340B Analyst

Mercy Health BSMH•Columbus, OH

3d•$27 - $42

About The Position

The 340B Analyst is responsible for compliance, program integrity, and financial optimization of the 340B Drug Discount Program within participating covered entities. The role coordinates program operations, configures and maintains software systems, supports daily covered-entity operations, and works with the 340B Auditor to complete, validate, and document compliance audits. The Analyst helps ensure that covered-entity operations remain aligned with 340B policies and procedures and maintains effective customer-service relationships with program stakeholders. The Analyst monitors program performance, purchasing, inventory management, financial metrics, and compliance. The role serves as a split-billing software expert, helps resolve software and operational issues, and coordinates integrations and corrective actions involving the electronic medical record, charge master, revenue cycle practices, and vendors. The Analyst also supports training, policy development, internal auditing, issue escalation, and ongoing alignment with 340B regulations and legislation. The position may develop subject-matter expertise in contract pharmacy, policy and procedure, data and reporting, compliance audits, and/or 340B split-billing software.

Requirements

Associate degree in healthcare administration/business, finance, information technology/analytics, pharmacy, or a related field; a combination of post-secondary education and experience may be accepted in lieu of a degree.
At least 1–2 years of pharmacy 340B experience.
340B University Certificate (Live/On Demand).
Proficient with Microsoft Office, particularly Outlook and Excel.
Advanced knowledge of the 340B Drug Pricing Program and/or healthcare billing regulations and practices.
Experience with Epic Electronic Health Record.
Experience auditing hospital charging or patient records.
Experience with 340B split-billing or third-party administrator software and/or manual 340B operations.
Excellent communication skills and ability to develop cross-departmental professional relationships.

Nice To Haves

Bachelor’s degree in healthcare administration/business, finance, information technology/analytics, pharmacy, or a related field.
340B Advanced Operations Certificate.
At least 2 years of experience in business, analytics, or auditing.
Ability to establish 340B operations in a new environment, including operations design, split-billing software or manual tracker setup, staff education, and policy and procedure development.
Knowledge or training in Microsoft Access.
Experience drafting policies and procedures.
Previous drug purchasing and/or wholesaler experience.
Experience training employees.
Experience with software implementations.

Responsibilities

Coordinate the 340B Drug Pricing Program and maintain program standards and qualification requirements.
Monitor program performance, identify opportunities for optimization, and support compliant program operations.
Scope and escalate operational or compliance issues, communicate identified gaps promptly, and develop or implement approved corrective action plans.
Provide real-time guidance to pharmacy buyers and staff on compliant 340B purchasing and inventory management practices.
Support covered-entity leadership with ongoing 340B training, education, and communications; maintain relationships with internal and external stakeholders.
Prepare and analyze monthly program metrics and financial-savings reports, complete variance reporting, and identify cost savings and system improvements.
Serve as a split-billing software expert, troubleshoot issues, review software reports, maintain software integrity, and improve functionality.
Coordinate split-billing software with clinical information systems, including EMR and virtual-accumulator interfaces and interfaces with contract pharmacy providers or administrators.
Triage live-site issues involving split-billing software, the electronic medical record, or the charge master related to 340B.
Collaborate with Epic charge teams and charge master managers on corrective action plans and necessary implementations; coordinate issue resolution with software vendors.
Maintain split-billing configurations and update software to align with revenue-cycle and charging practices, Epic build, and organizational policies.
Serve as a primary internal liaison for appropriate 340B program utilization and compliance.
Escalate compliance concerns to covered-entity stakeholders and the 340B Manager, and develop and implement approved mitigation plans.
Participate in 340B Executive Oversight Committee subcommittees and help develop and update program policies and procedures.
Educate covered-entity pharmacy teams, coach 340B staff and participants, and help ensure pharmacy operations follow policies and procedures.
Work with finance, information technology, medical staffing, and other affiliated departments to maintain program integrity.
Participate in system 340B committees and help covered-entity leadership develop a comprehensive internal audit plan.
Conduct regular internal audits and data analysis, document audit results, communicate findings, and escalate issues to appropriate parties.
Monitor 340B regulations and legislation and attend ongoing training or conferences to support continued compliance.
Collaborate with other pharmacy 340B team members and develop subject-matter expertise in one or more assigned 340B areas.
Perform other job-related duties as required by the supervisor, subject to reasonable accommodation.