340B Analyst
University Hospitals
full-time
Posted on:
Location Type: Hybrid
Location: Warrensville Heights • Ohio • United States
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Job Level
About the role
- Provide quality and organizational excellence through support of process improvement initiatives.
- Perform problem solving, independent decision-making, and coordination of quality programs.
- Audit across eligible areas within the pharmacy operations, as related to the 340B Drug Pricing Program.
- Evaluate patient eligibility for qualified and non-qualified patients by reviewing patient medical records, insurance plans, and visit statuses.
- Conduct daily audits of contract pharmacy claims to ensure 340B compliance and address and resolve reconciliation issues as they arise.
- Utilize data management tools to filter out non-eligible transactions, including drugs used to treat patients during inpatient care, Medicaid patients, manufacturer-provided free drugs, non-eligible locations, or prescriptions written by non-eligible providers.
- Collaborate with affiliated departments to ensure the integrity of the 340B Contract Pharmacy Program.
- Actively work on improving 340B program compliance through ongoing audits and process enhancements.
- Perform other duties as assigned.
Requirements
- High School Equivalent / GED (Required)
- 1+ years experience in a pharmacy, multi-system hospital, or physician practice setting (Required)
- Excellent organizational, analytical, and problem-solving skills (Required proficiency)
- Strong oral and written communication abilities (Required proficiency)
- Strong technical skills in utilizing Microsoft Office applications: Word, Excel, and Outlook (Required proficiency)
- Knowledge of the complexities and interdependencies of Insurance Benefits, Medical Records, and pharmacy operations (Preferred proficiency)
- Certified Pharmacy Technician (CPhT) (Preferred)
Benefits
- Complies with all policies and standards.
- Annual training.
- UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
process improvementauditingdata management340B compliancepatient eligibility evaluationproblem solvingdecision-makingquality programs coordinationcontract pharmacy claims auditing
Soft Skills
organizational skillsanalytical skillsproblem-solving skillsoral communicationwritten communication
Certifications
Certified Pharmacy Technician (CPhT)