340B Contract Pharmacy Auditor / Program Specialist
About The Position
This role assists in developing and maintaining tracking mechanisms for Sunset Health Pharmacy compliance programs, specifically focusing on the 340B program. The specialist will work with pharmacy leadership on computer hardware and software maintenance, track and verify drug wholesaler invoices for accuracy and pricing, and place orders for products through the 340B program. A key responsibility is ensuring adherence to HRSA, 340B, and State and Federal Pharmacy rules and regulations, which includes verifying prescription eligibility and managing relationships with TPA managers. The role also involves verifying timely payments, addressing billing issues, and training/supervising the 340B contract pharmacy auditor/referral tracker.
Requirements
- Experience with specialized computer hardware and software maintenance updates.
- Knowledge of HRSA, 340B, and State and Federal Pharmacy rules and regulations.
- Experience with TPA managers and contract pharmacy operations.
- Ability to verify prescription eligibility according to guidelines and policies.
- Experience verifying billing and addressing incorrect billing issues.
- Experience in training and supervision.
Responsibilities
- Assists in developing tracking mechanisms for Sunset Health Pharmacy compliance programs.
- Assists pharmacy leadership with specialized computer hardware and software maintenance updates.
- Maintains Sunset Health Pharmacy 340B compliance programs.
- Tracks and verifies drug wholesaler invoices for accuracy of product and 340b pricing.
- Places orders for product obtained through the 340B contract pharmacy program.
- Assists pharmacy leadership with compliance programs to ensure adherence to HRSA, 340B, and State and Federal Pharmacy rules and regulations.
- Schedules and runs meetings with 340B TPA managers and addresses any contract pharmacy issues.
- Verifies all captured prescriptions by TPA’s are eligible through 340B HRSA guidelines and Sunset Health’s policies and procedures.
- Verifies any prescription that is from an outside provider is eligible for 340B and captured by the TPA’s.
- Verifies with the billing department that payment from 340b contract pharmacy program has been received in a timely manner, and verifies billing is correct.
- Addresses any incorrect billing issues.
- Responsible for the training and supervision of 340B contract pharmacy auditor/referral tracker.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
