340B Auditor

Yesterday

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

+1 more states

🐎 Kentucky – Remote 🏈 Ohio – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Bon Secours Mercy Health

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Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

10,000+ employees

Founded 2018

⚕️ Healthcare Insurance

📋 Description

• 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. • 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.

🎯 Requirements

• Required Minimum Education: High School Diploma / GED • Preferred Education: 2 Year Degree Specialty/Major: Business, Information Technology/Analytics, Pharmacy, or related field • Minimum of 1-2 years’ experience with pharmacy 340B required or; 1-2 years – progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred • 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. • 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

🏖️ Benefits

• 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