Pharmacy Analyst 340B

INTEGRIS Health; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Job summary

INTEGRIS Health Southwest Medical Center in Oklahoma City, OK is hiring a Pharmacy Analyst I/II to support the 340B program. The role involves internal audits, compliance oversight, and collaboration with departments to ensure sound operations.

The position is day shift, full-time, based at the Southwest Medical Center. The analyst will assist with purchasing, reporting, split-billing and contract pharmacy activities within INTEGRIS Health.

Qualifications

• Bachelor's Degree in Accounting, Finance, or related field or 4 years of equivalent experience.
• 4 years of accounting or pharmacy experience
• Audit and/or compliance experience preferred
• Previous work experience using various software applications
• Must be able to communicate effectively in English

Responsibilities

• Develop and maintain oversight of the 340B program, including purchasing, inventory, reporting, and regulatory compliance.
• Assist with audits and contract pharmacy program coordination.
• Collaborate with billing, IT, legal, wholesalers, manufacturers, and contract pharmacies to ensure sound operations.
• Monitor and improve 340B program integrity and compliance.
• Prepare detailed 340B audit findings reports and communicate results to the Oversight Compliance team.

Skills

English communication

Analytical mindset

Attention to detail

Education

Bachelor's degree in accounting/finance or related field

4 years equivalent experience

Tools

Software applications

Job description

Job Description

Join our team as a day shift, full-time, Pharmacy Analyst, at INTEGRIS Health Southwest Medical Center in Oklahoma City, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take the first step toward growing your career by joining us.

Responsibilities

Under the direction of the 340B Compliance Director, the 340B Analyst I and II assists with the overall audit development and coordination support for all INTEGRIS 340B covered entities including contract pharmacy. The 340B Analyst key areas of responsibility will include but not limited to oversight of 340B drug purchasing, inventory processes, monthly reporting, split-billing software maintenance, audits, contract pharmacy programs, and all areas of regulatory compliance. The roles require extensive detailed review of data collection and analysis to detect deficient controls

• Develop a thorough understanding of the 340B Program and improve the overall efficiency, value and internal support of the 340B program.
• Develop a thorough understanding of the split billing/third party administrator systems and the functions to be performed.
• Provides regulatory oversight of INTEGRIS Health 340B program through internal audit functions to include compliance auditing, deficiency identification, and written compliance recommendations to address the controls of the 340B drug program.
• Develops, implements, and maintains processes to ensure compliance with State and Federal regulations.
• Develops and maintains internal relationships (billing, IT, legal, etc.) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendor, etc.) to ensure sound operations of INTEGRIS Health 340B program.
• Works closely with the 340B Compliance Director with audit results and recommends changes to improve 340B integrity and compliance.
• Actively participates in audit preparation and is accountable for audit interactions as a face-to-face member of the facility audit team during actual audits. 340B Mixed-use Functions:
• Ensures mixed-use pharmacies are being monitored with scrutiny for diversion through the routine auditing of medication orders.
• Evaluates patient eligibility for qualified and non-qualified patients in mixed-use areas by reviewing patient medical records, insurance plans, location, provider eligibility, and hospital status.
• Prepares detailed reports on mixed-use audit findings on a routine basis and conveys information regarding audit results to 340B Oversight Compliance team on a regular basis.
• Resolve any reconciliation issues as they arise during the monitoring/auditing process and report to 340B Compliance Director.
• Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
• Update the package size/BUPP for covered entities.
• Reviews the split billing software system and performs transaction reviews to ensure that 340B eligible dispensations are accurately reflected in the system.
• Monitors and audits State Medicaid claims for compliance and prevention of duplicate discount rebates.
• Develops, implements, and monitors systems to ensure all computer systems supporting the mixed-use area of the 340B Program are working appropriately.
• Assesses the definitions of an eligible provider specific to the covered entity and reviews physicians, nurse practitioners, residents, physician assistants, and medical residents who write 340B prescriptions.
• Review and recommend changes to the OPAIS database quarterly.

Required Qualifications

• Bachelor's Degree in Accounting, Finance, or related field or 4 years of equivalent experience
• 4 years of accounting or pharmacy experience
• Audit and/or compliance experience preferred
• Previous work experience using various software applications
• Must be able to communicate effectively in English

INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.