340B Auditor

UCLA Health and David Geffen School of Medicine; Kentucky; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay, incentives, referral

403(b) with employer contributions

Medical, dental, vision, prescription,

Paid time off, parental and FMLA leave

Tuition assistance, professional dev

Job summary

Mercy Health in Youngstown, OH is seeking a 340B Auditor to monitor the 340B Drug Discount Program for federal compliance and internal policies. You will service locations, perform daily through quarterly audits, and document findings in accordance with policy.

You will upload data to 340B software, support external audits, and collaborate with 340B staff on special projects. A pharmacy 340B or healthcare auditing background is preferred, with strong Excel/EMR skills.

Qualifications

• High school diploma or GED required.
• Preferred: 2-year degree in business, IT/analytics, pharmacy or related field.
• 340B University (live/on demand) licensure/certification preferred.
• National Pharmacy Technician License preferred.
• 1–2 years’ experience with pharmacy 340B or hospital/healthcare auditing preferred.

Responsibilities

• Monitor 340B compliance across locations and HRSA guidance.
• Audit daily/weekly/monthly/quarterly audits of 340B-eligible locations.
• Document audit results per policy and procedure.
• Monitor 340B purchasing accounts and data uploads.
• Assist external audits as assigned.
• Collaborate with 340B staff on special projects.

Skills

Healthcare system knowledge

Microsoft Excel

Microsoft Word

Microsoft Outlook

EMR systems

340B software systems

Education

High School Diploma or GED

Associate degree in Business/IT/Analytics/Pharmacy

340B University Certification

National Pharmacy Technician License

Tools

EPIC EMR

Microsoft Access

Job description

SummaryofPrimary Function/General Purpose of Position

The 340B Auditor is responsible for the auditing and monitoringof the340B Drug Discount Programforcompliancewithfederalrequirements/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 includeexecution and documentation ofdaily, weekly, monthly and quarterly auditstoverify adherence with the 340B Programregulations and/orguidelines.340BAuditor will collaborate with other 340B staff to preform specialized audits/projectsas required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 340BProgram Manager. Additionally, the340B 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

• Monitors340Bcomplianceforall 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/oroutpatient 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 compliancewith HRSA’s polices including but not limited to 340B eligibility, diversion, andGPO 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 with340B external audits as assigned

• Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares datafor upload into software systems as needed.

• Assists with creating, refining, andexecuting340Baudits as assigned

• Reports all findings and matters through appropriate channels as outlined in policy and procedurewhich include the 340BProgram Manager and340B Analyst for the respective covered entity.

• Assists 340BProgramManager and 340BAnalyst with special projects as assigned

Employment Qualifications:

Education Qualification

Required Minimum Education: High School Diploma / GED

Preferred Education: 2 Year Degreein 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 requiredor;1-2 years – progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred.

Other Knowledge, Skills and AbilitiesRequired:

• Healthcare system knowledge base/skills

• Proficiencyin Microsoft Officesoftware, specifically Excel, Word, and Outlook

• Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems,and/or340B software systems

• Ability to work in a complex team environment and to collaborate with peers to complete required work

• Strong interest in pharmacypractice advancement

• Excellent verbal and written communication skills;communication style that is open and fosterstrust, credibility and understanding.

Other Knowledge, Skills and AbilitiesPreferred :

• Knowledgeofhospital and/or retail pharmacyworkflows 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 practicesand 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 Affiantive 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]