340B Compliance Auditor I

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Achieve in-depth knowledge of the 340B Program and provide expert audit direction to staff and management • Maintain current knowledge of 340B-eligible locations, contract pharmacy network, and 340B purchasing procedures • Conduct accurate and efficient audits to identify risk and prevent duplicate discounts and diversion • Review and contribute to 340B policies and procedures to ensure compliance • Collaborate with the 340B Program Manager, 340B Program Director, and other stakeholders • Lead comprehensive 340B audits and internal controls • Support departmental revenue cycle and other key initiatives • Ensure compliance with 340B drug purchasing and perform monthly audits • Maintain split-billing software and perform basic crosswalk maintenance • Conduct contract pharmacy, mixed-use, spot, and compliance audits • Present and resolve reconciliation issues during monitoring and reconciliation • Evaluate patient eligibility and review medical records • Monitor drug purchases on GPO, WAC, and 340B accounts • Interact with wholesalers, vendors, information system service providers, insurance providers, pharmacies, internal departments, medical providers, and external auditors • Monitor compliance across 340B points of service • Review processes to minimize risk and prevent duplicate discounts or diversion • Perform compliance assessments of charge descriptions, utilization data, and reorder reporting

🎯 Requirements

• High School Diploma or Equivalent (GED) (Required) • Minimum of 2 years related work experience (Required) • Knowledge of 340B drug purchasing and federal 340B regulations • Experience with monthly auditing, split-billing software maintenance, contract pharmacy and mixed-use audits • Ability to evaluate patient eligibility through medical records, insurance plans, and hospital admission status • Ability to perform chart and medical record review • Ability to verify patient, provider, and medication information for claim submission • Ability to monitor GPO, WAC, and 340B drug purchases • Business Analysis • Critical Thinking • Healthcare Industry • Microsoft Excel

🏖️ Benefits

• Healthcare benefits for full time and part time positions from day one • Vision coverage • Dental coverage • Domestic partner benefits • Collaborative, cooperative and collegial work atmosphere

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