340B Audit and Compliance Analyst – Mixed-Use Pharmacy

🕒 Outubro 9

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 14%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 32 dias.
• As vagas desta empresa costumam ser preenchidas em 24 dias.
• Sem salário divulgado.

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WVU Medicine

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

⚕️ Seguro de Saúde

Healthcare • Healthcare Insurance

WVU Medicine é um sistema de saúde abrangente afiliado à West Virginia University, fornecendo serviços médicos através de uma rede de hospitais em todo o estado da Virgínia Ocidental. O sistema inclui instalações notáveis como o J. W. Ruby Memorial Hospital, WVU Medicine Children's, e vários outros centros médicos regionais. WVU Medicine oferece uma ampla gama de serviços de saúde, incluindo tratamentos médicos especializados e avançados, como cirurgia cardíaca robótica. Também está envolvido na educação médica, pesquisa e iniciativas de saúde comunitária, enfatizando a missão de fornecer cuidados de alta qualidade às comunidades que serve.

Descrição

• Assist with coordination of the 340B Drug Pricing Program for qualified entities throughout the WVU Medicine Health System • Review operating and regulatory compliance procedures and controls • Conduct ongoing internal audits, data analysis, and operational reviews • Develop systems and processes to limit program liabilities and prevent duplicate discounts and diversion • Review utilization records and 340B purchasing accounts • Monitor monthly and annual 340B participation reports • Perform monthly compliance audits of contract pharmacies, hospital-owned retail pharmacies, specialty pharmacies, and hospital mixed-use pharmacy • Audit patient, provider, and location eligibility • Monitor purchasing records, utilization, savings, problem areas, and discrepancies • Maintain 340B Program software product mapping, charge codes, and ratios • Maintain, test, and validate 340B Split Billing Software and its communication with pharmacy software • Monitor purchases for contract compliance, 340B compliance, and accurate pricing • Assist covered entities with reporting, data requests, and inquiries • Upload purchase data to 340B Split Billing Software monthly • Perform mapping verification audits • Provide purchasers with information and assistance for 340B ordering • Review product accumulations and ineligible claim data • Complete single-dose vial reporting and waste input • Update charge-code billing units from Epic in split-billing software • Create ad hoc reports for program optimization and compliance • Perform targeted audits, negative audits, referral process development, suspect pending claim reviews, accumulator reviews, and compliance audits

🎯 Requisitos

• High School Diploma or Equivalent • Three (3) years of healthcare, finance, or pharmacy experience • Ability to handle and maintain confidential information • Ability to work independently or cooperatively as a team member • Ability to adapt to various workloads and assignments • Analytical and problem-solving skills • Effective verbal and written communication skills • Interpersonal skills necessary to communicate effectively with all levels of management • Ability to interpret and analyze data • Understanding of basic computer programs • Knowledge of MS Office applications including Word, PowerPoint, Excel and Outlook • Must be able to sit for long periods of time • Extended periods of computer and telephone usage • Must be able to move throughout department work areas

🏖️ Benefícios

• Full-time position • 40 scheduled weekly hours

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