Account Specialist

6 hours ago


Birmingham, Alabama, United States ProxsysRx Full time
Job Title: 340B Account Specialist

ProxsysRx is seeking a highly skilled 340B Account Specialist to join our team. The successful candidate will be responsible for managing the compliance and optimization of the 340B program for assigned clients.

Key Responsibilities:
  • Perform analysis of 340B program elements to identify areas for improvement
  • Participate in account reports with covered entities to accurately represent audit findings and suggest improvements
  • Follow industry trends and make recommendations as applicable to the covered entity's 340B program
  • Address areas of deficiency in the entity's 340B policy and procedures by working with the entity to draft revisions and obtaining approval from the entity's appropriate committees
  • Utilize financial metrics to assess areas of improvement and make recommendations to improve program performance
  • Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program's financial stability
  • Monitor and audit state Medicaid claims to ensure compliance and prevent potential duplicate discount rebates
  • Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status
  • Perform audits on a scheduled basis and may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process
  • Communicate audit deficiencies and improvement opportunities internally, to the client, and to the 340B processor
  • Track documentation required to improve 340B qualifying criteria through provider referrals
  • Identify deficiencies in processing of 340B qualifications and work with the client and 340B processor to resolve
  • Utilize a contract template to prepare 340B contract pharmacy service agreements for supervisor's review
  • Serve as the primary point of contact internally and externally for 340B contract pharmacy implementation
  • Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion
Requirements:
  • Strong communication skills
  • 340B experience required
  • Self-motivated, collaborative, and strong problem-solving skills
  • Pharmacy experience, medical billing, or financial auditing preferred
  • Associate's degree (AA) or equivalent from two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience required

Benefits:

  • Paid holidays after 90 days
  • Generous PTO policy
  • Competitive medical, dental, and vision insurance
  • Company-paid short-term and long-term disability
  • Company-paid employee life insurance
  • 401(k) with company matching contributions


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