At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Remote Opportunity
Full Time - Days
Summary
The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager and be responsible for completing and documenting audits as outlined in the 340B policies and procedures. Functions will include execution and documentation of daily, weekly, monthly and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to perform specialized audits/projects as required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 340B Program Manager. Additionally, the 340B Auditor will be responsible for preparing and uploading required data to 340B software systems while ensuring that all data is imported to 340B software systems as expected.
Essential Job Functions
Monitors 340B compliance for all aspects of the 340B Program and implements all applicable aspects of HRSA's Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.
Responsible for the day-to-day compliance review of clinic-administered medications in eligible locations, mixed-use/340B only areas managed by split-billing software, areas managed by manual methods, outpatient prescriptions fulfilled by an owned pharmacy, and/or outpatient prescriptions fulfilled by a contract 340B pharmacy.
Conducts daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies. Documents results as required per policy and procedure. Audits assess compliance with HRSA's policies including but not limited to 340B eligibility, diversion, and GPO prohibition.
Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits
Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use as well as 340B only areas and clinics by reviewing patient medical records, insurance plans, and hospital status.
Assists with 340B external audits as assigned
Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares data for upload into software systems as needed.
Assists with creating, refining, and executing 340B audits as assigned
Reports all findings and matters through appropriate channels as outlined in policy and procedure which include the 340B Program Manager and 340B Analyst for the respective covered entity.
Assists 340B Program Manager and 340B Analyst with special projects as assigned
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Not applicable to this position.
Employment Qualifications
Required Minimum Education: High School Diploma / GED
Preferred Education: 2 Year Degree
Specialty/Major: Business, Information Technology/Analytics, Pharmacy, or related field
Licensing/ Certification -
Licensure/Certification Required: None
Licensure/Certification Preferred: 340B University (Live / On Demand); National Pharmacy Technician License
Minimum Qualifications
Minimum Years and Type of Experience
Other Knowledge, Skills and Abilities Required
Healthcare system knowledge base/skills
Proficiency in Microsoft Office software, specifically Excel, Word, and Outlook
Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems
Ability to work in a complex team environment and to collaborate with peers to complete required work
Strong interest in pharmacy practice advancement
Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.
Other Knowledge, Skills and Abilities Preferred
Knowledge of hospital and/or retail pharmacy workflows and/or operations
Previous drug purchasing and/or wholesaler experience
Previous work and/or training in 340B
Previous auditing experience
Experience with working with EPIC EMR system(s)
Knowledge of hospital billing practices and regulations
Experience in Microsoft Access
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
