Program and provides necessary education to other employees as appropriate.

The work is primarily independent, with oversight from the Pharmacy Manager, and works with other pharmacy team members as needed to complete duties.

Licensure/Certification Qualifications:

Certification/Licensure Requirements: ACE Completion or completed

within 1 year of date of hire

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