340B Analyst

🕒 May 1

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Debt Financing on 2019-11

Healthcare Insurance

SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.

📋 Description

• Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies. • Supports for implementation of new child sites, shipping addresses and/or contract pharmacies. • Assists with Office of Pharmacy Affairs (OPA) database changes and updates. • Monitors and audits state Medicaid claims to ensure compliance. • Reconciles contract pharmacy payments against revenue posted by Finance. • Evaluates patient eligibility in mixed-use areas and clinics in electronic medical records (EMR). • Develops and updates 340B Program reporting packets for SSM ministries. • Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator’s (TPA) portal. • Ensures compliant setup for secondary suppliers and wholesaler accounts. • Performs other duties as assigned.

🎯 Requirements

• Experienced with 340B program operations and audits • Advanced 340B Operations Certificate within 18-months of hire date - Apexus • Bachelor's degree or equivalent combination of experience and education • Five years' experience

🏖️ Benefits

• Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. • Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.