340B Compliance Auditor I

Geisinger • Work from home (Pennsylvania), PA

4d • Remote

About The Position

The 340B Compliance Auditor I develops in-depth knowledge of the 340B Program and provides audit direction to staff and management. The role maintains current knowledge of Geisinger’s 340B-eligible locations, contract pharmacy network, and 340B purchasing procedures, and conducts accurate and efficient audits to identify risk and prevent duplicate discounts and diversion. The auditor routinely reviews 340B policies and procedures and recommends contributions or changes to support compliance.

Working collaboratively with the 340B Program Manager, 340B Program Director, and other stakeholders, this position leads comprehensive 340B audits and internal controls and supports departmental revenue-cycle and other key initiatives. The role also performs scheduled audits, reviews patient eligibility and related records, monitors purchasing and compliance across participating points of service, and maintains split-billing and contract-pharmacy processes.

Work is typically performed in an office environment. The position is work-from-home in Pennsylvania and is scheduled for 40 hours per week on day shifts.

Requirements

• High school diploma or equivalent (GED).
• Minimum of 2 years of related work experience.
• Business analysis skills.
• Critical-thinking skills.
• Healthcare industry knowledge.
• Microsoft Excel skills.

Responsibilities

• Ensure compliance with 340B drug purchasing, monthly auditing, split-billing software maintenance, contract pharmacy and mixed-use audits, and other areas of program compliance.
• Perform scheduled audits to assess compliance with federal 340B regulations, including presenting and resolving reconciliation issues that arise during monitoring and reconciliation.
• Evaluate patient eligibility by reviewing medical records, insurance plans, and hospital admission status.
• Review charts and medical records to verify patient, provider, and medication information for proper claim submission, and maintain accurate 340B program records.
• Ensure standard operating procedures are followed and monitor drug purchases on GPO, WAC, and 340B accounts.
• Interact professionally with 340B program affiliates, including wholesalers, vendors, information-system service providers, insurance providers, internal and contracted pharmacies, internal departments, medical providers, and external auditors.
• Monitor compliance across points of service where 340B participation occurs.
• Review processes to minimize risk and prevent duplicate discounts or diversion.
• Ensure continuous compliance with federal 340B regulations.
• Develop a thorough understanding of split-billing systems and perform basic crosswalk maintenance.
• Perform spot audits and compliance assessments to confirm the accuracy of charge descriptions, utilization data, and reorder reporting.

Benefits

• Healthcare benefits for full-time and part-time positions from day one, including vision, dental, and domestic-partner benefits.
• Collaborative, cooperative, and collegial work atmosphere.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED