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B Pharmacy Analyst

Appalachian Regional Healthcare

Appalachian Regional Healthcare

IT
hazard, ky, usa
Posted on Friday, July 26, 2024

340B Pharmacy Analyst

Job Locations US-Hazard
Requisition ID
2024-31835
# of Openings
1
Category
Allied Health
Community
System-Hazard
Posted Date
2 weeks ago(7/15/2024 12:36 PM)
Position Type
Regular Full-Time
Department
Central Pharmacy

Overview

The 340B Pharmacy Analyst will work with qualified 340B entities to ensure optimal program performance in compliance with legal, regulatory, and financial standards. The analyst will optimize purchasing for supplies and medications from the 340B program, and will perform ongoing analysis, audits, and data validation to ensure accurate and optimal performance.

Responsibilities

  • 340B Program
    • Compliance
      • Ensures policies and procedures are implemented according to regional, national, state and federal guidelines and approved by Legal and Compliance.
      • Evaluates gaps at the facility level and assist in providing the tools necessary to be compliant with the 340B program
      • Evaluate covered entity reconciliation at the contract pharmacy, covered entity, and wholesaler levels
      • Reporting – Ensures reporting meets regional, national, state, and federal guidelines
  • Participate in projects, councils, and special initiatives related to 340B, compliance, auditing functions, vendor selection, and medication management. Participates in system and local 340B committees.
  • Keep abreast of regulations, trends, and issues pertaining to the 340B program.
  • Provide education to providers, staff and participants with the 340B program regarding ongoing compliance with the 340B program.
  • Maintain internal relationships (finance, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, splitter software vendor, Employee Benefit Pharmacy Benefits Manager (PBM) and Third Party Administrator (TPA) vender as needed).
  • Assists 340B covered entities to develop business plans to prioritize and implement programs related to infusion services, facility owned retail pharmacy, employee prescription program development and contract pharmacy agreements.

Reviews medical and pharmacy documentation of 340B eligible claims.

Qualifications

Minimum Education

High school diploma and at least 7 years’ experience or an Associates Degree.

Minimum Work Experience

Minimum of 5 years of direct experience within a 340B program and covered entity.

Experience with pharmacy billing and pharmacy systems

Comprehensive knowledge of pharmacy practices and knowledge of 340B program

  • Solid understanding of auditing standards, techniques, and procedures
  • Solid understanding of financial concepts
  • Knowledge of the issues, trends, and challenges presented by participation in the 340B program
  • Knowledge of 340B program regulatory and compliance requirements

Required Licenses/Certifications

340B Certification (Preferred)

Required Skills, Knowledge, and Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to engage providers on issues central to the efficient and effective use of pharmacy services.

Ability to work well in a fast-paced environment that focuses on results and accomplishments.

Previous successes in driving change and continuous improvement.

Excellent written, oral, interpersonal communication and persuasion skills.

Ability to effectively explore alternatives to reach outcomes that gain the support and acceptance of all parties.

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