340B Analyst

🕒 il y a 1 mois

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of SSM Health

SSM Health

10 000+ employés

⚕️ Assurance santé

💰 Debt Financing en 2019-11

Healthcare Insurance

SSM Health est un système de santé catholique à but non lucratif servant des communautés à travers le Midwest. C'est l'un des plus grands systèmes de soins de santé catholiques aux États-Unis, opérant 23 hôpitaux et plus de 650 cabinets médicaux, ainsi que d'autres services de soins externes et virtuels dans l'Illinois, le Missouri, l'Oklahoma et le Wisconsin. SSM Health est dédiée à fournir des soins de haute qualité à travers un système de prestation de soins de santé complet et intégré. L'organisation valorise la diversité, l'inclusion, et la croissance professionnelle de ses 40 000 membres d'équipe. SSM Health est engagée dans des soins exceptionnels aux patients, illustrant un riche patrimoine de service depuis plus de 150 ans.

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.

🎯 Exigences

• 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

🏖️ Avantages

• 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.

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