340B Program Analyst – Pharmacy Billing & CDM Focus
About The Position
The 340B Program Analyst primarily supports pharmacy billing, charge capture, revenue integrity, and Charge Description Master (CDM)-related activities. The role reviews Epic work queues, reports, dashboards, and medication-charge activity; performs routine audits; investigates billing and charge discrepancies; identifies root causes; and coordinates corrections with pharmacy, clinical, revenue cycle, billing, and Epic teams. The analyst validates medication charge capture and CDM workflows, monitors documentation and administration discrepancies affecting billing, reviews denials and billing exceptions, develops audit metrics, and identifies opportunities to strengthen controls and improve billing accuracy. The role uses data and operational knowledge to evaluate downstream billing impacts and help ensure accurate billing for medications and related services. As part of the 340B Pharmacy and Compliance team, the analyst develops working knowledge of 340B requirements and supports related compliance activities as needed.
Requirements
- Bachelor's degree; an additional three years of experience beyond the minimum experience requirement may substitute for minimum education.
- At least 3 years of hospital experience in a technical, clinical, 340B operations, or audit role.
Nice To Haves
- Valid California Pharmacy Technician License.
- Epic Certification in Willow Inpatient or 340B ACE Certification.
- At least 5 years of experience in an operational hospital setting, 340B operations or auditing, or 340B contract pharmacies.
Responsibilities
- Analyze, develop, configure, test, and implement 340B logic in Epic.
- Configure and manage 340B cost updates and medication lists in Epic.
- Provide expertise in building and managing Epic rules for 340B compliance.
- Develop data specifications and flowcharts to align 340B Epic build and logic with operational workflows.
- Troubleshoot problems, identify root causes, and recommend solutions.
- Manage internal and external tickets through resolution.
- Design, validate, configure, and test 340B logic for Epic Willow Inventory.
- Design and validate data feeds for the Enterprise Data Warehouse (EDW) 340B database.
- Design, develop, and validate 340B reports and dashboards.
- Prepare and present financial and compliance metrics.
- Validate medication charge capture and CDM-related workflows; monitor documentation and administration discrepancies that affect billing.
- Review denials and billing exceptions, perform routine audits, and coordinate corrections with relevant teams.
- Identify opportunities to strengthen controls and improve billing accuracy.
- Perform other related duties as assigned or requested.
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What This Job Offers
Job Type
Full-time
