340B Auditor

Bon Secours Mercy Health; Cleveland (OH); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive pay

403(b) retirement plan

Medical benefits

Paid time off

Parental leave

Disability insurance

Tuition assistance

Professional development

Job summary

Bon Secours Mercy Health in Ohio is seeking a 340B Auditor to monitor and audit the 340B Drug Discount Program across locations. You will perform daily, weekly, monthly, and quarterly audits, document findings, and support external audits as needed.

The role requires 1–2 years of 340B or related healthcare experience, a high school diploma (or GED), and proficiency with Microsoft Office and EMR systems. Strong attention to detail is essential.

Qualifications

• Healthcare system knowledge
• Proficiency in Microsoft Office (Excel, Word, Outlook)
• Ability to quickly learn EMR systems (e.g., EPIC) and 340B software
• Strong written and verbal communication skills
• Team collaboration in a complex environment

Responsibilities

• Monitors 340B compliance across program locations
• Performs daily/weekly/monthly/quarterly audits
• Documents audit results per policy
• Supports external audits as assigned
• Uploads and verifies data in 340B software systems

Job description

Summary Of Primary Function/General Purpose Of Position

The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager and be responsible for completing and documenting audits as outlined in the 340B policies and procedures. Functions will include execution and documentation of daily, weekly, monthly and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines. The 340B Auditor will collaborate with other 340B staff to perform specialized audits/projects as required. In conjunction with performing internal audits, the auditor will be responsible for assisting with external audits as assigned by the 340B Program Manager. Additionally, the 340B Auditor will be responsible for preparing and uploading required data to 340B software systems while ensuring that all data is imported to the software systems as expected.

Essential Job Functions

• Monitors 340B compliance for all aspects of the 340B Program and implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.
• Responsible for the day-to-day compliance review of clinic-administered medications in eligible locations, mixed-use/340B only areas managed by split-billing software, areas managed by manual methods, outpatient prescriptions fulfilled by an owned pharmacy, and/or outpatient prescriptions fulfilled by a contract 340B pharmacy.
• Conducts daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies. Documents results as required per policy and procedure. Audits assess compliance with HRSA’s policies including but not limited to 340B eligibility, diversion, and GPO prohibition.
• Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits.
• Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use as well as 340B only areas and clinics by reviewing patient medical records, insurance plans, and hospital status.
• Assists with 340B external audits as assigned.
• Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares data for upload into software systems as needed.
• Assists with creating, refining, and executing 340B audits as assigned.
• Reports all findings and matters through appropriate channels as outlined in policy and procedure which include the 340B Program Manager and 340B Analyst for the respective covered entity.
• Assists the 340B Program Manager and 340B Analyst with special projects as assigned.

Employment Qualifications

Education Qualification

Required Minimum Education: High School Diploma / GED

Preferred Education: 2 Year Degree in Business, Information Technology/Analytics, Pharmacy, or related field

Licensing/ Certification

Licensure/Certification Preferred: 340B University (Live / On Demand); National Pharmacy Technician License

Minimum Qualifications

Minimum Years of Experience: 1-2 years’ experience with pharmacy 340B required or 1-2 years – progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred.

Other Knowledge, Skills and Abilities Required

• Healthcare system knowledge base/skills
• Proficiency in Microsoft Office software, specifically Excel, Word, and Outlook
• Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems
• Ability to work in a complex team environment and to collaborate with peers to complete required work
• Strong interest in pharmacy practice advancement
• Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.

Other Knowledge, Skills and Abilities Preferred

• Knowledge of hospital and/or retail pharmacy workflows and/or operations
• Previous drug purchasing and/or wholesaler experience
• Previous work and/or training in 340B
• Previous auditing experience
• Experience with working with EPIC EMR system(s)
• Knowledge of hospital billing practices and regulations
• Experience in Microsoft Access

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 Bon secours 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].