Bon Secours Mercy Health

Analyst – 340B Programs

Bon Secours Mercy Health

full-time

Posted on:

Location Type: Remote

Location: Virginia • United States

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About the role

  • Provides 340B TPA implementation support ensuring software configurations align with covered entity program compliance expectations.
  • Analyzes and compiles claims data extracts as required by manufacturers or other third parties to access 340B pricing through contract pharmacies.
  • Provides price contract analytics to confirm appropriate application across covered entity 340B accounts.
  • Supports covered entities by ensuring prompt replenishment of 340B drugs to contract pharmacies through applicable delivery models.
  • Supports the Manager through 340B consulting and program management service deliverables to external clients.
  • Provides compliance and financial performance reports for BSMH and external client Covered Entity programs through benchmarking dashboards and data analytic modeling.
  • Serves as the split billing software expert in order to troubleshoot software/data issues and continually improve software functionality.
  • Works with appropriate teams to ensure that the 340B software is coordinated and integrated with the clinical information system software.
  • Ensures integrity of split billing software and reviews applicable software reports to identify areas of improvement.
  • Triage live-site issues within the split billing software, electronic medical record, or charge master as it relates to 340B.
  • Collaborates with Epic charge team and charge master managers on a corrective action plan and participate in the implementation of any necessary changes.
  • Coordinates covered entity issue resolution process with split billing software vendor.
  • Ensures appropriate split billing software configurations are in place and continually update software to ensure alignment with revenue cycle/charging practices, Epic build, and Bon Secours Mercy Health Policies.

Requirements

  • 340B University Certificate (Live/On Demand) (required)
  • 340B Advanced Operations Certificate (preferred)
  • Bachelors, Healthcare Administration/Business, Finance, Information Technology, Analytics, Pharmacy, Computer Science, Management Information Systems, or a related field (required)
  • 2 years’ experience with pharmacy 340B (required)
  • 3 years’ experience in business, analytics, or auditing (preferred)
  • MS Office (Excel)
  • Dashboard design
  • Advanced knowledge of 340B Drug Pricing Program and/or healthcare billing regulations and practices
  • Experience in Epic Electronic Health Record Auditing hospital charging/patient records
  • Experience in 340B Split Billing/Third Party Administrator Software and/or manual 340B operations
  • Previous experience in managing HRSA 340B audits and corrective action plans
  • Knowledge/training in Microsoft Access
  • Experience in drafting Policies and Procedures
  • Previous drug purchasing and/or wholesaler experience
  • Experience in training employees, excellent communication skills, and experience leading large-scale software implementations
  • Strong interest in pharmacy practice advancement and pharmacy services leadership
  • Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.
  • Ability to ensure a high level of customer service for all customers including patients, local sites, local and home office employees, physicians and other medical professionals, visitors, and external stakeholders
  • Computer skills – word processing, spreadsheets, PowerPoint®, drug databases
  • Familiarity with various software, equipment and technology necessary to provide pharmacy services
  • Knowledge of pharmacy services within acute and ambulatory care environments of an integrated health system and an ever-changing environment
  • Knowledge of laws and regulations regarding pharmacy and external medication related quality metrics
  • Ability to positively affect collaboration, promote teamwork and achieve consensus
Benefits
  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
  • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
  • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
  • Tuition assistance, professional development and continuing education support
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
340B Drug Pricing Programsplit billing softwaredata analyticsdashboard designEpic Electronic Health RecordHRSA 340B auditsMicrosoft Accesspolicies and procedures draftingpharmacy operationsbusiness analytics
Soft Skills
excellent communication skillsleadershipcustomer servicecollaborationteamworkproblem-solvingtrust-buildingcredibilityunderstandingtraining
Certifications
340B University Certificate340B Advanced Operations Certificate