340B Auditor

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🕒 March 17

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Logo of SpendMend

SpendMend

201 - 500 employees

⚕️ Healthcare Insurance

🏢 Enterprise

☁️ SaaS

💰 Venture Round on 2022-09

Healthcare Insurance • Enterprise • SaaS

SpendMend is a company dedicated to serving organizations in the healthcare industry, including hospitals, clinics, pharmacies, and suppliers, for over 30 years. They focus on reversing and preventing financial leakage and improving operational efficiency to positively impact patient care. SpendMend offers innovative cost-saving solutions, transaction analysis, and enhanced visibility across business relationships. They are HITRUST i1 certified and specialize in illuminating dark data within the healthcare sector to assist organizations in running more efficiently, making informed decisions, and reducing costs. Their services include profit recovery, compliance, auditing, and spend analytics, uniquely tailored to healthcare systems, pharmacies, and medical suppliers.

📋 Description

• Conduct onsite and remote audits both independently and with support • Perform a gap analysis of policy and procedures following a policy checklist • Review and finalize audit agendas and data request lists • Develop an individualized audit guide prior to the pre-audit call • Present all audit prep work, notes, and sample results in audit guide • Audit patient records to determine if prescription written is from an eligible clinic or hospital location, by a covered entity provider, and the prescription is related to the care received at the covered entity and documented in the EHR • Monitor ordering/purchasing processes, and analyze invoices, shipping, and inventory processes related to 340B drugs • Professional audit summary writing is expected immediately following an audit • Complete audit summary report draft within one week of audit • Lead entrance and closing conferences • Provide client an education slide deck

🎯 Requirements

• 1-3 years’ experience in 340B related operations • Knowledge of the healthcare environment, electronic health records, and 340B program in general • Previous experience as a compliance analyst, specialist, or pharmacy team member • Proficiency with at least one split billing vendor/platform • Possess understanding of contract pharmacy operations • Reside near a major US International Airport • Pharmaceutical purchasing/inventory experience • Excellent verbal and written communication skills • Customer focused with strong personable, social, and communication skills • Able to identify and resolve issues • Flexible and able to collaborate within a group and with clients • Proficient in Microsoft office, includes MS Word, Excel, and PowerPoint • Self-directed and ability to work independently • Accuracy, timeliness, and attention to detail • 340B Compliance Training Requirements: Begin 340B Advanced Certificate Program within first 3 months of hire and complete within 9 months of hire • Attendance at one 340B Coalition meeting annually • Participate in quarterly staff education

🏖️ Benefits

• Participate in weekly team meetings • Expand professional development through 340B related classes and seminars, current publications, and regional/national association membership participation.

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