Pharmacy Compliance Financial Analyst

Company: Holland Hospital
Location: Holland
Posted on: January 26, 2023

Job Description:

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.The 340B Program Analyst (Pharmacy Compliance Financial Analyst) will assure that Holland Hospital fully optimizes the 340B drug discount program through full participation in all qualified areas with all applicable products to ensure greatest cost savings returns throughout the institution, as well as Contract Pharmacy environments. Working as a member of the 340B Leadership team, the 340B Program analysts' key areas of responsibility are, but not limited to 340B, participation in drug purchasing, inventory processes, monthly reporting, split-billing software maintenance, audits, contract pharmacies, dispensing monitoring, and all areas of program compliance. The Analyst may be asked to assist in additional areas of the 340B Program when needed.Prefer Pharmacy purchasing or Pharmacy Technician, 340B Program experience, 3+ years of Pharmacy or audit/analyst experience preferred.*Bachelor's degree in healthcare, finance, or related field or a combination of education and experience is preferred, but not required.*Two years related pharmacy technician or program analyst/audit experience is required; 340B experience is highly desirable.*Willingness to pursue Apexus Advanced 340B Operations Certificate within 90 days of hireThe successful applicant must demonstrate high attention to detail, analytical, and leadership skills.Be responsible to the director of Pharmacy, the 340B Leadership team and to the institutional compliance authority regarding adherence to the qualifications to the details, policies, and procedures of the 340B Program regulations and guidelines.Through a thorough understanding of the 340B program, consistently improve the overall efficiency, value and internal support of the program.Develop reports (cost analysis, trends and forecasts) used to educate staff and give strategic guidance to 340B Program leaders and Hospital leadership.Routinely monitor all areas of 340B outpatient use with 340B Leadership, Pharmacy, Supply Chain and Finance to ensure maximum participation continually looking for additional qualified areas, contract pharmacies, and hospital services.Monitor utilization records and purchasing accounts to ensure the billing extract data and split billing software are working appropriately.Ensure use of 340B priced products in all qualified outpatients, implementing procedures for pricing exclusions, product shortages requiring alternative products, filtering out non-eligible transactions including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs associated with manufacturer rebates, drugs provided free by manufacturers, those provided at non-eligible locations, or written by non-eligible providers.Develop process of continually reviewing 340B account records for exceptions, drugs required to be purchased at WAC, quickly detecting, and addressing costly changes.Develops and maintains processes to evaluate and capture referral claims, maximizing program savings and assuring auditable records.Monitor medication repurchasing, assisting, when necessary, as the purchasing team/Pharmacy replenish inventory, assuring appropriate account usage (WAC, GPO, and 340B).Comply with all track-and-trace legal requirements of the Drug Supply Chain Security Act for purchasing and distribution of drug products.Participate in the routine up-dating of the CDM/crosswalk for new products, product changes or errors thus ensuring the accuracy of the utilization report and split-billing process.Through financial analysis, strive to recognize the value opportunity of the 340B program and track the overall financial impact to the organization.Collaborate with the 340B Pharmacy Program team to develop daily, monthly, quarterly, and yearly audit metrics ensuring compliance with 340B program requirements and guidelines.Leads 340B program self-audits of 340B pharmacy operations documenting procedures for presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.Positively represents Holland Hospital to all 340B Program customers, and participates in routine program review with manufacturers, contract pharmacies, hospital departments, third party administrators.Develop 340B quality assurance training for Holland Hospital Staff as appropriate. When necessary, assigning staff to 340B University OnDemand training based on their role/responsibility and providing proactive education to staff on policies and procedures related to inventory management and 340B procedures.Develop and foster working relationships with internal working counterparts (IT, Internal Audit team. Pharmacy, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.Provide data, information and reports as needed for other business units within the organization.Participate in all external audit (e.g. HRSA, Manufacturer) and actively retain knowledge on producing necessary data needed to support these audits in a timely fashion.Attend conferences and meetings as requested, regularly monitor HRSA and OPA publications and websites as well as the professional media, literature, and peers to insure the 340B Pharmacy team has the latest information regarding interpretations, rulings, suggestions, and progressive ideas for improving participation.Requirements:Bachelor's degree in healthcare, finance, or related field or a combination of education and experience is preferred, but not required.Two years related pharmacy technician or program analyst/audit experience is required; 340B experience is highly desirable.Willingness to pursue Apexus Advanced 340B Operations Certificate within 90 days of hireThe successful applicant must demonstrate high quality interpersonal relations, analytical and organizational skills.Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

Keywords: Holland Hospital, Grand Rapids , Pharmacy Compliance Financial Analyst, Accounting, Auditing , Holland, Michigan