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Auditor

4 months ago

Cincinnati, United States Bon Secours Mercy Health Full time

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

**Summary**

The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager and be responsible for completing and documenting audits as outlined in the 340B policies and procedures. Functions will include execution and documentation of daily, weekly, monthly and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to perform specialized audits/projects as required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 340B Program Manager. Additionally, the 340B Auditor will be responsible for preparing and uploading required data to 340B software systems while ensuring that all data is imported to 340B software systems as expected.

**Essential Job Functions**

+ Monitors 340B compliance for all aspects of the 340B Program and implements all applicable aspects of HRSAs Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.

+ Responsible for the day-to-day compliance review of clinic-administered medications in eligible locations, mixed-use/340B only areas managed by split-billing software, areas managed by manual methods, outpatient prescriptions fulfilled by an owned pharmacy, and/or outpatient prescriptions fulfilled by a contract 340B pharmacy.

+ Conducts daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies. Documents results as required per policy and procedure. Audits assess compliance with HRSAs policies including but not limited to 340B eligibility, diversion, and GPO prohibition.

+ Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits

+ Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use as well as 340B only areas and clinics by reviewing patient medical records, insurance plans, and hospital status.

+ Assists with 340B external audits as assigned

+ Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares data for upload into software systems as needed.

+ Assists with creating, refining, and executing 340B audits as assigned

+ Reports all findings and matters through appropriate channels as outlined in policy and procedure which include the 340B Program Manager and 340B Analyst for the respective covered entity.

+ Assists 340B Program Manager and 340B Analyst with special projects as assigned

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Not applicable to this position.

**Employment Qualifications**

Required Minimum Education: High School Diploma / GED

Preferred Education: 2 Year Degree

Specialty/Major: Business, Information Technology/Analytics, Pharmacy, or related field

**Licensing/ Certification** -

Licensure/Certification Required: None

Licensure/Certification Preferred: 340B University (Live / On Demand); National Pharmacy Technician License

**Minimum Qualifications**

Minimum Years and Type of Experience

+ Minimum of 1-2 years experience with pharmacy 340B required or; 1-2 years progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred

Other Knowledge, Skills and Abilities Required

+ Healthcare system knowledge base/skills

+ Proficiency in Microsoft Office software, specifically Excel, Word, and Outlook

+ Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems

+ Ability to work in a complex team environment and to collaborate with peers to complete required work

+ Strong interest in pharmacy practice advancement

+ Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.

Other Knowledge, Skills and Abilities Preferred

+ Knowledge of hospital and/or retail pharmacy workflows and/or operations

+ Previous drug purchasing and/or wholesaler experience

+ Previous work and/or training in 340B

+ Previous auditing experience

+ Experience with working with EPIC EMR system(s)

+ Knowledge of hospital billing practices and regulations

+ Experience in Microsoft Access

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown, Ohio or Bon Secours Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com