The 340B Program Analyst is responsible for supporting the administration, auditing, and compliance of the 340B Drug Pricing Program. This role ensures program integrity and adherence to regulatory requirements, while optimizing program performance and savings.
Data Analysis and Reporting * Generate and analyze reports from 340B software to monitor program compliance and performance. * Develop and maintain data sets to support program audits and compliance reviews. * Present findings and recommendations to management and stakeholders. |
Compliance and Auditing * Be involved in any and all 340B Program audits. Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process. * Perform monthly audits of contract pharmacies. Perform monthly self-audits of 340B pharmacy operations. * Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations. Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. * Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers. * Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status. * Ensure that facilities maintain adherence to 340B Program regulations and guidelines. |
Program Administration * Maintain and update system configurations, including eligible provider tables and location mappings. * Collaborate with pharmacy and medical teams to support program operations and improvements. |
Customer Service * Provide support and training to internal and external stakeholders on 340B program requirements and best practices. * Participate in routine report reviews with customers and partners. * Represent the organization positively in all interactions with customers and partners. |
Continuous Improvement * Stay informed about industry trends, regulatory changes, and best practices related to the 340B program. * Participate in professional development opportunities, including conferences and seminars. * Contribute to special projects and initiatives aimed at enhancing program efficiency and effectiveness. |
Compliance/Safety * Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. * If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. * Completes all company mandatory modules and required job-specific training in the specified time frame. |
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| Certification & Licensures |
| Experience |
| CALL REQUIRED: |
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