Pharmacy Compliance Analyst

February 18

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CAN Community Health

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CAN Community Health (CAN), a not-for-profit, community-based organization with clinics in Florida, Arizona, New Jersey, South Carolina, Texas, and Virginia, has provided specialized medical care for over 30 years. What began as a small health clinic founded by our trailblazer Susan Terry in 1991 off East Ave in Sarasota, FL, has now transitioned into a national healthcare organization serving those affected by HIV, STDs, and Viral Hepatitis.

HIV/AIDS • STDs • Hepatitis C • HIV Education

201 - 500 employees

📋 Description

•This position works with the Pharmacy Compliance Supervisor and VP Quality, Analytics and Pharmacy Operations to ensure compliance with the 340B program as well as to maximize the benefits of the program. •Assist Supervisor with daily operations/auditing of the 340B program (for Contract Pharmacies and In-house Pharmacies). •Ensures compliance, adheres to legal requirements, and maintains data integrity of the 340B program to achieve maximum savings opportunities. •Responsible for following 340B policies and procedures established by the organization and the guidelines established by HRSA. •Collaborating with the 340B Pharmacy Compliance Analyst team and Supervisor to monitor completion of 340B monthly audits. •Strong knowledge of clinical terminology including ICD10 codes, sig codes, pharmaceutical calculations, medications, and other related terminology. •Supporting program projects to ensure operational efficiency targets via data analysis. •Assist Pharmacy Compliance Supervisor in organizing and reporting monthly findings of internal 340B audits. •Developing short- and long-term goals that meet established objectives and contribute to the overall goals of the 340B team/program. •Executes, and documents internal audits of the 340B processes. •Coordinates, reviews, and ensures remediation of findings in collaboration with the Pharmacy Compliance Supervisor. •Constructs appropriate KPI metrics to assess areas of improvement. •Ensures compliance with the 340B program requirements of qualified patients, drugs, providers, vendors, payers, and locations. •Supports all ad-hoc/external audit requests and HRSA 340B Audits. •Audits 100% of claims they are responsible for. Ranging from approximately 15,000 - 30,000 claims per 6-month period, at the minimum at 1,500 and maximum of 3,000 claims per month, unless directed otherwise. •Maintains and monitors project workload with Pharmacy Compliance Supervisor. •Assist Pharmacy Compliance Supervisor with extracting monthly files from TPA vendor portals, when applicable. •Responsible for maintaining knowledge of the 340B industry changes. •Assist in developing and ensures Compliance with Training material, Resources, workflows (i.e., EMR SOPs). •Ensures compliance with the In-Clinic Administration 340B program requirements of qualified patients, drugs, providers, wholesaler, payers, and locations. •Promotes and practices CAN Community Health, Inc.’s mission, values and follows policies. •Cross trains within the department to increase understanding of various 340B programmatic operations. •Performs all other duties as requested.

🎯 Requirements

•Demonstrates ability to self-motivate and be adaptable/flexible to change. •Strong knowledge of healthcare environment and 340B Drug Discount Program. •Experience working with Electronic Health/Medical Record (EMR/EHR systems) preferred. •Excellent organizational skills with attention to detail. •Prior experience with split billing/340B compliance software and tools preferred. •Must be proficient with Microsoft Office Suite, specifically Excel (required). •Ability and willingness to work in a fast-paced and demanding environment. •Demonstrated problem solving, analysis, and resolution at strategic and functional levels. •Proven customer service orientation with exceptional interpersonal and communication skills. •Functional understanding of online technology. •Ability to travel for job-related activities as necessary. •Good oral/written communication skills. •Ability to utilize problem-solving techniques. •Ability to utilize decision-making techniques. •Ability to function autonomously and as a team member in a multidisciplinary team. •Effectively use reports, and other analytical tools to help target efforts for maximum program results. •Ability to work with minimal supervision.