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340B Program Analyst- 875015

Gerald Champion Regional Medical Center
Alamogordo, NM Full Time
POSTED ON 6/20/2023 CLOSED ON 12/4/2023

Job Posting for 340B Program Analyst- 875015 at Gerald Champion Regional Medical Center

Self-Audit

  • Perform monthly audits of contract pharmaci
  • Perform monthly self-audits of 340B pharmacy operations on inpatient and retail pharmacies.
  • Ensure compliance with 340B Program requirements for qualified patients, drugs, and location
  • Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
  • Data management to filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible provider
  • Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital stat
  • Ensure that facilities maintain adherence to 340B Program regulations and guidelines.
  • Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program complian Provide data, information, and reports as needed for other business units within the organization.

Reporting

  • Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organizatio Build other reports, as appropriate, to monitor and improve 340B Program compliance and performance.
  • Maintain copies of reports for compliance and audit purpose
  • Collaborate with the Pharmacy, Compliance, and 340B Oversight Council to develop monthly, quarterly, and yearly audit metrics.
  • Construct appropriate financial metrics to assess areas of improvement.
  • Develop and update 340B Program reporting packages detailing volume, financial value, and other reporting metrics as neede
  • Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 cod Summarize and report results to the appropriate individuals.
  • Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency.
  • Perform covered entity-specific gross financial analysis and make recommendations to improve program performance. Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.
  • Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.
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Salary.com Estimation for 340B Program Analyst- 875015 in Alamogordo, NM
$62,789 to $84,341
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