Pharmacy Business & Analytics Specialist, 340B Program
About The Position
As part of NYU Langone Health’s Pharmacy Business & Analytics team, the Pharmacy Business & Analytics Specialist monitors and manages Third Party Administrator (TPA) split-billing software reports to support regulatory compliance and optimize 340B Program revenue. The position focuses on monitoring for diversion and maintaining 340B, GPO, and WAC pricing integrity. It manages formulary matrix performance reporting and responds to alerts by performing drug mapping, executing penny buys, and maintaining revenue-integrity analytics processes. Additional areas of responsibility include conversion-factor maintenance; file extractions and connectivity support; IT/Epic/Willow support; reporting and monitoring; GPO Prohibition compliance; reimbursement and cost-report collaboration; assessment of current and future opportunities; and inventory maintenance and monitoring. The role also supports contract pharmacy operations, develops PBA/340B policies and procedures, provides education and training, and maintains the Office of Pharmacy Affairs Information System (OPAIS). The specialist works with pharmacy purchasing staff, wholesalers, vendors, consultants, and other departments to maintain accurate pricing and billing configurations, investigate discrepancies, support pharmacy systems and operations, and promote patient and staff safety and continuous improvement. The position may involve system upgrades or maintenance during off hours and may include precepting pharmacy students and residents if assigned.
Requirements
- Bachelor of Science in Pharmacy.
- At least 3 years of experience.
- 340B Apexus Certified Expert (340B ACE) certification within six months of hire.
- New York State pharmacist license.
- Ability to communicate effectively with all levels of the organization.
Nice To Haves
- Doctor of Pharmacy (Pharm.D.).
- 340B ACE certification.
- Pharmacy IT experience.
- Informatics degree or certificate.
- Strong Microsoft Excel skills and experience with Tableau, Power BI, or other data analytics and visualization platforms.
- Prior experience implementing Epic.
- Knowledge of Six Sigma.
Responsibilities
- Maintain pharmacy acquisition, WAC, and 340B costs, and assist with charge-configuration reviews with revenue cycle and Willow teams.
- Consult routinely with pharmacy purchasing staff and the pharmacy drug wholesaler to ensure accurate pricing and purchase-unit configuration in electronic billing systems.
- Investigate and resolve 340B, GPO, and WAC pricing discrepancies with wholesalers and other resources as needed.
- Ensure compliance with regulatory standards for the 340B Program.
- Monitor potential drug supply-chain issues, wastage and shrinkage, revenue integrity, billing, and mismatches between clinical and financial charge databases.
- Use the TPA to identify and optimize revenue opportunities by executing 340B penny-buy orders.
- Perform billing quality assurance before and after price uploads and when new medications are approved by the Pharmacy and Therapeutics Committee.
- Assist with pharmacy drug-file maintenance and support related pharmacy applications, including electronic health record and automation technology systems.
- Support pharmacy application upgrades and maintenance, which may require working off hours; prepare system-generated reports, assist pharmacy operations, and provide system troubleshooting and downtime support.
- Support audits required for program compliance and reporting.
- Assist with employee training on system use and adaptation; provide tools and coaching when needed to support improvement following medication variances.
- Act as a liaison to the TPA, other vendors, consultants, and pharmacy, and attend meetings as required.
- Serve as a member of the pharmacy department’s leadership team.
- Support patient and staff safety and facilitate ongoing efficiency improvements in the medication-use physical environment.
- Precept pharmacy students and residents if assigned.
- Collaborate with Risk Management, Compliance, and Quality Assurance departments as necessary.
- Support other pharmacy functions as needed and participate in scholarly or professional activities.
- Monitor and manage split-billing reports, formulary matrix performance, drug mapping, conversion factors, file connectivity, general reporting, inventory, and contract pharmacy operations.
- Assist with PBA/340B policies and procedures, education and training, and ongoing OPAIS maintenance.
- Support revenue-integrity analytics, GPO Prohibition compliance, reimbursement and cost-report collaboration, and assessment of current and future opportunities.
Benefits
- Comprehensive benefits and wellness package.
- Financial security benefits.
- Generous time-off program.
- Employee resource groups for peer support.
- Employee wellness program covering physical, mental, nutritional, sleep, social, financial, and preventive-care well-being.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
