Pharmacy 340B Program Audit Analyst
3 days ago
Job Description
Be a part of a world-class academic healthcare system, UChicago Medicine, as a Pharmacy 340B Program Audit Analyst. In this role, you will be responsible for conducting audits and supporting (third party) audits of the pharmacy 340(b) program for all qualified entities within the organization, including retail and contract pharmacy relationships. This is a remote/hybrid position.
The Pharmacy 340B Program Audit Analyst will be responsible for auditing to ensure qualifications for the program are met and maintained; auditing to ensure that related records are complete and accurate; and audits to ensure all primary objectives as defined by leadership are consistently achieved. Three primary objectives or goals include:
- Compliance Audits - Assuring all use of 340(b) throughout the institution (including retail and contract pharmacies) is fully compliant with all federal regulations and related interpretations for the program.
- Maximum Participation Audits - Assuring the institution is achieving maximum utilization of 340(b) pricing through full participation in all qualified areas with all applicable products, including inpatient contracts, to ensure greatest cost savings returns throughout the institution
- Efficiency of 340(b) Processes Audits - Assuring that all policies, procedures, and related approaches to 340(b) include the most efficient use of resources.
Essential Job Functions
- This person will be a member of an audit team responsible for being an institutional "compliance expert or authority" on 340(b) regarding everything from qualifications to the details, policies, and procedures of the virtual inventory processes required for mixed areas.
- Strong emphasis on retail and contract pharmacy transactional and operational compliance (audits) and recommendations.
- This person will attend 340(b) conferences, routinely monitor Apexus, 340B Health, OPA and other industry-related publications and websites as well as the professional media, literature, and peers to assure the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for ensuring audit activities are comprehensive and align with compliance objectives.
- Routinely audit and monitor all points of service (ex. Retail, Specialty, Emergency Department, Contract, etc.) where 340(b) participation occurs to insure policies and procedures are followed, entities qualify and all patients qualify as "covered patients". Includes inventory replenishment audits, audits of entity details on HRSA OPAIS database, etc.
- Routinely audits utilization records and 340(b) purchasing accounts to insure software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; also supports external compliance assessments where appropriate with outside firms to validate internal processes.
- Assists in developing and routinely monitoring monthly and annual audit reports on 340(b) participation which clearly documents audit findings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration for final resolution.
- Provide insight into consistent policies and procedures for 340(b) that assure productivity and efficiency so that long-term management of the program does not hamper operations and/or create unnecessary costs.
- Support proper implementation that assures full compliance without additional steps, paperwork, or manpower, including the proper use of software or related tools to manage a virtual inventory.
Required Qualifications
- Bachelor's degree in finance, Business or Accounting with exposure or limited experience with 340B program experience including 340B Prime Vendor Certification
- Minimum three years' experience in business analysis in a healthcare environment.
- Teamwork and strong collaboration skills.
- Proven success in the following job competencies:
- Auditing, analysis, and reporting
- Communication and presentation skills
- Customer focus and relationship building
- Analytical, problem solving and decision-making skills.
Preferred Qualifications
- IL Tech License
- Epic experience
Position Details
- Job Type/FTE: Full-time (1.0)
- Shift: Day Shift
- Work Location: onsite/hybrid schedule
- Unit/Department: 340B Pharmacy
- CBA Code: Non-Union
Why Join Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities.
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
Must comply with UChicago Medicine's COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
-
340B Payment Specialist
1 week ago
Chicago, Illinois, United States Howard Brown Health Full timeHoward Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives.Why Join Us?Be part of a mission-driven organization...
-
Audit Letter Response Analyst
9 hours ago
Chicago, Illinois, United States Winston & Strawn LLP Full timeABOUT USFor Business Professionals, Winston & Strawn presents an exciting opportunity to be a part of a leading global law firm. With our commitment to excellence, diversity, a collaborative work environment, and an emphasis on professional growth, Winston offers a platform for individuals seeking to advance their careers in a dynamic and rewarding...
-
Chicago, Illinois, United States Northwestern Medicine Full timeThe salary range for this position is $ $37.37 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of...
-
Pharmacy Technician
7 days ago
Chicago, Illinois, United States Zing Health Full timeCOMPANY OVERVIEWZing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center...
-
Program Analyst
5 days ago
Chicago, Illinois, United States U.S. Department of Veterans Affairs Full timeSummaryThis position is located at VISN 12 VA Great Lakes - in the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA). The primary purpose of the position is to improve the quality - efficiency - and effectiveness of health care by integrating clinical and information processes necessary to achieve successful adoption and...
-
Payroll Analyst
6 days ago
Chicago, Illinois, United States RB Global Inc. Full timeThe Payroll Analyst manages a broad range of responsibilities, including reporting, analysis, reconciliation, and auditing of payroll across multiple legal entities and countries. The role will support, manage and analyze payroll data and ensure accuracy, compliance, and timely processing for 6500+ employees in North America. The incumbent plays a crucial...
-
revenue cycle reimbursement analyst
2 weeks ago
Chicago, Illinois, United States Sinai Chicago Full timeUnder the direction of Revenue Cycle Leadership, the Revenue Cycle Reimbursement Analyst is responsible for performing detailed, forensic analysis of hospital claims data to identify opportunities to improve cash flow through improved operations. The Revenue Cycle Reimbursement Analyst will support Medicare Bad Debt audits, payer audits and collection...
-
Programming Analyst
2 weeks ago
Chicago, Illinois, United States University of Chicago Full time $75,000 - $85,000DepartmentPSD GSECARS: AdministrationAbout the DepartmentGSECARS is one of three sectors managed by the University of Chicago Center for Advanced Radiation Sources (CARS) at the Advanced Photon Source (APS), Argonne National Laboratory. GSECARS is a national user facility for synchrotron radiation research in earth, planetary, and environmental science, and...
-
Associate Program Analyst
7 days ago
Chicago, Illinois, United States SageSure Full timeOverview:If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we're hiring. SageSure, a leader in catastrophe-exposed property insurance, is seeking an Associate Program Analyst. In this position, you'll play a pivotal role in crafting requirements, enhancing documentation quality, refining our...
-
Compliance Analyst
2 weeks ago
Chicago, Illinois, United States Dentons Full timeDentons US LLP is currently recruiting for a Compliance Analyst. The Compliance Analyst coordinates governance and compliance activities with stakeholders across the business. Core duties include cross-functional support for legal services and related systems, implementing risk management initiatives, and ensuring client and administrative data is handled...