Enterprise 340B Audit & Compliance Analyst

🕒 Outubro 27

⚔️ Virginia, West Virginia – Remoto

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 10%

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 14 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 WVU Medicine Health System • Review operating and regulatory compliance procedures and controls • Perform ongoing internal audits, data analysis, and operational reviews • Develop systems and processes to limit program liabilities and identify risks • Review utilization records and 340B purchasing accounts • Monitor monthly and annual 340B participation reports • Perform monthly compliance audits of pharmacies, patient eligibility, provider eligibility, and location eligibility • Monitor purchasing records, contract compliance, 340B compliance, and pricing • Maintain 340B Program and Split Billing Software, including product mapping, charge codes, testing, validation, and purchase-data uploads • Assist covered entities with reporting, data requests, and inquiries • Provide purchasers with information and assistance to maximize 340B benefits • Review product accumulations, ineligible claims, single-dose vial waste, and charge-code billing units • Create ad hoc reports and perform targeted, negative, accumulator, and compliance audits • Share findings and documentation with pharmacy leadership, Finance, and Administration

🎯 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 and interpersonal skills • Ability to interpret and analyze data • Understanding of basic computer programs and knowledge of MS Office applications including Word, PowerPoint, Excel and Outlook • Preferred: Associate’s or Bachelor’s degree in Information Technology, Business Management, or Hospital Administration • Preferred: Nationally Certified Pharmacy Technician • Preferred: Apexus Advanced 340B Operations Certificate • Preferred: 340B Drug Pricing Program experience • Preferred: Experience in data analysis, audit process and reporting • Preferred: Hospital or retail pharmacy experience

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