Analyst, 340B Program - Contract Pharmacy jobs in United States
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The University of Texas Medical Branch · 17 hours ago

Analyst, 340B Program - Contract Pharmacy

The University of Texas Medical Branch is seeking an Analyst for their 340B Program. The role involves overseeing daily operations, compliance monitoring, and auditing of the 340B Drug Pricing Program, as well as collaborating with Pharmacy Buyers to optimize inventory management.

Hospital & Health Care
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Comp. & Benefits

Responsibilities

Develops a thorough understanding of the 340B Program. Strives to consistently improve the overall efficiency, value, and internal support of the 340B Program
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards including all HRSA Office and Pharmacy Affairs regulations related to the 340B Drug Pricing Program
Maintains up-to-date policies and procedures on 340B purchasing and inventory processes
Provides proactive education to staff on policies and procedures related to inventory management, split billing software, and 340B procedures including staff at contract pharmacies, clinics, and UTMB-owned pharmacies
Effectively communicates to wholesalers, pharmacists, leaders, and others as needed
Builds reports to monitor and improve 340B program compliance and performance. Maintains copies of reports for compliance and audit purposes
Participates in on-site mock HRSA audits with consulting firm and HRSA audits
Collaborates with the pharmacies and 340B Team to develop monthly, quarterly, and yearly audit metrics
Performs audits on a scheduled basis including presenting and resolving issues as they arise during the monitoring and reconciliation process
Uses the electronic health record (EPIC) to research patient encounters and records within the specified audit period. Documents and identifies whether the encounter was with an eligible physician, at an eligible location, and eligible patient status
Monitors and audits state Medicaid prescriptions to ensure compliance to prevent potential duplicate discount. Performs audits to ensure split billing software accumulators are accurate on an NDC level; performs physical inventory cycle counts as needed to verify the drug accumulations and/or NDC’s
Develops a thorough understanding of the 340B Third Party Administrator software and the functions to be performed. Reviews and monitors utilization records, 340B purchases, and contract pharmacy usage to ensure software and tools are working properly and accurately
Reviews contract pharmacy invoices prior to final approval; compiles and prepares invoices for the amount due to 340B Third Party Administrator; reviews amount due from contract pharmacy and follows up on discrepancies or past due amounts
Develops a thorough understanding of the split billing software and the functions to be performed. Reviews and monitors utilization records, 340B purchasing accounts, and pharmacy usage to ensure software and tools are working properly and accurately
Performs other information systems related duties and responsibilities as assigned or defined
Monitors and coordinates purchasing records for each cost center where the 340B accounts apply to ensure the GPO Prohibition rule is followed, WAC purchases are minimized when allowable and updates the split billing software with any direct purchase data
Provides buyers with information needed to place orders using the appropriate accounts (e.g., WAC, GPO, and 340B) to replenish inventory in the mixed-use inventory setting
Assesses opportunities for cost savings and system improvements to yield higher compliance
Partners with Pharmacy and IS to ensure NDC’s are current in the hospital software as well as the split billing software
Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and claim data
Proactively adapts to evolving 340B program requirements by learning and implementing new processes to ensure compliance and operational efficiency
Maintains accurate and up-to-date account and vendor records to support audit readiness and streamline reporting
Collaborates with external vendors to establish and manage accounts ensuring timely receipt and integration of purchase data
Develops expertise in the ADM program to ensure timely, accurate, efficient, and fully compliant 340B operations and assists with preparation and shipment

Qualification

340B Drug Pricing ProgramApexus 340B UniversityEPIC experienceBusiness analyticsHealthcare insurance collectionsSupply chain managementApexus Advanced 340B CertificateMicrosoft OfficeAnalytical skillsOrganizational skillsCommunication skillsTeam collaboration

Required

Associates degree or equivalent related work experience
2 years of 340B related work experience
Apexus 340B University

Preferred

Bachelor's degree in business, accounting, or finance
3 years of direct experience with pharmacy 340B Drug Pricing Program
3 years of experience in business and analytics
Working knowledge and understanding of medication and contract terminology; healthcare insurance collections, reconciliation, or analysis; supply chain management
EPIC experience
Apexus Advanced 340B Certificate Program
Registered as a Pharmacy Technician with the Texas State Board of Pharmacy

Company

The University of Texas Medical Branch

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The University of Texas Medical Branch is a component of the University of Texas System located in Galveston, Texas

Funding

Current Stage
Late Stage
Total Funding
$35M
Key Investors
National Institute of Allergy and Infectious Diseases
2024-09-13Grant
2019-04-09Grant· $35M

Leadership Team

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Donna Sollenberger
EVP and CEO, Health System
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Company data provided by crunchbase