Description
About the Job
General Summary of Position
This position conducts monitoring analysis investigations and special projects on behalf of the MedStar Pharmacy program in order to ensure compliance with 340B regulations. Primary responsibility includes positive validation of specialty pharmacy claims for 340B eligibility. The analyst assists with development of monitoring protocols and efficient and effective internal controls for the 340B operations of the pharmacy and performs audits that meet the government agencies' requirements to self-audit (OPA and HRSA). These functions are to be performed in accordance with all applicable laws and regulations of MedStar Health's philosophy policies procedures and standards. This position relies on strong analytical skills ability to multi-task problem solve and communicate effectively across various disciplines levels and segments of the organization.
Primary Duties and Responsibilities
- Ensures compliance with 340B program requirements as well as optimization of the 340B program in the pharmacy setting on behalf of MedStar covered entities. In collaboration with hospital and system 340B resources, the Analyst performs transactional self-audits.
- Obtains, analyzes and reports data to identify and evaluate the system of control in the 340B Drug Program. Monitors GPO spend. Documents analytical findings in accordance with department standards.
- Identifies opportunities for improvement, analyzes the effect of the weaknesses, researches causes and formulates recommendations. Identifies opportunities for 340b optimization.
- Reads regulations/ journals/articles related to compliance and analysis of the Specialty Pharmacy program and financial performance. Participates in conferences and/or webinars pertinent to the 340B Drug Program. Attends education/training events (internal and external).
- Monitors virtual accumulations for negative accumulations and buy back opportunities to ensure compliance and optimization on the purchasing side. Works with Pharmacy Techs / Buyer to resolve discrepancies and realize opportunities.
- Communicates in writing in the form of memos reports and emails. Written communication should be clear and concise using explicit and unambiguous terminology and convey a professional tone and rational logic at all times. Strong presentation skills: analyst must be able to present their findings and answer questions in a group setting. Tactful and respectful communication is essential and non-verbal communication should be professional and demonstrate respect and tolerance. Provides communication of analytical findings to department or corporate leadership as directed by management.
- Assists in the implementation and management of split-billing software in the Specialty Pharmacy setting.
- Demonstrates the ability to manage multiple projects often with the same deadlines.
- Advanced ability in team participation. The analyst is a strong team member and works collaboratively with other team members to make appropriate contributions. Participates on the 340B Steering Committee.
- Performs other duties as assigned.
Minimal Qualifications
Education
- Bachelor's degree required
Experience
- 3-4 years experience working in hospital or retail pharmacy environments and two of those in 340B required
Licenses and Certifications
- CPhT preferred
This position has a hiring range of
USD $58,656.00 - USD $98,384.00 /Yr.
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