340B Analyst

Mercy Health; Cleveland (OH); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Competitive pay

Tuition assistance

Medical, dental, vision coverage

Job summary

Mercy Health seeks a 340B Analyst to ensure program integrity and compliance across the 340B Drug Pricing Program. You will manage program coordination, software interfaces with EMR, and real-time guidance to buyers and staff to maximize savings and compliance.

You will develop internal and external relationships, prepare monthly 340B reports, and drive continuous improvement with Epic, contract pharmacies, and stakeholders while aligning with Mercy Health policies.

Qualifications

• 2 year/Associates Degree: Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy or a related field
• 4 year/Bachelors Degree: Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy or a related field
• Licensure/ Certification Required
• 340B University Certificate (Live/On Demand)
• Licensure/Certification Preferred
• 340B Advanced Operations Certificate
• Minimum Years and Type of Experience
• Minimum of 1-2 years’ experience with pharmacy 340B required
• Minimum of 2 years’ experience in business, analytics, or auditing preferred
• Proficiently trained in Microsoft Office Software, specifically Microsoft Outlook and Excel
• Advanced knowledge of 340B Drug Pricing Program and/or healthcare billing regulations and practices
• Experience in Epic Electronic Health Record
• Auditing hospital charging/patient records
• Experience in 340B Split Billing/Third Party Administrator Software and/or manual 340B operations
• Excellent communication skills with ability to develop cross-departmental professional relationships
• Ability to begin 340B operations in new environment (including program operations design, setup of split billing software or manual tracker, staff education, policy and procedure development)
• Knowledge/training in Microsoft Access
• Experience in drafting Policies and Procedures
• Previous drug purchasing and/or wholesaler experience
• Experience in training employees
• Experience in software implementations

Responsibilities

• Coordinate the 340B Drug Pricing Program and maintain the program’s standards
• Ensure HRSA requirements for program qualifications are met
• Work to continuously improve 340B program performance through program surveillance and identification program optimizations
• Serve as first step in scoping and escalating discovered operational or compliance issues in collaboration with internal audits and the 340B Auditors
• Responsible for immediate communication and escalation of compliance issues or gaps in 340B program operations
• Ensures compliant purchasing of 340B medications and provides real-time guidance to pharmacy buyers and staff on purchasing, inventory management, and other practices which maximize 340B compliance and savings
• Assists covered entity leadership to provide ongoing training, education and communication required for the 340B program at the entity
• Develops internal and external customer service relationships for effective program management
• Creates/maintains monthly reports of 340B program metrics and financial savings
• Analyzes monthly reports, completes monthly variance reporting, and identifies cost savings and system improvements to maximize compliance
• Serve as the split billing software expert to troubleshoot software issues and continually improve software functionality
• Works with appropriate teams to ensure that the 340B software is coordinated and integrated with the clinical information system software
• This shall include the electronic interface between the EMR and the virtual accumulator and any interface between Bon Secours Mercy Health and contract pharmacy providers and/or administrators
• Ensures integrity of split billing software and reviews applicable software reports to identify areas of improvement
• Ensure covered entity is successfully utilizing the split billing software to place orders in a compliant manner which demonstrates cost savings for the ministry
• Triage live-site issues within the split billing software, electronic medical record, or charge master as it relates to 340B
• Collaborate with Epic charge team and charge master managers on a corrective action plan and participate in the implementation of any necessary changes
• Coordinate covered entity issue resolution process with split billing software vendor
• Ensure appropriate split billing software configurations are in place and continually update software to ensure alignment with revenue cycle/charging practices, Epic build, and Mercy Health policies
• Serves as primary internal liaison to ensure appropriate utilization of the 340B program and compliance with all program requirements
• Escalates any identified compliance issues to covered entity stakeholders and the 340B Manager
• Develops action plans to mitigate and/or remove any potential or identified compliance concerns and works to implement approved programmatic changes
• Participate in sub-committees of the 340B Executive Oversight Committee to develop and update policies and procedures for the 340B program
• Provides education to covered entity pharmacy team and works to ensure pharmacy operations are in alignment with the 340B policies and procedures
• Works with affiliated departments to ensure 340B program integrity
• Provides ongoing compliance coaching to 340B staff and participants
• Participates in system 340B committees and with covered entity leadership to develop a comprehensive internal audit plan
• Conduct regular 340B internal audits and data analysis to identify risk and prevent a compliance breach
• Document audit completion/results and communicate results and elevate issues to identified parties
• Continually monitor 340B regulations and legislation, attend ongoing trainings/conferences to help ensure continued compliance with current regulations
• 340B Analyst will work collaboratively with other pharmacy 340B team members and become a subject matter expert in one or more fields

Skills

Microsoft Office

Excel

Outlook

Education

Associate Degree in Healthcare Administration/Business/Finance/IT/Analytics/Pharmacy

Bachelor’s Degree (preferred)

Tools

Epic EHR

Split Billing Software

340B Software

Job description

Summary Of Primary Function/General Purpose Of Position

The 340B Analyst is responsible for 340B compliance, program integrity, and financial optimization of the program within the covered entity(ies) participating in the 340B Drug Discount Program. The 340B Analyst will be tasked with program management and coordination, configuration and maintenance of software systems, providing support for the daily operations of the covered entity to maintain compliant 340B practices, and other projects as assigned by the 340B Program Manager. The 340B Analyst will work alongside 340B Auditor to complete, validate, and document completed audits related to program compliance. The 340B Analyst is also responsible for ensuring continuous alignment between covered entity operations and 340B Policies and Procedures. To accomplish these roles, the 340B Analyst must establish and maintain excellent customer service relations with individuals, committees, and other associated stakeholders in the 340B Program.

Essential Job Functions

Coordinates the 340B Drug Pricing Program and maintains the program’s standards. Ensures HRSA requirements for program qualifications are met. Works to continuously improve 340B program performance through program surveillance and identification program optimizations. Serves as first step in scoping and escalating discovered operational or compliance issues in collaboration with internal audits and the 340B Auditors. Responsible for immediate communication and escalation of compliance issues or gaps in 340B program operations. Ensures compliant purchasing of 340B medications and provides real-time guidance to pharmacy buyers and staff on purchasing, inventory management, and other practices which maximize 340B compliance and savings. Assists covered entity leadership to provide ongoing training, education and communication required for the 340B program at the entity. Develops internal (Bon Secours Mercy Health and covered entity healthcare personnel, administrations, leadership, etc.) and external (Office of Pharmacy Affairs/Health Resources and Services Administration, Apexus, wholesalers, drug manufacturers, non-Bon Secours Mercy Health healthcare professionals, etc.) customer service relationships for effective program management. Creates/maintains monthly reports of 340B program metrics and financial savings. Analyzes monthly reports, completes monthly variance reporting, and identifies cost savings and system improvements to maximize compliance. Serve as the split billing software expert in order to troubleshoot software issues and continually improve software functionality. Works with appropriate teams to ensure that the 340B software is coordinated and integrated with the clinical information system software. This shall include the electronic interface between the EMR and the virtual accumulator and any interface between Bon Secours Mercy Health and contract pharmacy providers and/or administrators. Ensures integrity of split billing software and reviews applicable software reports to identify areas of improvement. Ensure covered entity is successfully utilizing the split billing software to place orders in a compliant manner which demonstrates cost savings for the ministry. Triage live-site issues within the split billing software, electronic medical record, or charge master as it relates to 340B. Collaborate with Epic charge team and charge master managers on a corrective action plan and participate in the implementation of any necessary changes. Coordinate covered entity issue resolution process with split billing software vendor. Ensure appropriate split billing software configurations are in place and continually update software to ensure alignment with revenue cycle/charging practices, Epic build, and Bon Secours Mercy Health Policies. Serves as primary internal liaison to ensure appropriate utilization of the 340B program and compliance with all program requirements. Escalates any identified compliance issues to covered entity stakeholders and the 340B Manager. Develops action plans to mitigate and/or remove any potential or identified compliance concerns and works to implement approved programmatic changes. Participate in sub-committees of the 340B Executive Oversight Committee to develop and update policies and procedures for the 340B program. Provides education to covered entity pharmacy team and works to ensure pharmacy operations are in alignment with the 340B policies and procedures. Works with affiliated departments (finance, information technology, medical staffing office, etc.) to ensure 340B program integrity. Provides ongoing compliance coaching to 340B staff and participants. Participates in system 340B committees and with covered entity leadership to develop a comprehensive internal audit plan. Conduct regular 340B internal audits and data analysis to identify risk and prevent a compliance breach. Document audit completion/results and communicate results and elevate issues to identified parties. Continually monitor 340B regulations and legislation, attend ongoing trainings/conferences to help ensure continued compliance with current regulations. 340B Analyst will work collaboratively with other pharmacy 340B team members and become a subject matter expert in one or more of the following fields: Contract Pharmacy, Policy and Procedure, Data & Reporting, Compliance (Audits), and/or 340B Split Billing Software. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications

Required Minimum Education

2 year/Associates Degree: Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy or a related field

Preferred Education

4 year/Bachelors Degree: Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy or a related field

Licensing/ Certification

• Licensure/Certification Required
• 340B University Certificate (Live/On Demand)
• Licensure/Certification Preferred
• 340B Advanced Operations Certificate

Minimum Qualifications

Minimum Years and Type of Experience

• Minimum of 1-2 years’ experience with pharmacy 340B required
• Minimum of 2 years’ experience in business, analytics, or auditing preferred

Other Knowledge, Skills And Abilities Required

• Proficiently trained in Microsoft Office Software, specifically Microsoft Outlook and Excel
• Advanced knowledge of 340B Drug Pricing Program and/or healthcare billing regulations and practices
• Experience in Epic Electronic Health Record
• Auditing hospital charging/patient records
• Experience in 340B Split Billing/Third Party Administrator Software and/or manual 340B operations
• Excellent communication skills with ability to develop cross-departmental professional relationships

Other Knowledge, Skills And Abilities Preferred

• Ability to begin 340B operations in new environment (including program operations design, setup of split billing software or manual tracker, staff education, policy and procedure development)
• Knowledge/training in Microsoft Access
• Experience in drafting Policies and Procedures
• Previous drug purchasing and/or wholesaler experience
• Experience in training employees
• Experience in software implementations

As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What We Offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [e-mail]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail]