340B Auditor

Mercy Health; Cleveland (OH); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Competitive pay

403(b) employer contributions

Medical/dental/vision coverage

HSA/FSA options

Paid time off

Tuition assistance

Professional development

Job summary

Mercy Health is seeking a 340B Auditor to monitor and audit the 340B Drug Discount Program across locations in the system. You will document audits, ensure HRSA guidelines are followed, and collaborate with 340B staff on special projects.

You will also assist with external audits and manage data uploads to 340B software systems. Ideal candidates have 1–2 years in hospital pharmacy or healthcare auditing, proficiency in Excel and EMR systems, and strong written/verbal communication.

Qualifications

• Minimum education: High School Diploma or GED; preferred 2-year degree in relevant field.
• Experience with hospital/healthcare auditing or 340B programs helpful.
• Proficiency with Excel and EMR systems; ability to learn new software quickly.

Responsibilities

• Audit daily/weekly/monthly/quarterly 340B activities for compliance.
• Document results and prepare audit findings for leadership and external audits.
• Monitor 340B purchasing and utilization records and data uploads.
• Collaborate with 340B staff on special projects and data analysis.
• Assist with 340B external audits and maintain data integrity in software.

Skills

Healthcare knowledge

Excel

EMR systems

Communication

Team collaboration

Education

High School Diploma or GED

2-Year Degree preferred

Tools

EPIC EMR

Microsoft Access

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. 340B Auditor will collaborate with other 340B staff to preform specialized audits/projects as required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 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 340B 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 polices 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 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: Minimum of 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

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 Aff… 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]