340B Implementation Quality Assurance Analyst (Fully Remote)

Pillr Health; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Pillr Health is a leading 340B Third-Party Administrator helping covered entities maximize program compliance and improve patient access to care. They emphasize collaboration and a culture focused on compliance and continuous improvement.

This role focuses on audits, policy development, and risk management across 340B operations, ensuring HRSA requirements are met and that staff are trained in 340B procedures and inventory management.

Responsibilities

• Conduct regular internal audits of OPAIS records, retail pharmacies, and Medicaid claims to ensure adherence to HRSA requirements.
• Validate patient, provider, and drug eligibility for all 340B transactions.
• Develop and maintain 340B policies, procedures, and workflows for purchasing, referral capture, and contract pharmacy management.
• Administer referral prescription capture processes and ensure documentation supports eligibility.
• Identify compliance risks and prevent diversion across all points of service.
• Develop training programs for staff on 340B procedures and inventory management.

Job description

• Conduct regular internal audits of OPAIS records, retail pharmacies, and Medicaid claims to ensure adherence to HRSA requirements.
• Validate patient, provider, and drug eligibility for all 340B transactions.

Implementation & Process Oversight:

• Develop and maintain 340B policies, procedures, and workflows for purchasing, referral capture, and contract pharmacy management.
• Administer referral prescription capture processes and ensure documentation supports eligibility.

Quality Assurance & Risk Management:

• Identify compliance risks and prevent diversion across all points of service.
• Develop training programs for staff on 340B procedures and inventory management.

Pillr Health

Pillr Health is a leading 340B Third-Party Administrator that helps covered entities maximize program compliance and improve patient access to care. They emphasize a collaborative culture focused on compliance and continuous improvement.