340B Auditor-Pharmacy Dept Services

The MetroHealth System (Cleveland, OH); Cleveland (OH); On-site; USD 70,000 - 100,000; Full time

Job summary

The MetroHealth System in Cleveland, OH seeks a compliance professional to oversee the 340B program. Under the Director – 340B Program, you will perform compliance reviews, conduct audits, educate staff on policy requirements, and support resolution of customer service issues while upholding our mission and values.

Responsibilities include applying HRSA guidance and Medicare/Medicaid billing rules, communicating audit outcomes to management, and maintaining robust documentation.

Qualifications

• BA/BS in healthcare, business, finance, accounting or related field with 2 years of relevant experience or
• Associate degree with 5 years of relevant experience or equivalent combination.
• Knowledge of the 340B drug program; strong quantitative and analytical skills.
• Excellent written, verbal, and interpersonal communication skills.
• Proficiency in Microsoft Excel and Office applications; reliable transportation for site visits.
• Ability to interact effectively with diverse backgrounds.

Responsibilities

• Perform compliance-related activities on systems and processes governed by 340B statute, HRSA guidance, and billing requirements.
• Conduct audits as described in the audit plan and communicate status to management and pertinent parties.
• Educate employee groups on compliance matters and assist with resolving customer service issues.
• Uphold the mission, vision, values, and customer service standards of The MetroHealth System.

Skills

Knowledge of 340B drug program

Quantitative analysis

Interpersonal communication

Education

Bachelor’s Degree in Healthcare, Business, Finance, Accounting, or related field

Associate degree in Business or healthcare-related field

Equivalent combination of education, training, and experience

Tools

Excel

Microsoft Office

Job description

Location

METROHEALTH MEDICAL CENTER

Biweekly Hours

80.00

Shift

8-430 m - f

Summary

Under the direction of the Director – 340B Program, performs compliance-related activities on systems and processes governed by 340B statute, HRSA Guidance, Medicaid and Medicare billing requirements, and MetroHealth Policy. Conducts audits as described in the audit plan and communicates the status of compliance program accomplishments to the management team and other pertinent parties. Educates employee groups on compliance matters and assists with resolving customer service issues. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.

Qualifications

Required:

Meets One Of The Following

• Bachelor’s Degree in Healthcare, Business, Finance, Accounting, or other related field, and 2 years of relevant work experience
• Associate degree in Business or other healthcare-related field, and 5 years of relevant work experience.
• Any equivalent combination of education, training, and experience that equates to one of the aforementioned requirements.

Knowledge of the 340B drug program. Strong quantitative and analytical skills.

Excellent written, verbal, and interpersonal communication skills.

Ability to demonstrate proficient knowledge of the Microsoft Office Suite.

Ability to demonstrate proficiency in the use of Microsoft Excel including statistical and comparative analysis.

Access to reliable transportation to travel to other sites within The MetroHealth System based on operational needs.

Ability to interact effectively with a wide range of cultural, ethnic, racial and socioeconomic backgrounds.

Preferred

Master’s Degree in Business, Public Administration, or other related degree. Experience in healthcare compliance.

Experience working in an auditing capacity. Current Certified Professional Coder (CPC).

Working knowledge of financial accounting and billing procedures.

Physical Requirements

May sit, stand, stoop, bend, and ambulate intermittently during the day.

May need to sit or stand for extended periods.

See in the normal visual range with or without correction.

Hear in the normal audio range with or without correction.

Finger dexterity to operate office equipment required.

May need to lift up to twenty-five (25) pounds on occasion.

Ability to communicate in face-to-face, phone, email, and other communications.

Ability to see computer monitor and departmental documents.