340B Finance & Compliance Analyst

Thomas Jefferson University • Philadelphia, PA

1d • Onsite

About The Position

The 340B Finance Compliance Analyst: is responsible for oversight of the 340B Program. This individual will review all areas and responsibilities related to Jefferson's 340B. Responsibilities include, but are not limited to, monitoring, auditing, managing, maintaining and implementing pharmacy 340B programs; assisting with data for financial analysis; ensuring claims meet eligibility criteria in all settings of the 340B program; manage and oversee provider eligibility; working in conjunction with pharmacy buyers; pharmacy staff and other stakeholders; assisting and/or providing training to stakeholders as needed; assist in the development of policies and procedures and workflows; maintain split-billing software and ensure 340B compliance on an ongoing basis. Routinely monitors and interprets utilization records including drug administrations and purchasing accounts, including direct accounts, to ensure source system software is reconciled properly and accurately. Performs audits on a schedule basis for mixed-use, contract pharmacy, crosswalk and accumulations, among others; may involve presenting and resolving reconciliation issues as they arise. Perform internal and external compliance risk assessments to validate processes. Monitor and audit claims to ensure compliance and to prevent potential duplicate discount rebates. Ensures Jefferson’s compliance with the Health Resources and Services Administration (HRSA) and Office of Pharmacy Affairs (OPA) regulations and guidelines. Analyzes volumes and trends as compared to benchmarks, best practices and strategic goals. Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance. Participates in accomplishing 340B Program goals and objectives, evaluates effectiveness and implements changes to achieve desired outcomes. Keeps up with 340B pricing trends and new legislation. Analyzes and interprets 340B purchasing trends and the economic impact to the organization. Assist in rectifying findings as needed, in collaboration with supervisor and stakeholders. Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions. Solid understanding of 340B auditing standards, techniques, and procedures preferred. Experience with 340B Third Party Administrator (TPA) software preferred. Knowledge of the issues, trends, and challenges presented by participation in the 340B program. Analytical mindset and ability to present data in a comprehensive manner.

Requirements

• Associate degree in business, pharmacy, health care, data/IT or related field and/or equivalent relevant experience. OR
• Minimum of two (2) years broad pharmacy financial operations or financial analytics experience.
• 340B University training required (can be completed upon hire)

Nice To Haves

• Apexus Certification preferred.
• Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
• Solid understanding of 340B auditing standards, techniques, and procedures preferred.
• Experience with 340B Third Party Administrator (TPA) software preferred.
• Knowledge of the issues, trends, and challenges presented by participation in the 340B program.
• Analytical mindset and ability to present data in a comprehensive manner.

Responsibilities

• Monitoring, auditing, managing, maintaining and implementing pharmacy 340B programs
• Assisting with data for financial analysis
• Ensuring claims meet eligibility criteria in all settings of the 340B program
• Managing and overseeing provider eligibility
• Working in conjunction with pharmacy buyers, pharmacy staff and other stakeholders
• Assisting and/or providing training to stakeholders as needed
• Assisting in the development of policies and procedures and workflows
• Maintaining split-billing software and ensure 340B compliance on an ongoing basis
• Routinely monitoring and interpreting utilization records including drug administrations and purchasing accounts, including direct accounts, to ensure source system software is reconciled properly and accurately
• Performing audits on a schedule basis for mixed-use, contract pharmacy, crosswalk and accumulations, among others; may involve presenting and resolving reconciliation issues as they arise
• Performing internal and external compliance risk assessments to validate processes
• Monitoring and auditing claims to ensure compliance and to prevent potential duplicate discount rebates
• Ensuring Jefferson’s compliance with the Health Resources and Services Administration (HRSA) and Office of Pharmacy Affairs (OPA) regulations and guidelines
• Analyzing volumes and trends as compared to benchmarks, best practices and strategic goals
• Reviewing 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance
• Participating in accomplishing 340B Program goals and objectives, evaluates effectiveness and implements changes to achieve desired outcomes
• Keeping up with 340B pricing trends and new legislation
• Analyzing and interpreting 340B purchasing trends and the economic impact to the organization
• Assisting in rectifying findings as needed, in collaboration with supervisor and stakeholders
• Analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.
• For more benefits information, please click here

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree