340B Implementation Quality Assurance Analyst

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🔧 QA Engineer (Quality Assurance)

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Pillr Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Pillr Health is a leading provider of innovative solutions designed to optimize and streamline pharmacy operations. With a strong emphasis on enhancing efficiency, reducing costs, and improving patient outcomes, particularly within the 340B program, Pillr Health delivers scalable, user-friendly technology and expert consulting to healthcare providers and pharmacies. The company is committed to high standards of data security and compliance, making it a trusted partner in pharmacy administration and management.

📋 Description

• Ensure covered entities’ 340B Drug Discount Programs are implemented, operated, and maintained in compliance with HRSA regulations, internal policies, and program integrity standards • Oversee implementation, monitoring, and compliance of 340B programs • Conduct internal audits of OPAIS records, retail pharmacies, and Medicaid claims • Validate patient, provider, and drug eligibility for 340B transactions • Review state Medicaid billing requirements and compare them against claims data • Participate in external 340B program audits and prepare data and documentation • Develop and maintain 340B policies, procedures, and workflows • Administer referral prescription capture processes and monitor contract pharmacy portals • Investigate denials and reversals and coordinate remediation • Configure and maintain eligible provider tables, location/site mapping, and excluded NDCs/drugs • Identify compliance risks, prevent diversion, and ensure consistent processes • Develop staff training programs on 340B procedures and inventory management • Monitor regulatory updates and communicate implications to program operations • Generate utilization, savings, and exception reports • Collaborate with IT, audit, accounting, and pharmacy teams • Provide data, reports, and insights to support other business units

🎯 Requirements

• High school diploma/GED; pharmacy or healthcare-related degree preferred • 1–3+ years in 340B program work; prior QA, compliance, or pharmacy operations experience preferred • In-depth knowledge of HRSA 340B regulations and program mechanics • Proficiency in Excel, SQL, data analysis, and 340B software • Strong analytical, organizational, and communication skills • Ability to work independently and meet deadlines

🏖️ Benefits

• Health insurance • Flexible Spending Account (FSA) • Dental and Vision insurance • 401(k) retirement plan • Paid time off

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